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A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Clinical |
103TC0700X | 62 | Psychologist, Clinical | |
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Geriatric Psychiatry |
2084P0805X | 86 | Physician/Neuropsychiatry | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner | |
Psychiatry |
2084P0800X | 26 | Physician/Psychiatry |
| NPI Number | 1003496506 |
| LBN Legal business name | MEDITELECARE OF MASSACHUSETTS, PLLC |
| Authorized official | ANDREA GODFREY - (CREDENTIALING & ENROLLMENT MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/09/2021 |
| Last updated | 05/05/2025 - More than a year ago |
| Identifiers | n/a |
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MEDITELECARE OF MASSACHUSETTS, PLLC