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Contact Information

JOHN J LEAHY, EDD
NOVA PSYCHIATRIC SERVICES INC
1261 FURNACE BROOK PARKWAY
QUINCY, MA02169
 Phone: 617-479-4545
 Fax: 617-479-4555
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Health Service

103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JOHN J LEAHY · (Male)

NPI # 1386734572
Status Active
Credentials EDD
Entity Individual
Enumeration date 10/16/2006
Last updated 02/26/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 5084
  • MA Medicaid 1891227
  • MA Other W04815 BCBS PROVIDER NUMBER
  • MA Other 6100041 EVERCARE PROVIDER NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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