Provider Demographics
NPI:1558189498
Name:COMPASS CIRCLE BEHAVIORAL HEALTH LLC
Entity type:Organization
Organization Name:COMPASS CIRCLE BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:O'BRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNPBC
Authorized Official - Phone:800-735-8951
Mailing Address - Street 1:316 GIFFORD ST STE 1
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02540-2962
Mailing Address - Country:US
Mailing Address - Phone:800-735-8951
Mailing Address - Fax:
Practice Address - Street 1:316 GIFFORD ST STE 1
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540-2962
Practice Address - Country:US
Practice Address - Phone:800-735-8951
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Single Specialty