Provider Demographics
NPI:1710954888
Name:BLUE HILLS COUNSELING & PSYCHIATRIC ASSOCIATES PC
Entity Type:Organization
Organization Name:BLUE HILLS COUNSELING & PSYCHIATRIC ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:CHASOT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-794-2300
Mailing Address - Street 1:340 WOOD RAOD
Mailing Address - Street 2:SUITE 306
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184
Mailing Address - Country:US
Mailing Address - Phone:781-794-2300
Mailing Address - Fax:781-794-2215
Practice Address - Street 1:340 WOOD RAOD
Practice Address - Street 2:SUITE 306
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184
Practice Address - Country:US
Practice Address - Phone:781-794-2300
Practice Address - Fax:781-794-2215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
M17562OtherBCBS MA
685948OtherTUFTS
BLM20788Medicare ID - Type Unspecified