| (dba): Attleboro Behavioral Health Center/cape Behavioral Health Cente | |
|
30 Taunton Green Suite 5 Taunton MA 02780-3243 | |
| (508) 880-6666 | |
| (508) 880-6655 |
| Full Name | (dba): Attleboro Behavioral Health Center/cape Behavioral Health Cente |
|---|---|
| Speciality | Clinic/Center |
| Location | 30 Taunton Green, Taunton, Massachusetts |
| Authorized Official Name and Position | Wallace W. Varonko (OWNER) |
| Authorized Official Contact | 5088301444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| (dba): Attleboro Behavioral Health Center/cape Behavioral Health Cente 39a Industrial Park Road Plymouth MA 02360-4868 Ph: (508) 830-1444 | (dba): Attleboro Behavioral Health Center/cape Behavioral Health Cente 30 Taunton Green Suite 5 Taunton MA 02780-3243 Ph: (508) 880-6666 |
| NPI Number | 1225067481 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 08/24/2017 |
| Medicare PECOS PAC ID | 6901866706 |
|---|---|
| Medicare Enrollment ID | O20041015000643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225067481 | NPI | - | NPPES |
| 1311778 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 4570 AND 4984 (Massachusetts) | Primary |
| Provider Name | Liana Fantasia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437585742 PECOS PAC ID: 1759280134 Enrollment ID: I20040105000693 |
| Provider Name | Vivian Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972663409 PECOS PAC ID: 6103715008 Enrollment ID: I20040310001305 |
| Provider Name | Michele Graney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689713364 PECOS PAC ID: 9234110438 Enrollment ID: I20040525000778 |
| Provider Name | Anne L Bateman |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1952356891 PECOS PAC ID: 5496739385 Enrollment ID: I20040617000410 |
| Provider Name | Carolyn Dana Marvel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114938479 PECOS PAC ID: 3971580291 Enrollment ID: I20040706000409 |
| Provider Name | Laurie A Silver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235260019 PECOS PAC ID: 8820076508 Enrollment ID: I20040709000412 |
| Provider Name | Byron Garcia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780665794 PECOS PAC ID: 0941270441 Enrollment ID: I20040730000835 |
| Provider Name | James A Hardeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699875542 PECOS PAC ID: 4183696230 Enrollment ID: I20040809001383 |
| Provider Name | Diane Lipstock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942217716 PECOS PAC ID: 7416926423 Enrollment ID: I20040927001084 |
| Provider Name | Gouri Datta |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1528054889 PECOS PAC ID: 5395704522 Enrollment ID: I20041018000367 |
| Provider Name | Jill S Elmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497837660 PECOS PAC ID: 3678521457 Enrollment ID: I20050107000847 |
| Provider Name | Laurie Abruzzi |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1821152836 PECOS PAC ID: 5991755266 Enrollment ID: I20050125000258 |
| Provider Name | Charu K Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780644294 PECOS PAC ID: 6800847161 Enrollment ID: I20050203000292 |
| Provider Name | Marylou Shearing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821108705 PECOS PAC ID: 3274587753 Enrollment ID: I20050308000608 |
| Provider Name | Victor Komry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558335786 PECOS PAC ID: 2769429794 Enrollment ID: I20050412000516 |
| Provider Name | Stephen C Ikeda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619900198 PECOS PAC ID: 0547208795 Enrollment ID: I20050419001187 |
| Provider Name | Robert J Marek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780762757 PECOS PAC ID: 0547202715 Enrollment ID: I20050527000020 |
| Provider Name | Mary E Barkalow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700864485 PECOS PAC ID: 2668415167 Enrollment ID: I20050606000915 |
| Provider Name | Geraldine Delisle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669865473 PECOS PAC ID: 3577509553 Enrollment ID: I20050629001046 |
| Provider Name | Raymond Colella |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285600734 PECOS PAC ID: 6103852876 Enrollment ID: I20050713001065 |
| Provider Name | Larisa Belisle |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1033160304 PECOS PAC ID: 2668409939 Enrollment ID: I20050719000939 |
| Provider Name | Debra S Goldenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003957036 PECOS PAC ID: 9032147970 Enrollment ID: I20050801001005 |
