SOUTH SHORE PSYCHIATRIC SERVICES PC NPI 1588062244

NPI Information

NPI: 1588062244
Provider Name: SOUTH SHORE PSYCHIATRIC SERVICES PC
Classification: Clinical Nurse Specialist - 364SP0807X
Entity Type: Organization

Specialization: Psychiatric/Mental Health, Child & Adolescent

CLIA Number: 22D2144244

Address:
435 FURNACE ST
MARSHFIELD, MA
ZIP 02050
Phone: (781) 837-8833
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SOUTH SHORE PSYCHIATRIC SERVICES PC is a psychiatric/mental health and child and adolescent clinical nurse specialist in Marshfield, MA. SOUTH SHORE PSYCHIATRIC SERVICES PC NPI is 1588062244. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

435 FURNACE ST
MARSHFIELD, MA
ZIP 02050-328
Phone: (781) 837-8833
Fax: (781) 735-0457

The provider's authorized official is Mary Ann Mcdonnell .
The authorized official title is Owner/clinician and has the following contact phone number (781) 837-8833.

The CLIA number assigned to this NPI record is 22D2144244 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2014 and was last updated on 12/11/2014.

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	364SP0807X	Clinical Nurse Specialist	Psychiatric/Mental Health, Child & Adolescent	198161	MASSACHUSETTS	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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