Bournewood Clinical Associates

LBN: Bournewood Clinical Associates
Bournewood Clinical Associates is an health care organization with primary practice located at 300 South St , Brookline MA 02467-3658. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Bournewood Clinical Associates can be contacted via phone (617) 469-0300, or through Gale, Michael C via phone (617) 469-0300.

Contact Information

Primary practice address
300 South St Brookline MA 02467-3658
Phone: (617) 469-0300
Fax: (617) 469-5013
Website:
Map and Directions
Authorized official contact:
Name: Gale, Michael C
Phone: (617) 469-0300

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1891780144
LBN Legal business name Bournewood Clinical Associates
DBA Doing business as
Authorized official Gale, Michael C
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891780144 NPPES
Massachusetts MEDICAID 9773908
Massachusetts Other M15391

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