| Provider Name | Michael E Gutierrez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861576522 PECOS PAC ID: 6800826637 Enrollment ID: I20050822000155 |
| Provider Name | David J Quinn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558566695 PECOS PAC ID: 2466484605 Enrollment ID: I20050908000359 |
| Provider Name | Kristine M Duhamel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861534588 PECOS PAC ID: 3375576549 Enrollment ID: I20050917000075 |
| Provider Name | Ann-marie Mccabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073605648 PECOS PAC ID: 1153355573 Enrollment ID: I20050923000898 |
| Provider Name | Gerard E Fredette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912043167 PECOS PAC ID: 8123052339 Enrollment ID: I20050926001208 |
| Provider Name | Melissa A Musler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790876944 PECOS PAC ID: 5698700029 Enrollment ID: I20051004000781 |
| Provider Name | Donna K Brennan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922144880 PECOS PAC ID: 9638194848 Enrollment ID: I20051006000813 |
| Provider Name | Elyse Daignault |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760561591 PECOS PAC ID: 7911922133 Enrollment ID: I20051006000896 |
| Provider Name | Peter Saltzman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669677704 PECOS PAC ID: 0143246181 Enrollment ID: I20051019000896 |
| Provider Name | Debra A Costa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417082223 PECOS PAC ID: 9335165828 Enrollment ID: I20051024000808 |
| Provider Name | Robert L Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518097088 PECOS PAC ID: 8820016967 Enrollment ID: I20051107000769 |
| Provider Name | Suzanne L Laub |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811102585 PECOS PAC ID: 8729008297 Enrollment ID: I20051129000505 |
| Provider Name | Walter A Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326302977 PECOS PAC ID: 3072536374 Enrollment ID: I20060112000819 |
| Provider Name | Shauna M Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609818038 PECOS PAC ID: 4688688948 Enrollment ID: I20060126000216 |
| Provider Name | Nancy Sgarzi Norris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700953239 PECOS PAC ID: 0840204392 Enrollment ID: I20060203000355 |
| Provider Name | Donna M Feeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316019011 PECOS PAC ID: 1456352970 Enrollment ID: I20070126000286 |
| Provider Name | Lois R Kugler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821198227 PECOS PAC ID: 4183625551 Enrollment ID: I20070127000028 |
| Provider Name | Shannon R Sokolowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932131620 PECOS PAC ID: 5799880290 Enrollment ID: I20070605000128 |
| Provider Name | Wanda L Springer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346377603 PECOS PAC ID: 9537251459 Enrollment ID: I20070823000586 |
| Provider Name | Connie Raposo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710170840 PECOS PAC ID: 9234223140 Enrollment ID: I20070924000189 |
| Provider Name | Rebecca H Helman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982899563 PECOS PAC ID: 5890880066 Enrollment ID: I20071003000079 |
| Provider Name | Deborah Pittman |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1841361573 PECOS PAC ID: 0446289698 Enrollment ID: I20071013000103 |
| Provider Name | Betsy Lundell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003942210 PECOS PAC ID: 2668552282 Enrollment ID: I20080108000530 |
| Provider Name | Claudia Orfao-martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043220676 PECOS PAC ID: 3678657293 Enrollment ID: I20080221000053 |
| Provider Name | Kathleen Cowie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376713396 PECOS PAC ID: 4688752595 Enrollment ID: I20080417000382 |
| Provider Name | Elizabeth A Mchugh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558559914 PECOS PAC ID: 0143308007 Enrollment ID: I20080418000054 |
| Provider Name | Cary P Gearhart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326143934 PECOS PAC ID: 2466525647 Enrollment ID: I20080722000014 |
| Provider Name | Padma Suresh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457402133 PECOS PAC ID: 5294809695 Enrollment ID: I20080804000044 |
| Provider Name | Eleni M Klostri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548279060 PECOS PAC ID: 0345308524 Enrollment ID: I20081016000029 |
| Provider Name | Bart L Main |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689770604 PECOS PAC ID: 4385635762 Enrollment ID: I20081219000031 |
