Healthcare Provider Details

I. General information

NPI: 1518445378
Provider Name (Legal Business Name): DAY TO DAY PSYCHIATRIC CARE & WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2018
Last Update Date: 08/01/2023
Certification Date: 08/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

294 PLEASANT ST STE 205
STOUGHTON MA
02072-2571
US

IV. Provider business mailing address

85 EKSTROM CIR
ABINGTON MA
02351-1018
US

V. Phone/Fax

Practice location:
  • Phone: 617-586-6898
  • Fax:
Mailing address:
  • Phone: 617-586-6898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: JIMMY PACOMBE
Title or Position: OWNER
Credential: DNP
Phone: 617-586-6898