Organization
ENACT HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMINE ANTHONY DICHIARA PSYD (DIRECTOR)
(617) 765-2080
Entity
Organization
Contact information
Practice address
221 SAINT MARY ST UNIT 2, NEEDHAM, MA 02494-3165
(617) 765-2080
(888) 622-7933
Mailing address
PO BOX 24, NEWTON UPPER FALLS, MA 02464-0001
(617) 765-2080
(888) 622-7933
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/30/2020
Last updated
01/07/2023
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