| Provider Name | Pamela A Krzyzek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083786214 PECOS PAC ID: 4688739626 Enrollment ID: I20090209000132 |
| Provider Name | Andrea M Conway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790957413 PECOS PAC ID: 4880759984 Enrollment ID: I20090224000120 |
| Provider Name | Jeffrey P Campbell |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1467677922 PECOS PAC ID: 7012073208 Enrollment ID: I20090313000366 |
| Provider Name | Ana Dasilva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376870451 PECOS PAC ID: 8325188550 Enrollment ID: I20091221000215 |
| Provider Name | Stephanie A Lynch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083752299 PECOS PAC ID: 5496880296 Enrollment ID: I20100318000519 |
| Provider Name | Lawrence G Albert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700823028 PECOS PAC ID: 4880605997 Enrollment ID: I20100627000026 |
| Provider Name | Elizabeth Mauro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033448063 PECOS PAC ID: 3375676059 Enrollment ID: I20100802000393 |
| Provider Name | Jo Anne Gaughan Cabral |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306881651 PECOS PAC ID: 2466632427 Enrollment ID: I20110208000555 |
| Provider Name | Victoria Grace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679891246 PECOS PAC ID: 5991988131 Enrollment ID: I20110324000612 |
| Provider Name | Gail E Stern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750519831 PECOS PAC ID: 8224212063 Enrollment ID: I20110404000092 |
| Provider Name | Adam R Vareika |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093985392 PECOS PAC ID: 8224214440 Enrollment ID: I20110523000683 |
| Provider Name | Edward O Brien |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902195290 PECOS PAC ID: 8022294248 Enrollment ID: I20110523000710 |
| Provider Name | James Patrick Mcguire |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659456044 PECOS PAC ID: 7113011701 Enrollment ID: I20110525000805 |
| Provider Name | Michael E Sweeney |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1649255183 PECOS PAC ID: 5193995330 Enrollment ID: I20110826000262 |
| Provider Name | Susan Geronimus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932487824 PECOS PAC ID: 3971773839 Enrollment ID: I20110901000068 |
| Provider Name | Anne Lauren Kasperek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619051109 PECOS PAC ID: 5991976078 Enrollment ID: I20110921000467 |
| Provider Name | Wallace W Varonko |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003916313 PECOS PAC ID: 2769442573 Enrollment ID: I20111031000283 |
| Provider Name | Douglas Foresta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124238415 PECOS PAC ID: 4082871652 Enrollment ID: I20120209000296 |
| Provider Name | Kristin M Aylward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538138482 PECOS PAC ID: 6608026208 Enrollment ID: I20121017000020 |
| Provider Name | Rosemarie A Caldarone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588817159 PECOS PAC ID: 3577713445 Enrollment ID: I20121031000059 |
| Provider Name | Susan D Hood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780753616 PECOS PAC ID: 3375797418 Enrollment ID: I20130125000280 |
| Provider Name | Julie A Catineau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225372469 PECOS PAC ID: 4880849322 Enrollment ID: I20130306000449 |
| Provider Name | Juliet Hathon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871713131 PECOS PAC ID: 6103062294 Enrollment ID: I20130416000159 |
| Provider Name | Christina M Zinna |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1720363534 PECOS PAC ID: 8820231475 Enrollment ID: I20130829000195 |
| Provider Name | Howard Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508021213 PECOS PAC ID: 3779727128 Enrollment ID: I20130925000226 |
| Provider Name | Kristin Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083983993 PECOS PAC ID: 2668608100 Enrollment ID: I20131112000119 |
| Provider Name | Ellen Ficks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316116668 PECOS PAC ID: 3072749175 Enrollment ID: I20131120000446 |
| Provider Name | Martha J Haverly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942476445 PECOS PAC ID: 0446488076 Enrollment ID: I20140106000610 |
| Provider Name | Mary Mainville |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295051530 PECOS PAC ID: 3678703535 Enrollment ID: I20140220001722 |
| Provider Name | Rachel B Stronge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801231998 PECOS PAC ID: 8224251913 Enrollment ID: I20140528000019 |
