Provider Demographics
NPI:1992864599
Name:PSYCHIATRIC GROUP OF THE NORTH SHORE PC
Entity Type:Organization
Organization Name:PSYCHIATRIC GROUP OF THE NORTH SHORE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT PGNS
Authorized Official - Prefix:DR
Authorized Official - First Name:YOSHIHARA
Authorized Official - Middle Name:
Authorized Official - Last Name:AKABANE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-595-3003
Mailing Address - Street 1:330 LYNNWAY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01901
Mailing Address - Country:US
Mailing Address - Phone:781-595-3003
Mailing Address - Fax:781-593-0071
Practice Address - Street 1:330 LYNNWAY
Practice Address - Street 2:SUITE 101
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01901
Practice Address - Country:US
Practice Address - Phone:781-595-3003
Practice Address - Fax:781-593-0071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty