MASSACHUSETTS PSYCHIATRIC SERVICES, LLC (NPI# 1265989453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265989453 |
| Entity Type | Organization |
| Organization Name | MASSACHUSETTS PSYCHIATRIC SERVICES, LLC |
| Practice Address |
128 Main St Ste 3 Sturbridge MA 01566-1556 |
| Mailing Address |
128 Main St Suite 3 Sturbridge MA 01566-1556 |
| Practice Telephone | 5084186888 |
| Practice Fax Number | 5084186886 |
| Mailing Telephone | (508) 418-6888 |
| Mailing Fax Number | 5084186886 |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2017-06-14 |
| Authorized Official Name | MEENAKSHI VEMURI (AUTHORIZED) |
| Authorized Official Telephone | 5084186888 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
128 MAIN ST STE 3 |
| City | STURBRIDGE |
| State | MA |
| Zip Code | 01566-1556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235116526 | Randi Adele Krogstad | Counselor | 128 Main St Ste 3, Sturbridge, MA 01566-1556 | 2005-12-28 |
| 1912443169 | Anastasia Carter | Social Worker | 128 Main St Ste 3, Sturbridge, MA 01566-1556 | 2017-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609368919 | Martha Charley | Nurse Practitioner | Southbridge Pain Clinic, 48 Main Street Suite 6, Sturbridge, MA 01566 | 2018-06-01 |
| 1013407097 | Jolynn Klier | Psychologist | 1 Library Ln N, Sturbridge, MA 01566 | 2018-05-15 |
| 1841703295 | Brandon A Campo | Behavioral Analyst | 54 Main St Unit 0, Sturbridge, MA 01566 | 2017-11-08 |
| 1023407145 | Village Family Chiropractic, LLC | Chiropractor | 58 Main Street, Sturbridge, MA 01566 | 2015-01-13 |
| 1013330166 | Debra Kizilcan | Massage Therapist | 426 Main Street C/o Alternatives for Health, Sturbridge, MA 01566 | 2014-01-27 |
| 1124453659 | Gennady Gelman | Family Medicine | 198 Charlton Rd, Sturbridge, MA 01566 | 2013-09-03 |
| 1710123492 | Heritage Home Health Care, LLC | Home Health | 559 Main Street, Suite 103, Sturbridge, MA 01566 | 2008-12-30 |
| 1225176373 | William Brian Digregorio | Chiropractor | 64 Main St Rt 131, Sturbridge, MA 01566 | 2007-02-01 |
| 1437247889 | Larry A Johnson Dds PC | Dentist | 69 Hall Road, Sturbridge, MA 01566 | 2006-10-11 |
| 1639281090 | Mohamed Hashi Abib | Family Medicine | 128 Main St Ste 4, Sturbridge, MA 01566 | 2006-08-31 |
| Find all providers in zip 01566 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046148 | Kripa Behavioral Health, P.C. | Psychiatry & Neurology | 415 Elsbree St Ste 1a, Fall River, MA 02720-7297 | 2020-09-08 |
| 1588273320 | Measured Wellness LLC | Psychiatry & Neurology | 47 Seaverns Ave # 5, Boston, MA 02130-2876 | 2020-07-28 |
| 1942819784 | Bluesky Telepsych, Inc. | Psychiatry & Neurology | 125 Cambridge Park Drive, Suite 306, Cambridge, MA 02140 | 2020-07-28 |
| 1689291304 | Zion Health & Wellness LLC | Psychiatry & Neurology | 209 W Central St Ste 216, Natick, MA 01760-3716 | 2020-06-29 |
| 1447875984 | Charles Clifford Engel Jr. | Psychiatry & Neurology | Home Base Program, Massachusetts General Hospital, 1 Constitution Road, Charlestown, MA 02129 | 2020-06-10 |
| 1447874284 | Suburban Psychiatric Specialists | Psychiatry & Neurology | 7 Condor Rd, Sharon, MA 02067-2905 | 2020-06-07 |
| 1669096996 | East Boston Behavioral Health and Medicine LLC | Psychiatry & Neurology | 464 Bremen St Ste 4, East Boston, MA 02128-1430 | 2020-06-02 |
| 1144853250 | Jamii Wellness and Behavioral Medicine, LLC | Psychiatry & Neurology | 360 W Boylston St Rm 207, West Boylston, MA 01583-2384 | 2020-02-17 |
| 1568092476 | Premier Medical LLC | Psychiatry & Neurology | 400 Foxborough Blvd Apt 4208, Foxborough, MA 02035-3807 | 2020-01-20 |
| 1972149367 | Deirdre O Arvidson | Psychiatry & Neurology | 32 Harold Ln, Chatham, MA 02633-1643 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
| City | STURBRIDGE |
| Zip Code | 01566 |
Please comment or provide details below to improve the information on MASSACHUSETTS PSYCHIATRIC SERVICES, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.