Leahy, John J

Leahy, John J is an individual health care provider with primary practice located at Nova Psychiatric Services Inc 1261 Furnace Brook Parkway, Quincy MA 02169. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Leahy, John J can be contacted via phone (617) 479-4545.

Contact Information

Primary practice address
Nova Psychiatric Services Inc 1261 Furnace Brook Parkway Quincy MA 02169
Phone: (617) 479-4545
Fax: (617) 479-4555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X 5084 Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X 5084 Massachusetts

Profile Details

NPI number 1386734572
LBN Legal business name Leahy, John J
Credentials EDD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Feb 26th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386734572 NPPES
Massachusetts Other 6100041 EVERCARE PROVIDER NUMBER
Massachusetts MEDICAID 1891227 EVERCARE PROVIDER NUMBER
Massachusetts Other W04815 EVERCARE PROVIDER NUMBER

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