Provider Demographics
NPI:1417087503
Name:VINFEN
Entity Type:Organization
Organization Name:VINFEN
Other - Org Name:PEOPLE CARE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE-PRESIDENT OF BEHAVIORAL HEALTH
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:MARTINI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:617-441-1816
Mailing Address - Street 1:119 COLBY ST
Mailing Address - Street 2:
Mailing Address - City:BRADFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01835-7860
Mailing Address - Country:US
Mailing Address - Phone:978-372-3633
Mailing Address - Fax:
Practice Address - Street 1:119 COLBY ST
Practice Address - Street 2:
Practice Address - City:BRADFORD
Practice Address - State:MA
Practice Address - Zip Code:01835-7860
Practice Address - Country:US
Practice Address - Phone:978-372-3633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA381302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA381OtherLMHC