Atlantic Counseling and Consultation, Inc
Organization Active NPI Psychologist · South Weymouth, MA
NPI 1285729004 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1285729004
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- Legal business name
- ATLANTIC COUNSELING AND CONSULTATION, INC
- Practice address
- 49 Pleasant St
South Weymouth, MA 02190-2435 - Phone
- (781) 335-6000
- Fax
- (781) 340-5358
- NPI assigned
- Oct 4, 2006
- Organization subpart
- No
Authorized official
- Name
- Gerald J. Dimatteo, LICSW
- Title
- Director
- Phone
- (781) 335-6000
Practitioners 23
-
Gerald Bedsole, LICSW
-
Gerald Dimatteo, LICSW
-
James Levitt, MD
-
Cynthia Medeiros, LICSW
-
Meredith Laurel Richardson, RN, PMHNP-BC
-
Elizabeth G Wagner, LMHC
-
John-Paul Arena, LICSW
-
Patricia Lee Kerwin-Derrick, LICSW
-
Judith Clark, PSYD
-
Cindy Crimmins, LICSW
-
Diane Huston Fassak, L.I.C.S.W.
-
Hadley Meenan Groman, LICSW
-
Israela Holtzman, LMHC
-
Kyung H Lee, M.D
-
Dawn Moscow, LMHC
-
Cara O'Keefe, LICSW
-
Cynthia Ann Pearson, LICSW
-
Jane Radlo, LICSW
-
Steven H Graubard, PH.D.
-
Beth W Matthews, LICSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040625000065 | MA | Part B Supplier - Clinic/Group Practice | 9335125947 |
Receives reassigned benefits from 9 practitioners Practice locations: Wellesley, MA |
National Provider Directory
Locations
49 Pleasant St
Ste 201
South Weymouth, MA 02190
Phone (781) 335-6000
49 Pleasant St
Ste 201A
South Weymouth, MA 02190
Phone (781) 335-6000
27 Mica Ln
Ste 106
Wellesley Hills, MA 02481
Phone (781) 259-0050
49 Pleasant St
Weymouth, MA 02190
Phone (781) 335-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | Yes |
Addresses
Primary practice location
49 Pleasant St
South Weymouth, MA 02190-2435
Mailing address
49 Pleasant St
South Weymouth, MA 02190-2435
Phone (781) 335-6000
Other providers in South Weymouth, MA
- Tara Armstrong
- Allison Arnett
- Richard W. Ashburn
- Aspire Dental Health LLC
- Associated Dental Group of Weymouth
- Ava Axelrod
- Maxwell Bamford
- Sohenee Banerjee
- Samuel Russell Barnard III
- Kimberly Barnett
All providers in South Weymouth, MA · Psychologist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.