| South Middlesex Opportunity Council Inc | |
|
300 Howard St Framingham MA 01702-8313 | |
| (508) 879-2250 | |
| (508) 620-2637 |
| Full Name | South Middlesex Opportunity Council Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 300 Howard St, Framingham, Massachusetts |
| Authorized Official Name and Position | James Cuddy (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5086202300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Middlesex Opportunity Council Inc 7 Bishop St Framingham MA 01702-8323 Ph: (508) 879-2250 | South Middlesex Opportunity Council Inc 300 Howard St Framingham MA 01702-8313 Ph: (508) 879-2250 |
| NPI Number | 1740336858 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 7517916075 |
|---|---|
| Medicare Enrollment ID | O20050121000672 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740336858 | NPI | - | NPPES |
| 187864000 | Other | MA | MAGELLAN BEHAVIORAL HEALT |
| 110027995C | Medicaid | MA | |
| 20409 | Other | MA | BMC HEALTHNET |
| 981409 | Other | MA | NETWORK HEALTH |
| 1300431 | Other | MA | MASS BEHAVIORAL HEALTH PA |
| 1010730 | Other | MA | BEACON HEALTH STRATEGIES |
| 606962 | Other | MA | TUFTS HEALTH PLAN |
| M18714 | Other | MA | BLUE CROSS BLUE SHIELD |
| 5238537 | Other | MA | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4054 (Massachusetts) | Primary |
| Provider Name | Jeremias Deoliveira |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1922018969 PECOS PAC ID: 9032004155 Enrollment ID: I20040218000294 |
| Provider Name | Susanne W Schneider |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1083772859 PECOS PAC ID: 0244280618 Enrollment ID: I20050125000189 |
| Provider Name | Susan D Morley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245391341 PECOS PAC ID: 8022068493 Enrollment ID: I20050125000222 |
| Provider Name | Laurie Abruzzi |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1821152836 PECOS PAC ID: 5991755266 Enrollment ID: I20050125000258 |
| Provider Name | Jill Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871655241 PECOS PAC ID: 7012962301 Enrollment ID: I20050321000072 |
| Provider Name | Josefa E Torres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962731224 PECOS PAC ID: 8628100120 Enrollment ID: I20100720000126 |
| Provider Name | Kristen L Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073801445 PECOS PAC ID: 9133392962 Enrollment ID: I20111024000198 |
| Provider Name | Krystin Fraser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437341153 PECOS PAC ID: 5496901126 Enrollment ID: I20120810000565 |
| Provider Name | Pamela S Shuman Howitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922144062 PECOS PAC ID: 8325293137 Enrollment ID: I20130228000358 |
| Provider Name | Geraldine A Chimera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851786982 PECOS PAC ID: 4284059221 Enrollment ID: I20200803001023 |
| Provider Name | Erica Daloia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053723163 PECOS PAC ID: 6901256353 Enrollment ID: I20231227000983 |
| Provider Name | Danielle S Lizotte |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952698631 PECOS PAC ID: 7719337005 Enrollment ID: I20231228003235 |
| Provider Name | Brian P Duffy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447318811 PECOS PAC ID: 1557711728 Enrollment ID: I20231229002256 |
| Provider Name | Betsie Miltner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578909057 PECOS PAC ID: 0244681039 Enrollment ID: I20240105001357 |
| Provider Name | Orzenira Debarros |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063921989 PECOS PAC ID: 7214380823 Enrollment ID: I20240131001042 |
| Provider Name | Joseph E Fletcher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356537450 PECOS PAC ID: 8527404128 Enrollment ID: I20240305004601 |
| Provider Name | Gabriel Zarkadas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942826664 PECOS PAC ID: 5698111219 Enrollment ID: I20240306000742 |
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