| Massachusetts Mind Center Llc | |
|
376 Boylston St Ste 403 Boston MA 02116-3812 | |
| (617) 935-3678 | |
| Not Available |
| Full Name | Massachusetts Mind Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 376 Boylston St, Boston, Massachusetts |
| Authorized Official Name and Position | Asma Rashid (OWNER) |
| Authorized Official Contact | 6179353678 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Massachusetts Mind Center Llc 184 Commonwealth Ave 10 Boston MA 02116-2748 Ph: () - | Massachusetts Mind Center Llc 376 Boylston St Ste 403 Boston MA 02116-3812 Ph: (617) 935-3678 |
| NPI Number | 1972930063 |
|---|---|
| Provider Enumeration Date | 10/03/2013 |
| Last Update Date | 09/23/2016 |
| Medicare PECOS PAC ID | 6709254733 |
|---|---|
| Medicare Enrollment ID | O20221123001609 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972930063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 240591 (Massachusetts) | Primary |
| Provider Name | Asma Rashid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154515286 PECOS PAC ID: 8123208089 Enrollment ID: I20110209000732 |
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