Provider Demographics
NPI:1508240151
Name:COPERNICAN BUSINESS SOLUTIONS, INC
Entity Type:Organization
Organization Name:COPERNICAN BUSINESS SOLUTIONS, INC
Other - Org Name:COPERNICAN CLINICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:PERNA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:617-244-2700
Mailing Address - Street 1:44 THORNTON ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02458-1532
Mailing Address - Country:US
Mailing Address - Phone:617-244-2700
Mailing Address - Fax:
Practice Address - Street 1:44 THORNTON ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02458-1532
Practice Address - Country:US
Practice Address - Phone:617-244-2700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-14
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7172103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty