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MOAK GERIATRIC PSYCHIATRY NPI 1316958093


NPI Information

NPI: 1316958093
Provider Name: MOAK GERIATRIC PSYCHIATRY

Doing Business As: MOAK CENTER FOR HEALTHY AGING

Classification: Psychiatry & Neurology - 2084P0805X
Entity Type: Organization

Specialization: Geriatric Psychiatry

Address:
5206 UNION ST BLDG 500
WESTBOROUGH, MA
ZIP 01581
Phone: (508) 898-8650
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MOAK GERIATRIC PSYCHIATRY is a geriatric psychiatry psychiatry neurology in Westborough, MA. The provider is geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. MOAK GERIATRIC PSYCHIATRY NPI is 1316958093. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Moak Center For Healthy Aging.

The provider's business location address is:

5206 UNION ST BLDG 500
WESTBOROUGH, MA
ZIP 01581-418
Phone: (508) 898-8650
Fax: (508) 870-9793

The provider's authorized official is Gary S Moak .
The authorized official title is Manager and has the following contact phone number (508) 898-8650.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 5/6/2013.


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
12084P0805XPsychiatry & NeurologyGeriatric PsychiatryYes

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
19729160MEDICAIDMASSACHUSETTS
2M21442MEDICARE PINMASSACHUSETTS
3Q04047OTHERMASSACHUSETTSBLUE SHIELD
4DC0218MEDICARE PINMASSACHUSETTS

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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