Provider Demographics
NPI:1437532348
Name:NEW ENGLAND PSYCHOLOGICAL, LLC
Entity Type:Organization
Organization Name:NEW ENGLAND PSYCHOLOGICAL, LLC
Other - Org Name:PHOENIX HOLISTIC SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:TOEGEL
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, ACHT
Authorized Official - Phone:888-747-6374
Mailing Address - Street 1:48 CENTER ST
Mailing Address - Street 2:SUITE 202, 213, & 214
Mailing Address - City:CHICOPEE
Mailing Address - State:MA
Mailing Address - Zip Code:01013-3247
Mailing Address - Country:US
Mailing Address - Phone:888-747-6374
Mailing Address - Fax:
Practice Address - Street 1:48 CENTER ST
Practice Address - Street 2:SUITE 202, 213, & 214
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01013-3247
Practice Address - Country:US
Practice Address - Phone:888-747-6374
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW ENGLAND PSYCHOLOGICAL, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-07-09
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty