| Specialized Health Management Inc | |
|
60 Kendrick St Ste 102 Needham MA 02494-2726 | |
| (339) 777-5446 | |
| (339) 777-5447 |
| Full Name | Specialized Health Management Inc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 60 Kendrick St Ste 102, Needham, Massachusetts |
| Authorized Official Name and Position | Nancy Nager (PRESIDENT AND CEO) |
| Authorized Official Contact | 3397775446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialized Health Management Inc 60 Kendrick St Ste 102 Needham MA 02494-2726 Ph: (339) 777-5446 | Specialized Health Management Inc 60 Kendrick St Ste 102 Needham MA 02494-2726 Ph: (339) 777-5446 |
| NPI Number | 1700912656 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 10/04/2021 |
| Certification Date | 10/04/2021 |
| Medicare PECOS PAC ID | 5597759274 |
|---|---|
| Medicare Enrollment ID | O20040419000687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700912656 | NPI | - | NPPES |
| Provider Name | Barbara Ford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467734384 PECOS PAC ID: 0143493767 Enrollment ID: I20140520000177 |
| Provider Name | Anya V Cabot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184261075 PECOS PAC ID: 1254742414 Enrollment ID: I20201119003067 |
| Provider Name | Kyle Anders Holmquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730799875 PECOS PAC ID: 5799198776 Enrollment ID: I20210112002310 |
| Provider Name | Philip Gottlieb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114925138 PECOS PAC ID: 5294727178 Enrollment ID: I20210419000240 |
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