Healthcare Provider Details

I. General information

NPI: 1225098239
Provider Name (Legal Business Name): SOUTH COUNTY PSYCHIATRIC & PSYCHOTHERAPY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 LEWIS AVE
GT BARRINGTON MA
01230
US

IV. Provider business mailing address

20 LEWIS AVE
GT BARRINGTON MA
01230
US

V. Phone/Fax

Practice location:
  • Phone: 413-528-1845
  • Fax: 413-528-3667
Mailing address:
  • Phone: 413-528-1845
  • Fax: 413-528-3667

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DENNIS C MARCUS
Title or Position: EXECUTIVE DIRECTOR
Credential: MD
Phone: 413-528-1845