Massachusetts Mind Center Llc | |
376 Boylston St Ste 403 Boston MA 02116-3812 | |
(617) 935-3678 | |
Not Available |
Full Name | Massachusetts Mind Center Llc |
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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 |
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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 |
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Provider Enumeration Date | 10/03/2013 |
Last Update Date | 09/23/2016 |
Medicare PECOS PAC ID | 6709254733 |
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Medicare Enrollment ID | O20221123001609 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972930063 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 240591 (Massachusetts) | Primary |
Provider Name | Asma Rashid |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1154515286 PECOS PAC ID: 8123208089 Enrollment ID: I20110209000732 |
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