Mr Vivens Ulysse, | |
420 Main St, Walpole, MA 02081-3753 | |
(617) 514-2495 | |
Not Available |
Full Name | Mr Vivens Ulysse |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 420 Main St, Walpole, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487332615 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN2282687 (Massachusetts) | Primary |
Entity Name | Neuro Behavioral Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699143180 PECOS PAC ID: 9032410667 Enrollment ID: O20151223001402 |
Mailing Address | Practice Location Address |
---|---|
Mr Vivens Ulysse, 28 Columbus Ave, Stoughton, MA 02072-3214 Ph: (781) 228-9627 | Mr Vivens Ulysse, 420 Main St, Walpole, MA 02081-3753 Ph: (617) 514-2495 |
Mrs. Casey Tanya Mcgrath, RN, BSN, MSN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 Norfolk St, Walpole, MA 02081 Phone: 508-660-1200 | |
Marybeth Bosak, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 36 Pemberton St Apt B, Walpole, MA 02081 Phone: 508-596-8760 | |
Kathryn Elizabeth Ventola, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 Norfolk St, Walpole, MA 02081 Phone: 508-660-1200 | |
Courtney Healy, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Norfolk St, Walpole, MA 02081 Phone: 508-660-1200 Fax: 508-660-1209 | |
Matthew Peculis, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 Providence Hwy Unit 167, Walpole, MA 02081 Phone: 508-660-7949 | |
Melissa E Eaton, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 420 Main St Ste 15, Walpole, MA 02081 Phone: 508-660-1666 Fax: 508-660-1667 | |
Amanda Lynn Boutin, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 103 Providence Hwy, Walpole, MA 02032 Phone: 781-255-0500 |