| Provider Name | Sigrid F Mergenthaler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477759017 PECOS PAC ID: 1153547617 Enrollment ID: I20140718002079 |
| Provider Name | Diana W Lavancher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982012076 PECOS PAC ID: 9133347164 Enrollment ID: I20140904000525 |
| Provider Name | Corey J Nigro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205149754 PECOS PAC ID: 7517186315 Enrollment ID: I20140910001852 |
| Provider Name | Marilyn Cloud |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245631233 PECOS PAC ID: 6709842537 Enrollment ID: I20141013001082 |
| Provider Name | Elena S Mascarenhas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467854406 PECOS PAC ID: 4486875887 Enrollment ID: I20141029000525 |
| Provider Name | Jeffrey H Gottlieb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043292980 PECOS PAC ID: 0941108476 Enrollment ID: I20150330000777 |
| Provider Name | Theresa M Russo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972904506 PECOS PAC ID: 1153649470 Enrollment ID: I20150417000728 |
| Provider Name | David Stone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285039172 PECOS PAC ID: 1850610569 Enrollment ID: I20150430002119 |
| Provider Name | Catherine Tager |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285849018 PECOS PAC ID: 3173844362 Enrollment ID: I20150529001832 |
| Provider Name | Jessica C Power |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033594056 PECOS PAC ID: 8325357908 Enrollment ID: I20151021002909 |
| Provider Name | Lark Frias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205210234 PECOS PAC ID: 8123328176 Enrollment ID: I20151124002150 |
| Provider Name | Omayra Hunt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235206343 PECOS PAC ID: 2466467295 Enrollment ID: I20151208001027 |
| Provider Name | Brian S Banks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780067645 PECOS PAC ID: 5698076677 Enrollment ID: I20151216001330 |
| Provider Name | Jennifer Gearhart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427117365 PECOS PAC ID: 3375844905 Enrollment ID: I20151223001163 |
| Provider Name | Linda Sheppard-reece |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023495538 PECOS PAC ID: 5395047898 Enrollment ID: I20151230000171 |
| Provider Name | Christine Basile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447629647 PECOS PAC ID: 0345544821 Enrollment ID: I20160203000881 |
| Provider Name | Francisca Ojei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235509423 PECOS PAC ID: 3779888201 Enrollment ID: I20160222001819 |
| Provider Name | Josephine Saint Cyr Saieh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770879157 PECOS PAC ID: 6204132558 Enrollment ID: I20160311001647 |
| Provider Name | Diane Reed-hunt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336507391 PECOS PAC ID: 5799084687 Enrollment ID: I20160427001414 |
| Provider Name | Gregory P Scheuy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083980502 PECOS PAC ID: 1456650282 Enrollment ID: I20160429000953 |
| Provider Name | Farah Desrosiers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497104178 PECOS PAC ID: 2668768656 Enrollment ID: I20160830002533 |
| Provider Name | Amanda R Potter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023480423 PECOS PAC ID: 3173819729 Enrollment ID: I20160907001721 |
| Provider Name | Michael S Bezreh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457704157 PECOS PAC ID: 4082901764 Enrollment ID: I20160923000164 |
| Provider Name | Vanessa M Boyington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881149680 PECOS PAC ID: 5698062800 Enrollment ID: I20160930001628 |
| Provider Name | Shaunte M Kee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992083687 PECOS PAC ID: 3779863162 Enrollment ID: I20161130001539 |
| Provider Name | Diana Remlinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316314776 PECOS PAC ID: 1759663081 Enrollment ID: I20170123001112 |
| Provider Name | Eileen Carey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639614605 PECOS PAC ID: 7517240286 Enrollment ID: I20170203002214 |
| Provider Name | Jessica M Ferreira |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528597077 PECOS PAC ID: 0648541169 Enrollment ID: I20170802000757 |
| Provider Name | Bridget Kearney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760844716 PECOS PAC ID: 1850662214 Enrollment ID: I20170802003096 |
