Unknown Individual – Psychiatry Physician, NPI 1700984077
Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
529, Pearl Street, Winters Corner, Brockton, Plymouth County, Massachusetts, 02357, United States
BROCKTON, MA 023012825
Phone: (508) 580-2211
Fax: (508) 427-1772
Type: Location
22, Tracey Lane, Sharon, Norfolk County, Massachusetts, 02067, United States
SHARON, MA 02067
Phone: (508) 580-2211
Fax: (508) 427-1772
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02301)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | MA | 90836 | Psychotherapy, 45 minutes with patient and/or family member | 52 | 21 |
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