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NPI Code Detail

MEDICARE: LINGAFELTER PSYCHIATRIC SERVICES PLLC

MEDICARE: LINGAFELTER PSYCHIATRIC SERVICES PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1225846868
Entity Type Code : Organization
Provider Name (Legal Business Name) : LINGAFELTER PSYCHIATRIC SERVICES PLLC
Provider Business Mailing Address
First Line : 82 MARLBOROUGH ST
Second Line :
City : BOSTON
State : MA
Zip : 02116-2020
Country : US
Telephone Number : 857-371-8291
Fax Number : 857-270-7211
Provider Business Practice Location Address
First Line : 82 MARLBOROUGH ST
Second Line :
City : BOSTON
State : MA
Zip : 02116-2020
Country : US
Telephone Number : 857-371-8291
Fax Number :
Authorized Official
Title or Position : OWNER
Name : NATHAN WAYNE LINGAFELTER
Credential : MD
Telephone Number : 857-371-8291
Provider Enumeration Date : 12/30/2024
Last Update Date : 02/09/2026

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Directions to “LINGAFELTER PSYCHIATRIC SERVICES PLLC ” Practice Location

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