| Psychiatry - Hmfp At Bidmc | |
|
330 Brookline Ave Boston MA 02215 | |
| (617) 667-4654 | |
| (617) 667-4934 |
| Full Name | Psychiatry - Hmfp At Bidmc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 330 Brookline Ave, Boston, Massachusetts |
| Authorized Official Name and Position | Alexandra Boer Kimball (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6176327441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatry - Hmfp At Bidmc 375 Longwood Ave Ste 3 Boston MA 02215-5395 Ph: (617) 632-7441 | Psychiatry - Hmfp At Bidmc 330 Brookline Ave Boston MA 02215 Ph: (617) 667-4654 |
| NPI Number | 1770524373 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 09/13/2019 |
| Medicare PECOS PAC ID | 4486567104 |
|---|---|
| Medicare Enrollment ID | O20031203000315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770524373 | NPI | - | NPPES |
| 9768157 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Phillip Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841211307 PECOS PAC ID: 9537063268 Enrollment ID: I20031124000349 |
| Provider Name | Mark R Thall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588698492 PECOS PAC ID: 7113822297 Enrollment ID: I20031203000037 |
| Provider Name | Catherine A Lager |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124061577 PECOS PAC ID: 1456244433 Enrollment ID: I20040204000274 |
| Provider Name | Paul Plasky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144203027 PECOS PAC ID: 9739079146 Enrollment ID: I20040318001156 |
| Provider Name | Kevin P Hill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407871122 PECOS PAC ID: 7416942875 Enrollment ID: I20040416000269 |
| Provider Name | Anthony P. Weiss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386635845 PECOS PAC ID: 7214925940 Enrollment ID: I20040503000897 |
| Provider Name | Alejandro Y Mendoza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326086638 PECOS PAC ID: 2961482906 Enrollment ID: I20040727000370 |
| Provider Name | Eran D Metzger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073592101 PECOS PAC ID: 1759320278 Enrollment ID: I20050425001169 |
| Provider Name | Russell G Vasile |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083707962 PECOS PAC ID: 4284674060 Enrollment ID: I20050511000482 |
| Provider Name | Lisa A Carbone |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750311254 PECOS PAC ID: 7315981081 Enrollment ID: I20050614000346 |
| Provider Name | Kerry L Bloomingdale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326039181 PECOS PAC ID: 2264462191 Enrollment ID: I20050819000339 |
| Provider Name | Evgeniy E Filin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619935418 PECOS PAC ID: 1850324294 Enrollment ID: I20050915000534 |
| Provider Name | Jamie M Dupuy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811935174 PECOS PAC ID: 9739106444 Enrollment ID: I20051101000201 |
| Provider Name | Sara J Hoffschmidt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053336016 PECOS PAC ID: 0749208023 Enrollment ID: I20051104000423 |
| Provider Name | Maureen Sacks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093751927 PECOS PAC ID: 3577583707 Enrollment ID: I20051201000858 |
| Provider Name | Leonid Newhouse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215113808 PECOS PAC ID: 1254351497 Enrollment ID: I20051201000916 |
| Provider Name | Susan A Carey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477509669 PECOS PAC ID: 9436160108 Enrollment ID: I20060509000521 |
| Provider Name | Tsung Ung A Woo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710071006 PECOS PAC ID: 4082615273 Enrollment ID: I20070131000423 |
| Provider Name | Mary Ann Maibor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932312618 PECOS PAC ID: 6406956242 Enrollment ID: I20070710000406 |
| Provider Name | Laura T Safar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932155660 PECOS PAC ID: 5698876258 Enrollment ID: I20070726000223 |
| Provider Name | Anton L Pesok |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538116272 PECOS PAC ID: 3375634686 Enrollment ID: I20070801000014 |
| Provider Name | Christine Wittmann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770550410 PECOS PAC ID: 5991733511 Enrollment ID: I20070824000221 |
| Provider Name | Priyamvada Kota |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093926818 PECOS PAC ID: 7012002496 Enrollment ID: I20071001000030 |
| Provider Name | Margaret Oconnor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730122201 PECOS PAC ID: 6608962113 Enrollment ID: I20071015000284 |
| Provider Name | Cristinel Coconcea |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891711404 PECOS PAC ID: 2961448550 Enrollment ID: I20071023000644 |
| Provider Name | Fabian M Saleh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972584613 PECOS PAC ID: 8628150539 Enrollment ID: I20080131000289 |
