| Wholesome Psychiatry, Llc | |
|
10 Andrew Sq Ste 201b South Boston MA 02127-3037 | |
| (617) 820-7677 | |
| Not Available |
| Full Name | Wholesome Psychiatry, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10 Andrew Sq Ste 201b, South Boston, Massachusetts |
| Authorized Official Name and Position | Dorota Borkiewicz (PSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Contact | 6178207677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wholesome Psychiatry, Llc 301 Union St Hanover MA 02339-1542 Ph: (617) 820-7677 | Wholesome Psychiatry, Llc 10 Andrew Sq Ste 201b South Boston MA 02127-3037 Ph: (617) 820-7677 |
| NPI Number | 1770160749 |
|---|---|
| Provider Enumeration Date | 03/25/2021 |
| Last Update Date | 03/25/2021 |
| Certification Date | 03/25/2021 |
| Medicare PECOS PAC ID | 2860801529 |
|---|---|
| Medicare Enrollment ID | O20210510000993 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770160749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Dorota Borkiewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497180707 PECOS PAC ID: 4789929845 Enrollment ID: I20181218000476 |
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