| Provider Name | Gloria Barnett-duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346627064 PECOS PAC ID: 2769753177 Enrollment ID: I20170803001246 |
| Provider Name | Lauren E Hoey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831570506 PECOS PAC ID: 4183998412 Enrollment ID: I20170925002183 |
| Provider Name | David J Stanford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114135357 PECOS PAC ID: 0941592703 Enrollment ID: I20171201000585 |
| Provider Name | Patricia Rossi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770858185 PECOS PAC ID: 1951535277 Enrollment ID: I20171213000234 |
| Provider Name | Michelle Rampino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558620906 PECOS PAC ID: 7214299817 Enrollment ID: I20180320000235 |
| Provider Name | Robin Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689079998 PECOS PAC ID: 5991057903 Enrollment ID: I20181002002288 |
| Provider Name | Loudelyne Petit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467977082 PECOS PAC ID: 2860744505 Enrollment ID: I20181009000529 |
| Provider Name | Yvonne Nickerson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275849077 PECOS PAC ID: 2365731320 Enrollment ID: I20181129001142 |
| Provider Name | Roxane Robbins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205199072 PECOS PAC ID: 6103162359 Enrollment ID: I20190109002865 |
| Provider Name | Kerri Pelton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992116131 PECOS PAC ID: 1153667936 Enrollment ID: I20190116000359 |
| Provider Name | Gedeon Brezil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306395405 PECOS PAC ID: 4587903323 Enrollment ID: I20190222000440 |
| Provider Name | Kristen Hines |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518335884 PECOS PAC ID: 4183963002 Enrollment ID: I20190311001690 |
| Provider Name | Anna M Braz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083839146 PECOS PAC ID: 5597833251 Enrollment ID: I20190410000448 |
| Provider Name | Kristen Arnold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851452502 PECOS PAC ID: 7618218777 Enrollment ID: I20190418000921 |
| Provider Name | Mary Tashjian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215282322 PECOS PAC ID: 8921341298 Enrollment ID: I20190530001271 |
| Provider Name | Stacey Colabello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134531825 PECOS PAC ID: 0042546640 Enrollment ID: I20190719000229 |
| Provider Name | Michelle Marie Jean-baptiste |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174872857 PECOS PAC ID: 7618206616 Enrollment ID: I20190916002676 |
| Provider Name | Laura Hoffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508383142 PECOS PAC ID: 5799015657 Enrollment ID: I20190919002468 |
| Provider Name | Rebecca A Alves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447404223 PECOS PAC ID: 5294066759 Enrollment ID: I20191014003345 |
| Provider Name | Teshera Tull- Yearwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417448523 PECOS PAC ID: 6608108857 Enrollment ID: I20191022000313 |
| Provider Name | Gold Okoeka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083278030 PECOS PAC ID: 9931431228 Enrollment ID: I20191106002229 |
| Provider Name | Cara Sypher-sieger |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1710539432 PECOS PAC ID: 5193158459 Enrollment ID: I20191127002520 |
| Provider Name | Molly Mckitrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922477611 PECOS PAC ID: 6800221037 Enrollment ID: I20200116002368 |
| Provider Name | Claire Wakulyaka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750873329 PECOS PAC ID: 5991135840 Enrollment ID: I20200417000763 |
| Provider Name | Lynda Ketcham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750798773 PECOS PAC ID: 6103256797 Enrollment ID: I20200422002281 |
| Provider Name | Allison Elizabeth Mcleod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164934584 PECOS PAC ID: 2567884968 Enrollment ID: I20200611002405 |
| Provider Name | John Thagard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194355578 PECOS PAC ID: 2466877766 Enrollment ID: I20200804001344 |
| Provider Name | Mary D Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871947150 PECOS PAC ID: 9739459744 Enrollment ID: I20201023001526 |
| Provider Name | Eric-paul Ernest Olsson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295383305 PECOS PAC ID: 0547689374 Enrollment ID: I20201102001296 |
| Provider Name | Cherie M Gravelle-stulsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578713004 PECOS PAC ID: 2961815444 Enrollment ID: I20201229002431 |
