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NPI Code Detail

MEDICARE: EIPPER-MAINS PSYCHIATRIC

MEDICARE: EIPPER-MAINS PSYCHIATRIC
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
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1740091164
Entity Type Code : Organization
Provider Name (Legal Business Name) : EIPPER-MAINS PSYCHIATRIC
Provider Business Mailing Address
First Line : 8 OVERLOOK DR
Second Line :
City : BEDFORD
State : MA
Zip : 01730-1331
Country : US
Telephone Number : 617-874-7994
Fax Number :
Provider Business Practice Location Address
First Line : 57 BEDFORD ST STE 230
Second Line :
City : LEXINGTON
State : MA
Zip : 02420-4502
Country : US
Telephone Number : 781-226-2959
Fax Number : 570-243-0810
Authorized Official
Title or Position : PSYCHIATRIST
Name : DR. JODI ELENE EIPPER-MAINS
Credential : MD, PHD
Telephone Number : 781-226-2959
Provider Enumeration Date : 01/15/2025
Last Update Date : 01/15/2025

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Directions to “EIPPER-MAINS PSYCHIATRIC ” Practice Location

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