River Valley Mental Health Care Pllc | |
10 Prince Pl Ste 204a Newburyport MA 01950-2657 | |
(978) 308-2372 | |
Not Available |
Full Name | River Valley Mental Health Care Pllc |
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Speciality | Clinic/Center |
Location | 10 Prince Pl Ste 204a, Newburyport, Massachusetts |
Authorized Official Name and Position | Susan E Martinson (OWNER) |
Authorized Official Contact | 9783082372 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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River Valley Mental Health Care Pllc 151 Merrimac St Newburyport MA 01950-2325 Ph: (781) 888-2463 | River Valley Mental Health Care Pllc 10 Prince Pl Ste 204a Newburyport MA 01950-2657 Ph: (978) 308-2372 |
NPI Number | 1366193146 |
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Provider Enumeration Date | 01/13/2022 |
Last Update Date | 07/11/2022 |
Certification Date | 07/11/2022 |
Medicare PECOS PAC ID | 8022488980 |
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Medicare Enrollment ID | O20230110002579 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366193146 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Susan Martinson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306941893 PECOS PAC ID: 2860497658 Enrollment ID: I20220210000461 |
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