| Walpole Behavioral Healthcare | |
|
841 Main St Ll2 Walpole MA 02081-2997 | |
| (508) 668-6053 | |
| (508) 422-7297 |
| Full Name | Walpole Behavioral Healthcare |
|---|---|
| Speciality | Psychologist |
| Location | 841 Main St Ll2, Walpole, Massachusetts |
| Authorized Official Name and Position | Frederick Paul Horan (DIRECTOR) |
| Authorized Official Contact | 5086686053 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Walpole Behavioral Healthcare 10 Common St Unit 64 Walpole MA 02081-9203 Ph: (508) 668-6053 | Walpole Behavioral Healthcare 841 Main St Ll2 Walpole MA 02081-2997 Ph: (508) 668-6053 |
| NPI Number | 1881978971 |
|---|---|
| Provider Enumeration Date | 10/06/2011 |
| Last Update Date | 01/06/2022 |
| Certification Date | 12/05/2021 |
| Medicare PECOS PAC ID | 5395910574 |
|---|---|
| Medicare Enrollment ID | O20111216000473 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881978971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 4743 (Massachusetts) | Primary |
| Provider Name | Lisa R Ahmed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295710549 PECOS PAC ID: 4082642905 Enrollment ID: I20050802000404 |
| Provider Name | Frederick Horan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558345611 PECOS PAC ID: 1355369836 Enrollment ID: I20051103000097 |
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Walpole Behavioral Healthcare, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 841 Main St, Ll2, Walpole, MA 02081 Phone: 508-660-6699 Fax: 508-660-6658 | |
Isaacs & Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 841 Main St, Suite 4, Walpole, MA 02081 Phone: 508-668-3284 Fax: 508-668-3381 | |
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