Beacon Psychiatry PLLC

Organization Active NPI Psychiatric/Mental Health Clinical Nurse Specialist · South Easton, MA

NPI 1114740487 · NPPES record last updated Nov 5, 2024

Key facts

NPI
1114740487
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X
Legal business name
BEACON PSYCHIATRY PLLC
Practice address
5 Bristol Dr
Ste 3F
South Easton, MA 02375
Phone
(617) 575-9830
NPI assigned
Nov 5, 2024
Organization subpart
No

Authorized official

Name
Tara Conklin, PMHNP
Title
Partner
Phone
(203) 858-1690

National Provider Directory

Locations

5 Bristol Dr
Ste 3F
South Easton, MA 02375
Phone (401) 487-6920

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist
Group: 193400000X SINGLE SPECIALTY GROUP
364SP0808X Yes

Addresses

Primary practice location

5 Bristol Dr
Ste 3F
South Easton, MA 02375

Mailing address

6 Liberty SQ # 97524
Boston, MA 02109-5800
Phone (617) 575-9830

Other providers in South Easton, MA

All providers in South Easton, MA · Psychiatric/Mental Health Clinical Nurse Specialist in Massachusetts

Sources for this page

Verify at the official NPI Registry.