| Synthesis Psychotherapy, Llc | |
|
165 Main St Unit 204a Medway MA 02053-1591 | |
| (508) 533-7635 | |
| (508) 533-7637 |
| Full Name | Synthesis Psychotherapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 165 Main St Unit 204a, Medway, Massachusetts |
| Authorized Official Name and Position | Regina M. Mccaffery (MANAGER) |
| Authorized Official Contact | 5085337635 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Synthesis Psychotherapy, Llc 165 Main St Unit 204a Medway MA 02053-1591 Ph: (508) 533-7635 | Synthesis Psychotherapy, Llc 165 Main St Unit 204a Medway MA 02053-1591 Ph: (508) 533-7635 |
| NPI Number | 1194201970 |
|---|---|
| Provider Enumeration Date | 07/16/2018 |
| Last Update Date | 07/16/2018 |
| Medicare PECOS PAC ID | 1759796824 |
|---|---|
| Medicare Enrollment ID | O20210223001797 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194201970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 104228 (Massachusetts) | Primary |
| Provider Name | Regina M Mccaffery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659390169 PECOS PAC ID: 2365494689 Enrollment ID: I20050215000815 |
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