| Provider Name | Sara Black |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912106113 PECOS PAC ID: 0749694024 Enrollment ID: I20210127002652 |
| Provider Name | Andrew Devellis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255709176 PECOS PAC ID: 7113331083 Enrollment ID: I20210204001494 |
| Provider Name | Lisa Costa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790335214 PECOS PAC ID: 6204246952 Enrollment ID: I20210304002831 |
| Provider Name | Lisa C Knight |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285938894 PECOS PAC ID: 8325282635 Enrollment ID: I20210311000351 |
| Provider Name | Elise Adibe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962960930 PECOS PAC ID: 4284043167 Enrollment ID: I20210505000897 |
| Provider Name | Rachael Elizabeth Fortunato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285279398 PECOS PAC ID: 4587073390 Enrollment ID: I20210507000609 |
| Provider Name | Roger John Martinkus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184251464 PECOS PAC ID: 0345659165 Enrollment ID: I20210507001350 |
| Provider Name | Nicholas Heath |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699943472 PECOS PAC ID: 7719386960 Enrollment ID: I20210520002256 |
| Provider Name | Lanika Whyte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760063424 PECOS PAC ID: 6204236631 Enrollment ID: I20210607001798 |
| Provider Name | Robin Bryant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013454446 PECOS PAC ID: 8426451576 Enrollment ID: I20210727001369 |
| Provider Name | Veronica C Lee |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1669073805 PECOS PAC ID: 7618384835 Enrollment ID: I20210813001404 |
| Provider Name | Michele S Nardi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891880878 PECOS PAC ID: 0749230324 Enrollment ID: I20210916001939 |
| Provider Name | Rodrigo Nardi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679837876 PECOS PAC ID: 4284875717 Enrollment ID: I20211025000428 |
| Provider Name | Debra Louise Booth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043846942 PECOS PAC ID: 1658769344 Enrollment ID: I20211029000831 |
| Provider Name | Cecily Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902485386 PECOS PAC ID: 7517355910 Enrollment ID: I20211103001469 |
| Provider Name | Eric Dean Stroshine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942853841 PECOS PAC ID: 6901295237 Enrollment ID: I20211108001929 |
| Provider Name | Megan Sommer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851573984 PECOS PAC ID: 0749679918 Enrollment ID: I20211109001223 |
| Provider Name | Naz Nami Yenmez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255925574 PECOS PAC ID: 3971992157 Enrollment ID: I20211109001564 |
| Provider Name | Beth Ann Madvin-cox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134694839 PECOS PAC ID: 3870982598 Enrollment ID: I20211117002349 |
| Provider Name | Enel Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508536723 PECOS PAC ID: 6204143803 Enrollment ID: I20211202002676 |
| Provider Name | Ashley Shepard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194110197 PECOS PAC ID: 3577867092 Enrollment ID: I20211222001342 |
| Provider Name | Chase Jacomini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053960385 PECOS PAC ID: 8022400050 Enrollment ID: I20220124002609 |
| Provider Name | Jennifer Lehto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093167652 PECOS PAC ID: 6709174964 Enrollment ID: I20220210000364 |
| Provider Name | Lauren C Bouyea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407498355 PECOS PAC ID: 1557754504 Enrollment ID: I20220215001651 |
| Provider Name | Joanne Kyrra Howden-rich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073021572 PECOS PAC ID: 4880946268 Enrollment ID: I20220217002180 |
| Provider Name | Doris Kemp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740721935 PECOS PAC ID: 1850785114 Enrollment ID: I20220302001640 |
| Provider Name | Patience G Mujuru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679231385 PECOS PAC ID: 3870988736 Enrollment ID: I20220311002134 |
| Provider Name | Maryanne Natale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083194583 PECOS PAC ID: 9032504824 Enrollment ID: I20220314001234 |
| Provider Name | Gwen A Kolb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598117889 PECOS PAC ID: 2163817255 Enrollment ID: I20220329000269 |
| Provider Name | Lisa Marie Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346893187 PECOS PAC ID: 0749676179 Enrollment ID: I20220411002270 |
