| Wheeler Brook Psychiatric Care, Pllc | |
|
435 Newbury St Ste 224 Danvers MA 01923-1065 | |
| (978) 705-9775 | |
| Not Available |
| Full Name | Wheeler Brook Psychiatric Care, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 435 Newbury St Ste 224, Danvers, Massachusetts |
| Authorized Official Name and Position | Julia Martyn (OWNER) |
| Authorized Official Contact | 9787059775 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wheeler Brook Psychiatric Care, Pllc 435 Newbury St Ste 224 Danvers MA 01923-1065 Ph: (978) 705-9775 | Wheeler Brook Psychiatric Care, Pllc 435 Newbury St Ste 224 Danvers MA 01923-1065 Ph: (978) 705-9775 |
| NPI Number | 1710740329 |
|---|---|
| Provider Enumeration Date | 02/05/2024 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/05/2024 |
| Medicare PECOS PAC ID | 2062851132 |
|---|---|
| Medicare Enrollment ID | O20240423000489 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710740329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Julia Martyn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255799680 PECOS PAC ID: 4688961006 Enrollment ID: I20160928000670 |
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