NOVA PSYCHIATRIC SERVICES PC NPI 1881782522

NPI Details

NOVA PSYCHIATRIC SERVICES, PC is a community behavioral health in Quincy, MA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. NOVA PSYCHIATRIC SERVICES, PC NPI is 1881782522. The provider is registered as an organization entity type.
The provider Is Doing Business As Prime Behavioral Health.

The provider's business location address is:

234 COPELAND STREET STE 320
QUINCY, MA
ZIP 02169-762
Phone: (617) 479-4545
Fax: (617) 479-4555

The provider's authorized official is Alexandra L Accardi .
The authorized official title is Medical Director, Owner and has the following contact phone number (617) 479-4545.

The CLIA number assigned to this NPI record is 22D2071297 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 3/28/2022.

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:

Other Identifiers

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