Provider Demographics
NPI:1497842421
Name:CHILD AND ADOLESCENT HEALTH SPECIALISTS PC
Entity Type:Organization
Organization Name:CHILD AND ADOLESCENT HEALTH SPECIALISTS PC
Other - Org Name:ROBERT F BELKNAP MD MPH PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-383-8380
Mailing Address - Street 1:223 CHIEF JUSTICE CUSHING HWY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:COHASSET
Mailing Address - State:MA
Mailing Address - Zip Code:02025
Mailing Address - Country:US
Mailing Address - Phone:781-383-8380
Mailing Address - Fax:781-930-1791
Practice Address - Street 1:223 CHIEF JUSTICE CUSHING HWY
Practice Address - Street 2:SUITE 201
Practice Address - City:COHASSET
Practice Address - State:MA
Practice Address - Zip Code:02025
Practice Address - Country:US
Practice Address - Phone:781-383-8380
Practice Address - Fax:781-383-8382
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA080199208000000X, 2080P0006X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral PediatricsGroup - Multi-Specialty
Not Answered1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
212933OtherTUFTS DR HEALEY
2893022001OtherCIGNA PAL DR HEALEY
080199OtherTUFTS DR BELKNAP
1201825OtherUNITED DR BELKNAP
1203463OtherUNITED DR HEALEY
204495OtherHARVARD PILGRIM DR HEALEY
4049471OtherAETNA NONHMO DR BELKNAP
J14718OtherBCBS DR BELKNAP
2085344OtherAETNA US HMO DR BELKNAP
B10321201OtherCIGNA GROUP
201845OtherHVD PILGRIM DR BELKNAP
J24892OtherBCBS DR HEALEY
2307319002OtherCIGNA PAL DR BELKNAP
3127486OtherMASS HEALTH DR BELKNAP
M17497OtherBCBS GROUP
2894526OtherAETNA DR HEALEY
9706551OtherMASS HEALTH GROUP
2894526OtherAETNA DR HEALEY