Organization
GREATER BOSTON PSYCHIATRIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARYN METZGER PMHCNS (OWNER)
(617) 312-2825
Entity
Organization
Contact information
Practice address
165 MAIN ST UNIT 111E, MEDWAY, MA 02053-1584
(508) 321-3210
Mailing address
165 MAIN ST UNIT 111E, MEDWAY, MA 02053-1584
(508) 321-3210
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
RN272217
MA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
RN272217
MA
261QM0850X
Adult Mental Health Clinic/Center
Primary
RN272217
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922246743
INDIVIDUAL NPI NUMBER FOR CARYN METZGER
MA
Enumeration date
07/18/2016
Last updated
07/18/2016
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