| Principium, Llc | |
|
128 Main St Ste 5 Sturbridge MA 01566-1556 | |
| (508) 659-8585 | |
| (508) 659-8586 |
| Full Name | Principium, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 128 Main St Ste 5, Sturbridge, Massachusetts |
| Authorized Official Name and Position | Maryann Mathieu (BILLING MANAGER) |
| Authorized Official Contact | 5084186888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Principium, Llc 128 Main St Ste 5 Sturbridge MA 01566-1556 Ph: (508) 659-8585 | Principium, Llc 128 Main St Ste 5 Sturbridge MA 01566-1556 Ph: (508) 659-8585 |
| NPI Number | 1205592482 |
|---|---|
| Provider Enumeration Date | 11/12/2021 |
| Last Update Date | 11/12/2021 |
| Certification Date | 11/12/2021 |
| Medicare PECOS PAC ID | 8123411378 |
|---|---|
| Medicare Enrollment ID | O20220210001256 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205592482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary |
| Provider Name | David Patrick Morin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215910914 PECOS PAC ID: 9739135195 Enrollment ID: I20050329000579 |
| Provider Name | Meenakshi Vemuri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720066343 PECOS PAC ID: 0840378030 Enrollment ID: I20080430000421 |
| Provider Name | Zafar N Naqvi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649429440 PECOS PAC ID: 4385815869 Enrollment ID: I20110913000465 |
| Provider Name | John Joseph Tracey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386679223 PECOS PAC ID: 3870732308 Enrollment ID: I20130613000509 |
| Provider Name | Mary E Judd Pechie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487649117 PECOS PAC ID: 6305085846 Enrollment ID: I20130613000547 |
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