Provider Demographics
NPI:1306974662
Name:PSYCHIATRIC ASSOCIATES OF LYNN PC
Entity type:Organization
Organization Name:PSYCHIATRIC ASSOCIATES OF LYNN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:PHILIP
Authorized Official - Last Name:REIMHERR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-268-2200
Mailing Address - Street 1:270 UNION ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01901-1348
Mailing Address - Country:US
Mailing Address - Phone:781-268-2200
Mailing Address - Fax:781-268-0465
Practice Address - Street 1:270 UNION ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01901-1348
Practice Address - Country:US
Practice Address - Phone:781-268-2200
Practice Address - Fax:781-268-0465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9726969Medicaid
MAM21262Medicare PIN