Organization
MEDICAL PSYCHOLOGY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN INZ PH D (DIRECTOR)
(978) 921-4000
Entity
Organization
Contact information
Practice address
100 CUMMINGS CTR, SUITE 456J, BEVERLY, MA 01915-6106
(978) 921-4000
(978) 921-7530
Mailing address
100 CUMMINGS CTR, SUITE 456J, BEVERLY, MA 01915-6106
(978) 921-4000
(978) 921-7530
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1135317
AETNA - HMO
MA
01
—
2059722
CIGNA BEHAVIORAL HEALTH
MA
01
—
311164
MANAGED HEALTH NETWORK
MA
01
—
644966
TUFTS HEALTH PLAN
MA
01
—
7218197
AETNA - PPO
MA
01
—
W10659
BC BS OF MASS
MA
Enumeration date
09/26/2006
Last updated
08/22/2020
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