Provider Demographics
NPI:1891886800
Name:NEW ENGLAND FORENSIC ASSOCIATES, INC.
Entity type:Organization
Organization Name:NEW ENGLAND FORENSIC ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:J
Authorized Official - Last Name:BALL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:781-643-0610
Mailing Address - Street 1:22 MILL ST
Mailing Address - Street 2:SUITE 306
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02476-4784
Mailing Address - Country:US
Mailing Address - Phone:781-643-0610
Mailing Address - Fax:781-643-1609
Practice Address - Street 1:22 MILL ST
Practice Address - Street 2:SUITE 306
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02476-4784
Practice Address - Country:US
Practice Address - Phone:781-643-0610
Practice Address - Fax:781-643-1609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA607964OtherTUFTS HEALTH CARE
MA9729381Medicaid
MAW10214OtherBLUECROSS BLUE SHIELD
MA9729381Medicaid