Provider Demographics
NPI:1437278702
Name:QUINCY PSYCHIATRIC ASSOCIATES, INC
Entity Type:Organization
Organization Name:QUINCY PSYCHIATRIC ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HALBERT B MILLER MD
Authorized Official - Prefix:DR
Authorized Official - First Name:HALBERT
Authorized Official - Middle Name:B
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD PSYCHIATRIST
Authorized Official - Phone:617-472-4727
Mailing Address - Street 1:PO BOX 299
Mailing Address - Street 2:
Mailing Address - City:ACCORD
Mailing Address - State:MA
Mailing Address - Zip Code:02018-0299
Mailing Address - Country:US
Mailing Address - Phone:617-472-4727
Mailing Address - Fax:781-741-8014
Practice Address - Street 1:114 WHITWELL ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-1870
Practice Address - Country:US
Practice Address - Phone:617-472-4727
Practice Address - Fax:781-741-8014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA315122084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAB73103Medicare UPIN