Provider Demographics
NPI:1912298027
Name:FAMILY PSYCHIATRIC CARE, LLC
Entity Type:Organization
Organization Name:FAMILY PSYCHIATRIC CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TSAPPIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:978-922-4900
Mailing Address - Street 1:100 CUMMINGS CTR
Mailing Address - Street 2:SUITE 541-G
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-6115
Mailing Address - Country:US
Mailing Address - Phone:978-922-4900
Mailing Address - Fax:978-922-4955
Practice Address - Street 1:100 CUMMINGS CTR
Practice Address - Street 2:SUITE 541-G
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-6115
Practice Address - Country:US
Practice Address - Phone:978-922-4900
Practice Address - Fax:978-922-4955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-22
Last Update Date:2011-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1130551041C0700X
MA2237652084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty