Organization
UHS OF WESTWOOD PEMBROKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE AIROSUS (COO)
(781) 762-7764
Entity
Organization
Contact information
Practice address
199 OAK ST, PEMBROKE, MA 02359-1912
(781) 829-7000
Mailing address
45 CLAPBOARDTREE ST, WESTWOOD, MA 02090-2903
(781) 762-7764
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
363L00000X
Nurse Practitioner
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1213008
—
MA
01
—
M16160
BCBSOFMA
MA
Enumeration date
08/03/2006
Last updated
09/11/2025
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