Provider Demographics
NPI:1205002045
Name:WELL-BEING, INCORPORATED
Entity Type:Organization
Organization Name:WELL-BEING, INCORPORATED
Other - Org Name:PAUL MCCORMICK, PH.D.
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:GLEN
Authorized Official - Last Name:MCCORMICK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:781-438-5550
Mailing Address - Street 1:271 MAIN ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:STONEHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02180-3591
Mailing Address - Country:US
Mailing Address - Phone:781-438-5550
Mailing Address - Fax:781-438-5553
Practice Address - Street 1:271 MAIN ST
Practice Address - Street 2:SUITE 205
Practice Address - City:STONEHAM
Practice Address - State:MA
Practice Address - Zip Code:02180-3591
Practice Address - Country:US
Practice Address - Phone:781-438-5550
Practice Address - Fax:781-438-5553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4192103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9782249Medicaid
MA9782249Medicaid