| Provider Name | Elizabeth A Lasalvia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174725782 PECOS PAC ID: 8224111075 Enrollment ID: I20080216000100 |
| Provider Name | Nathaniel S Kuhn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821071770 PECOS PAC ID: 0749364834 Enrollment ID: I20080228000031 |
| Provider Name | Anna Katharina Trede |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114903655 PECOS PAC ID: 6103859541 Enrollment ID: I20080506000654 |
| Provider Name | Nancy P Moczynski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710025093 PECOS PAC ID: 2264501949 Enrollment ID: I20080521000276 |
| Provider Name | Liliana Smurawska |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588659742 PECOS PAC ID: 0042388381 Enrollment ID: I20081014000243 |
| Provider Name | Shunda M Mcgahee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548396252 PECOS PAC ID: 2860550050 Enrollment ID: I20081016000157 |
| Provider Name | Hetal Verma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720134547 PECOS PAC ID: 9436205630 Enrollment ID: I20090912000098 |
| Provider Name | Sejal B Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326238312 PECOS PAC ID: 1759429582 Enrollment ID: I20091116000068 |
| Provider Name | Christie L Sams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477566271 PECOS PAC ID: 3870638281 Enrollment ID: I20100309000525 |
| Provider Name | Pamela N Peck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659307635 PECOS PAC ID: 0840325098 Enrollment ID: I20100313000026 |
| Provider Name | Jonathan C Florman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568416592 PECOS PAC ID: 5890820492 Enrollment ID: I20100322000619 |
| Provider Name | Elizabeth R Dunn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114974656 PECOS PAC ID: 7315072832 Enrollment ID: I20100322000850 |
| Provider Name | Urrooj Rehman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205021862 PECOS PAC ID: 5991835548 Enrollment ID: I20100609000308 |
| Provider Name | William E Greenberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265481527 PECOS PAC ID: 1658401948 Enrollment ID: I20100614000038 |
| Provider Name | Roscoe O Brady |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942336375 PECOS PAC ID: 4688707474 Enrollment ID: I20100730000292 |
| Provider Name | Rohn S Friedman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942283338 PECOS PAC ID: 6002949823 Enrollment ID: I20100730000631 |
| Provider Name | Ana N Ticlea |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295986164 PECOS PAC ID: 1052366184 Enrollment ID: I20110802000807 |
| Provider Name | Shreya Raj |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922261791 PECOS PAC ID: 5799954749 Enrollment ID: I20110808000494 |
| Provider Name | Amy J Goldman Notis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902942477 PECOS PAC ID: 7315116266 Enrollment ID: I20110809000891 |
| Provider Name | Bradford Lewis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588827430 PECOS PAC ID: 0042477432 Enrollment ID: I20120625000625 |
| Provider Name | Jessica A Harder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811169048 PECOS PAC ID: 2163678962 Enrollment ID: I20120810000166 |
| Provider Name | Christine A Gosselin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447382403 PECOS PAC ID: 6002067162 Enrollment ID: I20121119000414 |
| Provider Name | Adam P Stern |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124343553 PECOS PAC ID: 3173776515 Enrollment ID: I20130114000393 |
| Provider Name | Anthony T Marfeo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457675332 PECOS PAC ID: 5799923108 Enrollment ID: I20131018000002 |
| Provider Name | Sabra J Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366875437 PECOS PAC ID: 3476788894 Enrollment ID: I20131021000142 |
| Provider Name | Lynn Shaughnessy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790126449 PECOS PAC ID: 0143456137 Enrollment ID: I20131121001460 |
| Provider Name | Joshua Ryan Leo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376785022 PECOS PAC ID: 3779721352 Enrollment ID: I20140618000085 |
| Provider Name | Genny I Wolf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659665909 PECOS PAC ID: 5092932780 Enrollment ID: I20140804000381 |
| Provider Name | Lindsay Gail Miarmi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790188720 PECOS PAC ID: 5991027567 Enrollment ID: I20141210000753 |
| Provider Name | Marta D Herschkopf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306137492 PECOS PAC ID: 2668614009 Enrollment ID: I20150622001634 |
| Provider Name | Leah K. Schweitzer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649569807 PECOS PAC ID: 7517280001 Enrollment ID: I20150716001090 |
| Provider Name | Tyler A Zink |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275911323 PECOS PAC ID: 2769791581 Enrollment ID: I20151019001025 |
| Provider Name | Sarah E Herold |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417256660 PECOS PAC ID: 4284875766 Enrollment ID: I20151029002243 |
