| Starr Psychiatric Center Inc | |
|
529 Pearl St Brockton MA 02301-2825 | |
| (508) 580-2211 | |
| (508) 427-1772 |
| Full Name | Starr Psychiatric Center Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 529 Pearl St, Brockton, Massachusetts |
| Authorized Official Name and Position | David Zalman Starr (PRESIDENT) |
| Authorized Official Contact | 5085802211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Starr Psychiatric Center Inc 22 Tracey Lane Sharon MA 02067 Ph: (508) 580-2211 | Starr Psychiatric Center Inc 529 Pearl St Brockton MA 02301-2825 Ph: (508) 580-2211 |
| NPI Number | 1871687129 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 03/26/2008 |
| Medicare PECOS PAC ID | 4385742626 |
|---|---|
| Medicare Enrollment ID | O20070609000089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871687129 | NPI | - | NPPES |
| M19187 | Other | MA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Franklin J Galvin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154482545 PECOS PAC ID: 2264461250 Enrollment ID: I20050810000463 |
| Provider Name | Krishnaswamy Gajaraj |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962488395 PECOS PAC ID: 7618973454 Enrollment ID: I20061018000325 |
| Provider Name | Claudia Orfao-martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043220676 PECOS PAC ID: 3678657293 Enrollment ID: I20080221000053 |
| Provider Name | Syed A. Jafery |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255582698 PECOS PAC ID: 5890966857 Enrollment ID: I20110922000619 |
| Provider Name | Nora P Mellett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508113374 PECOS PAC ID: 2062752280 Enrollment ID: I20190325001893 |
| Provider Name | George P Haywood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104146893 PECOS PAC ID: 7113348418 Enrollment ID: I20200521002187 |
| Provider Name | Claire F Diilio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396394854 PECOS PAC ID: 7618396243 Enrollment ID: I20201001001239 |
| Provider Name | Onyinye U Osuagwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730733874 PECOS PAC ID: 1951718865 Enrollment ID: I20210320000000 |
| Provider Name | Lorraine M Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235723040 PECOS PAC ID: 4486051521 Enrollment ID: I20210916001173 |
| Provider Name | Chimezie Agomoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154906980 PECOS PAC ID: 1658768718 Enrollment ID: I20220420002202 |
| Provider Name | Marcella A Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285127001 PECOS PAC ID: 9638548746 Enrollment ID: I20221213000837 |
| Provider Name | William Hudgins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811096639 PECOS PAC ID: 6608245683 Enrollment ID: I20221214000869 |
| Provider Name | Lois Awah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184122566 PECOS PAC ID: 1951774900 Enrollment ID: I20230222002255 |
| Provider Name | Marsha Charlton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275994600 PECOS PAC ID: 4183098981 Enrollment ID: I20230317001344 |
| Provider Name | Alcina V Corbett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114673647 PECOS PAC ID: 8426405655 Enrollment ID: I20231109002743 |
| Provider Name | Nnemeka A Okpala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003373754 PECOS PAC ID: 7012366552 Enrollment ID: I20231211000137 |
| Provider Name | Mark Burrowes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518039288 PECOS PAC ID: 5698125193 Enrollment ID: I20231226000903 |
| Provider Name | Kathleen Burns |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861851305 PECOS PAC ID: 4486004843 Enrollment ID: I20231227001627 |
| Provider Name | Melissa Batista |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346633518 PECOS PAC ID: 7416309562 Enrollment ID: I20240115000785 |
| Provider Name | Darcy Beals |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780861401 PECOS PAC ID: 3375995228 Enrollment ID: I20240117000847 |
| Provider Name | Temitope Obasekola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518667617 PECOS PAC ID: 9436502218 Enrollment ID: I20240129000891 |
| Provider Name | Henry Agri |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366058059 PECOS PAC ID: 2264876689 Enrollment ID: I20240213004673 |
| Provider Name | Shirnett L Khorran-gajaraj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538919147 PECOS PAC ID: 4981044211 Enrollment ID: I20240502003073 |
Arbour Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Shaw Rd, Brockton, MA 02301 Phone: 617-935-4872 | |
Aubrey Lieberman Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1342 Belmont St, Suite 105, Brockton, MA 02301 Phone: 508-580-3330 Fax: 508-580-8633 | |
South Bay Community Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1115 West Chestnut Street, Suite 202, Brockton, MA 02301 Phone: 508-521-2200 Fax: 508-584-2227 | |
South Bay Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1115 West Chestnut Street Suite 202, Brockton, MA 02301 Phone: 508-521-2200 Fax: 508-584-2227 | |
Bmc Brockton Behavioral Health Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 34 N Pearl St, Brockton, MA 02301 Phone: 617-414-5393 | |
Brockton Multi Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 165 Quincy St, Dmh, Brockton, MA 02302 Phone: 508-897-2000 Fax: 508-586-5117 | |
Emergency Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 165 Quincy St, Brockton, MA 02302 Phone: 508-897-2000 |