Healthcare Provider Details

I. General information

NPI: 1598838781
Provider Name (Legal Business Name): NOVA PSYCHIATRIC SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1261 FURNACE BROOK PKWY SUITE 31
QUINCY MA
02169
US

IV. Provider business mailing address

74 HOBART STREET
BRAINTREE MA
02184
US

V. Phone/Fax

Practice location:
  • Phone: 617-479-4545
  • Fax: 617-479-4555
Mailing address:
  • Phone: 781-848-2363
  • Fax: 781-337-8766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number5182
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number5182
License Number StateMA

VIII. Authorized Official

Name: ALEXANDRA ACCORDI
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 617-479-4545