Psychological Associates Of Southeastern Massachusetts, Llc

LBN: Psychological Associates Of Southeastern Massachusetts, Llc
Psychological Associates Of Southeastern Massachusetts, Llc is an health care organization with primary practice located at 115 Main St Suite 2D, North Easton MA 02356-1468. 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 / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Psychological Associates Of Southeastern Massachusetts, Llc can be contacted via phone (508) 238-7766, or through Carlson, Diane L via phone (508) 238-7766.

Contact Information

Primary practice address
115 Main St Suite 2D North Easton MA 02356-1468
Phone: (508) 238-7766
Fax: (508) 230-5089
Website:
Map and Directions
Authorized official contact:
Name: Carlson, Diane L LICSW
Phone: (508) 238-7766

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 99999 Massachusetts
Behavioral Health & Social Service Providers / Clinical 1041C0700X 99999 Massachusetts
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 9999999 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X XXXXXXX Massachusetts

Profile Details

NPI number 1326052317
LBN Legal business name Psychological Associates Of Southeastern Massachusetts, Llc
DBA Doing business as
Authorized official Carlson, Diane L LICSW
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2006
Last updated Aug 24th, 2015 - about 10 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 1326052317 NPPES
Massachusetts MEDICAID 9785442
Massachusetts Other M20575
Massachusetts Other 170367000
Massachusetts Other 665748

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