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BALDPATE PSYCHIATRIC ASSOCIATES NPI 1578670881


NPI Information

NPI: 1578670881
Provider Name: BALDPATE PSYCHIATRIC ASSOCIATES
Classification: Psychologist - 103TP0814X
Entity Type: Organization

Specialization: Psychoanalysis

CLIA Number: 22D0913380

Address:
83 BALDPATE RD
GEORGETOWN, MA
ZIP 01833
Phone: (978) 352-2131
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BALDPATE PSYCHIATRIC ASSOCIATES is a psychoanalysis psychologist in Georgetown, MA. The provider is a psychologist whose specialty is distinguished from other specialties by its body of knowledge and its intensive treatment approaches. It aims at structural changes and modifications of a person's personality. Psychoanalysis promotes awareness of unconscious, maladaptive and habitually recurrent patterns of emotion and behavior, allowing previously unconscious aspects of the self to become integrated and promoting optimal functioning, healing and creative expression. BALDPATE PSYCHIATRIC ASSOCIATES NPI is 1578670881. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

83 BALDPATE RD
GEORGETOWN, MA
ZIP 01833
Phone: (978) 352-2131

The provider's authorized official is Cynthia A Hathaway .
The authorized official title is Assistant Office Manager and has the following contact phone number (978) 352-2131.

The CLIA number assigned to this NPI record is 22D0913380 - other - bsas facility - ats detox with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2006 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
1103TP0814XPsychologistPsychoanalysisYes

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
1BAM12617OTHERMASSACHUSETTSBLUE CROSS
2104892OTHERMAGELLAN
31899473MEDICAIDMASSACHUSETTS

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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