Provider Demographics
NPI:1629771886
Name:CATARINA BONGIORNI PSYCHIATRY PLLC
Entity Type:Organization
Organization Name:CATARINA BONGIORNI PSYCHIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BONGIORNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-393-8746
Mailing Address - Street 1:205 WILLOW ST STE B3A
Mailing Address - Street 2:
Mailing Address - City:SOUTH HAMILTON
Mailing Address - State:MA
Mailing Address - Zip Code:01982-2253
Mailing Address - Country:US
Mailing Address - Phone:978-393-8746
Mailing Address - Fax:978-393-8740
Practice Address - Street 1:205 WILLOW ST STE B3A
Practice Address - Street 2:
Practice Address - City:SOUTH HAMILTON
Practice Address - State:MA
Practice Address - Zip Code:01982-2253
Practice Address - Country:US
Practice Address - Phone:978-393-8746
Practice Address - Fax:978-393-8740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-24
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)