| Provider Name | Edwin R Raffi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730444274 PECOS PAC ID: 5395044697 Enrollment ID: I20160506001777 |
| Provider Name | Jaya Padmanabhan |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1104141639 PECOS PAC ID: 5991025462 Enrollment ID: I20160621001956 |
| Provider Name | Timothy M Scarella |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346507399 PECOS PAC ID: 7911221304 Enrollment ID: I20160623000264 |
| Provider Name | Whitney Peters |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588920029 PECOS PAC ID: 2668610890 Enrollment ID: I20160627001051 |
| Provider Name | Naema Qureshi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174899231 PECOS PAC ID: 9335380088 Enrollment ID: I20160628001715 |
| Provider Name | Sara J Brady |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801162979 PECOS PAC ID: 6002056033 Enrollment ID: I20160818001771 |
| Provider Name | John B Torous |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083989354 PECOS PAC ID: 2365738903 Enrollment ID: I20160908001732 |
| Provider Name | Tyler J Dodds |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477852234 PECOS PAC ID: 3072751346 Enrollment ID: I20160920001001 |
| Provider Name | Sarah Ballou |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720531833 PECOS PAC ID: 5890073134 Enrollment ID: I20161020002174 |
| Provider Name | Marcela D Almeida |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306013065 PECOS PAC ID: 5890833792 Enrollment ID: I20170510000842 |
| Provider Name | Paulo Lizano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740522192 PECOS PAC ID: 6103052154 Enrollment ID: I20170602000174 |
| Provider Name | Meredith Gansner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659613008 PECOS PAC ID: 3971871252 Enrollment ID: I20170608002000 |
| Provider Name | Sara Lozyniak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023308517 PECOS PAC ID: 7214231513 Enrollment ID: I20170913000067 |
| Provider Name | Zachary Saxe Sager |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396183125 PECOS PAC ID: 7719208883 Enrollment ID: I20171016000211 |
| Provider Name | Ashley N Matskevich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447677752 PECOS PAC ID: 6608199971 Enrollment ID: I20171127002167 |
| Provider Name | Dhanviney Verma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932528668 PECOS PAC ID: 1355560772 Enrollment ID: I20171228001035 |
| Provider Name | Lauren Morris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003158429 PECOS PAC ID: 0547496747 Enrollment ID: I20180131001713 |
| Provider Name | Nicholas M Domaney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033537337 PECOS PAC ID: 3971720061 Enrollment ID: I20180507001587 |
| Provider Name | Dara Leah Wilensky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558788745 PECOS PAC ID: 9436473774 Enrollment ID: I20180724002440 |
| Provider Name | Denise Studley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629568753 PECOS PAC ID: 1254689565 Enrollment ID: I20180802002404 |
| Provider Name | George Lin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356875116 PECOS PAC ID: 6002169331 Enrollment ID: I20181102000149 |
| Provider Name | Katiuska Johana Ramirez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104210665 PECOS PAC ID: 0941517338 Enrollment ID: I20190426001214 |
| Provider Name | Megan Dawson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144614504 PECOS PAC ID: 1850604455 Enrollment ID: I20190829002546 |
| Provider Name | Franchesca Arias |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285275271 PECOS PAC ID: 0446682306 Enrollment ID: I20191114000340 |
| Provider Name | Nerissa Patricia Fuhrmann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699169177 PECOS PAC ID: 6305151333 Enrollment ID: I20191204000713 |
| Provider Name | Scott Fish |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588938468 PECOS PAC ID: 1153553045 Enrollment ID: I20200204002592 |
| Provider Name | Suraj J Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053722470 PECOS PAC ID: 8628365467 Enrollment ID: I20200419000362 |
| Provider Name | Johnna Elaine Marcus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538717277 PECOS PAC ID: 4486085586 Enrollment ID: I20200505001474 |
| Provider Name | Ryan Henner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437511565 PECOS PAC ID: 4284912502 Enrollment ID: I20200715001971 |
| Provider Name | Mia Hazle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821451808 PECOS PAC ID: 8325334782 Enrollment ID: I20200724000915 |
| Provider Name | Jennifer Batel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215399258 PECOS PAC ID: 8224322151 Enrollment ID: I20200826002928 |
| Provider Name | Raquelle Mesholam-gately |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548751670 PECOS PAC ID: 1456765973 Enrollment ID: I20210125001741 |
