Citypsych Wellness, Inc.

LBN: Citypsych Wellness, Inc.
Citypsych Wellness, Inc. is an health care organization with primary practice located at 333 Lee Burbank Hwy Ste 2 , Revere MA 02151-4003. The organization recently has only one registered license in Agencies / Nursing Care, which is considered as the primary health care specialty. Citypsych Wellness, Inc. can be contacted via phone (617) 242-1000, or through Heravi, Kathleen via phone (617) 797-1746.

Contact Information

Primary practice address
333 Lee Burbank Hwy Ste 2 Revere MA 02151-4003
Phone: (617) 242-1000
Fax: (617) 242-1099
Website:
Map and Directions
Authorized official contact:
Name: Heravi, Kathleen Registered Nurse (RN)
Phone: (617) 797-1746

Health care specialties

SpecialtyCodeLicense #State
Agencies / Nursing Care 251J00000X

Profile Details

NPI number 1790211225
LBN Legal business name Citypsych Wellness, Inc.
DBA Doing business as
Authorized official Heravi, Kathleen Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2017
Last updated May 3rd, 2017 - about 7 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 1790211225 NPPES
Massachusetts Other 110099933/B MEDICAID

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