MODERN PSYCHIATRIC SERVICES LLC NPI 1124623806

NPI Information

NPI: 1124623806
Provider Name: MODERN PSYCHIATRIC SERVICES LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
1443 BEACON ST STE 3
BROOKLINE, MA
ZIP 02446
Phone: (617) 546-6700
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MODERN PSYCHIATRIC SERVICES LLC is a psychiatric/mental health nurse practitioner in Brookline, MA. MODERN PSYCHIATRIC SERVICES LLC NPI is 1124623806. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1443 BEACON ST STE 3
BROOKLINE, MA
ZIP 02446-707
Phone: (617) 546-6700
Fax: (617) 546-6800

The provider's authorized official is Leah Miller .
The authorized official title is Owner and has the following contact phone number (617) 546-6700.

The enumeration date for this NPI number is 12/1/2020 and was last updated on 10/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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