| Provider Name | Austin Greenhaw |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760913453 PECOS PAC ID: 7315347291 Enrollment ID: I20210615000733 |
| Provider Name | Kristen Kraemer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134718307 PECOS PAC ID: 7517367170 Enrollment ID: I20210618000613 |
| Provider Name | Allison Joyce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598900292 PECOS PAC ID: 9133521883 Enrollment ID: I20210716002687 |
| Provider Name | Haroon Malik |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710533187 PECOS PAC ID: 9133522006 Enrollment ID: I20210729002218 |
| Provider Name | Gennarina D Santorelli |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962176453 PECOS PAC ID: 4688071632 Enrollment ID: I20210918000002 |
| Provider Name | Jennie B. Davidow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811359870 PECOS PAC ID: 9931495850 Enrollment ID: I20210930001737 |
| Provider Name | Eric Joseph Connors |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003478843 PECOS PAC ID: 0446658413 Enrollment ID: I20211005001630 |
| Provider Name | Luis Roberto Sandoval |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164004743 PECOS PAC ID: 3072904622 Enrollment ID: I20211215002667 |
| Provider Name | Siobhan Eilise Mcdonold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013673367 PECOS PAC ID: 5496147050 Enrollment ID: I20220112000828 |
| Provider Name | Simone Abella Obara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508360512 PECOS PAC ID: 1557748183 Enrollment ID: I20220519001595 |
| Provider Name | Olga O Kuznetsova |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780179168 PECOS PAC ID: 0840535886 Enrollment ID: I20220620000575 |
| Provider Name | Nanik Ram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225559388 PECOS PAC ID: 8224302203 Enrollment ID: I20220707002378 |
| Provider Name | Reigna El-yashruti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568124758 PECOS PAC ID: 2466835202 Enrollment ID: I20220811002545 |
| Provider Name | Subha Subramanian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437635257 PECOS PAC ID: 2466828280 Enrollment ID: I20221019003065 |
| Provider Name | Michal Mcdowell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952891046 PECOS PAC ID: 2769733955 Enrollment ID: I20221020003084 |
| Provider Name | Lyan Chung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932842929 PECOS PAC ID: 1254709330 Enrollment ID: I20221121002153 |
| Provider Name | Anthony J Cunningham |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548832611 PECOS PAC ID: 9537538665 Enrollment ID: I20221213001902 |
| Provider Name | Caroline S Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275273963 PECOS PAC ID: 6204206394 Enrollment ID: I20230106000301 |
| Provider Name | Leigh Elizabeth Colvin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578135034 PECOS PAC ID: 9234500562 Enrollment ID: I20230125001363 |
| Provider Name | Kristen Wesbecher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942837885 PECOS PAC ID: 1456770791 Enrollment ID: I20230407001574 |
| Provider Name | Setari Parsa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639741713 PECOS PAC ID: 5890141345 Enrollment ID: I20231019003235 |
| Provider Name | Mackenzie Anne Brigham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679033955 PECOS PAC ID: 2860835675 Enrollment ID: I20240208002892 |
| Provider Name | Anthony Szeto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164101846 PECOS PAC ID: 9931543261 Enrollment ID: I20240214003812 |
| Provider Name | Elizabeth Greenwald |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083174916 PECOS PAC ID: 8820432198 Enrollment ID: I20240215000906 |
| Provider Name | Susan H Kates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265916993 PECOS PAC ID: 0143668871 Enrollment ID: I20240401002086 |
The Collaborative Counseling Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 Arlington St Ste 500, Boston, MA 02116 Phone: 617-651-1101 | |
Meditelecare Of Massachusetts, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 84 State St, Boston, MA 02109 Phone: 860-788-6404 Fax: 860-829-0495 | |
Ahead Massachusetts Medical Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Liberty Sq # 2523, Boston, MA 02109 Phone: 855-306-7786 Fax: 415-367-3629 | |
Harvard Vanguard Medical Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 Brookline Ave, Boston, MA 02215 Phone: 617-421-1000 Fax: 617-421-1191 | |
Dr. Laura Fasciano Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Arch St Fl 8, Boston, MA 02110 Phone: 203-530-6979 | |
David Buckley Pmhnp Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 607 Boylston St Ste 191l, Boston, MA 02116 Phone: 617-302-7102 | |
The Wellbeing Umbrella, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 Devonshire St Ste 902, Boston, MA 02110 Phone: 617-383-7010 |