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MEDICAL PSYCHOLOGY CENTER LLC NPI 1104927003


NPI Information

NPI: 1104927003
Provider Name: MEDICAL PSYCHOLOGY CENTER, LLC
Classification: Psychologist - 103TP2701X
Entity Type: Organization

Specialization: Group Psychotherapy

Address:
100 CUMMINGS CTR
SUITE 456J
BEVERLY, MA
ZIP 01915
Phone: (978) 921-4000
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MEDICAL PSYCHOLOGY CENTER, LLC is a group psychotherapy psychologist in Beverly, MA. The provider is a psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings. MEDICAL PSYCHOLOGY CENTER, LLC NPI is 1104927003. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 CUMMINGS CTR
SUITE 456J
BEVERLY, MA
ZIP 01915-106
Phone: (978) 921-4000
Fax: (978) 921-7530

The provider's authorized official is Jonathan Inz .
The authorized official title is Director and has the following contact phone number (978) 921-4000.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TP2701XPsychologistGroup PsychotherapyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W10659OTHERMASSACHUSETTSBC BS OF MASS
21135317OTHERMASSACHUSETTSAETNA - HMO
3644966OTHERMASSACHUSETTSTUFTS HEALTH PLAN
42059722OTHERMASSACHUSETTSCIGNA BEHAVIORAL HEALTH
5311164OTHERMASSACHUSETTSMANAGED HEALTH NETWORK
67218197OTHERMASSACHUSETTSAETNA - PPO

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

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