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NPI Code Detail

MEDICARE: GERIC NEW DAWN PSYCHIATRY PC

MEDICARE: GERIC NEW DAWN PSYCHIATRY PC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1932066248
Entity Type Code : Organization
Provider Name (Legal Business Name) : GERIC NEW DAWN PSYCHIATRY PC
Provider Business Mailing Address
First Line : 215 HIGHWAY 965 NE STE 1
Second Line :
City : NORTH LIBERTY
State : IA
Zip : 52317-9091
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 82 WENDELL AVE STE 100
Second Line :
City : PITTSFIELD
State : MA
Zip : 01201-7066
Country : US
Telephone Number : 641-814-6161
Fax Number :
Authorized Official
Title or Position : CEO
Name : GERMAINE MBUH
Credential : DNP PMHNP
Telephone Number : 641-814-6161
Provider Enumeration Date : 01/07/2026
Last Update Date : 01/07/2026

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Directions to “GERIC NEW DAWN PSYCHIATRY PC ” Practice Location

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