Provider Demographics
NPI:1861558694
Name:WOMEN'S MENTAL HEALTH COLLECTIVE, INC.
Entity type:Organization
Organization Name:WOMEN'S MENTAL HEALTH COLLECTIVE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:STAFF PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:BETH
Authorized Official - Middle Name:
Authorized Official - Last Name:COWETT
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:617-543-6270
Mailing Address - Street 1:5 UPLAND ROAD
Mailing Address - Street 2:SUITE 2 CAMBRIDGE
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02140
Mailing Address - Country:US
Mailing Address - Phone:617-354-6270
Mailing Address - Fax:617-354-6275
Practice Address - Street 1:5 UPLAND ROAD
Practice Address - Street 2:SUITE 2 CAMBRIDGE
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02140
Practice Address - Country:US
Practice Address - Phone:617-354-6270
Practice Address - Fax:617-354-6275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW10433OtherBLUE CROSS/BLUE SHIELD PS
225010000OtherMAGELLAN BEHAV. HEALTH
0300010OtherHAVARD PILGRIM HEALTH CA.
MAP10224OtherBLUE CROSS/BLUE SHIELD SO