| Provider Name | Woudelyne Jean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023650660 PECOS PAC ID: 7719374842 Enrollment ID: I20220420000964 |
| Provider Name | Zumra Mehmedovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730832205 PECOS PAC ID: 3678960721 Enrollment ID: I20220420001641 |
| Provider Name | Anna Christine Naeva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710564927 PECOS PAC ID: 5395132443 Enrollment ID: I20220420001686 |
| Provider Name | Chimezie Agomoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154906980 PECOS PAC ID: 1658768718 Enrollment ID: I20220420002202 |
| Provider Name | Kendall Hinman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437731726 PECOS PAC ID: 4587041439 Enrollment ID: I20220513001657 |
| Provider Name | Therese Marie Kim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053839266 PECOS PAC ID: 3971981341 Enrollment ID: I20220526001206 |
| Provider Name | Michele Chawla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043737679 PECOS PAC ID: 6608254073 Enrollment ID: I20220526001220 |
| Provider Name | Nicole Leadenham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225636376 PECOS PAC ID: 7214316678 Enrollment ID: I20220615002691 |
| Provider Name | Sabrina K Dar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659866069 PECOS PAC ID: 4789924515 Enrollment ID: I20220714002577 |
| Provider Name | Morgan M Brooks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235699711 PECOS PAC ID: 3173859980 Enrollment ID: I20220714003159 |
| Provider Name | Teresa Ann Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417621780 PECOS PAC ID: 0345621751 Enrollment ID: I20220718000320 |
| Provider Name | Tamara Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568109346 PECOS PAC ID: 1850773540 Enrollment ID: I20220727002607 |
| Provider Name | Dayanne Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962167940 PECOS PAC ID: 4789066259 Enrollment ID: I20220729002488 |
| Provider Name | Brittany Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043707433 PECOS PAC ID: 5395128151 Enrollment ID: I20220811003435 |
| Provider Name | Regina Macharia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790356434 PECOS PAC ID: 0749409597 Enrollment ID: I20220812001879 |
| Provider Name | Erica Lee Walke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619619673 PECOS PAC ID: 1456734052 Enrollment ID: I20220815001946 |
| Provider Name | Rachelle Rurycz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861928210 PECOS PAC ID: 7911382973 Enrollment ID: I20220913000378 |
| Provider Name | Catherine Joan Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477224020 PECOS PAC ID: 0749665628 Enrollment ID: I20220913001758 |
| Provider Name | Emma C Avruch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124546650 PECOS PAC ID: 9133504970 Enrollment ID: I20220915001198 |
| Provider Name | Alison Leigh Carey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215681606 PECOS PAC ID: 8820473671 Enrollment ID: I20220915001547 |
| Provider Name | Deirdre M. Dowd-pizzuto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083955249 PECOS PAC ID: 1951787415 Enrollment ID: I20221006001493 |
| Provider Name | Ava Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780352419 PECOS PAC ID: 4688040439 Enrollment ID: I20221019000488 |
| Provider Name | Jessica Baraby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679039705 PECOS PAC ID: 9133596364 Enrollment ID: I20221101001688 |
| Provider Name | Carrie Long |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992955801 PECOS PAC ID: 5597132688 Enrollment ID: I20221102001517 |
| Provider Name | Monica Mai Huynh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285305243 PECOS PAC ID: 2264809136 Enrollment ID: I20221105000013 |
| Provider Name | Francy A Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770223703 PECOS PAC ID: 7911374491 Enrollment ID: I20221114001623 |
| Provider Name | Lauren Azevedo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821579541 PECOS PAC ID: 9931577889 Enrollment ID: I20221125000303 |
| Provider Name | Laura Ann Uribe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013506435 PECOS PAC ID: 5890163638 Enrollment ID: I20221129000119 |
| Provider Name | Jennifer Boyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184024432 PECOS PAC ID: 2860860517 Enrollment ID: I20221130001718 |
| Provider Name | Rachel Ellen Geary |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154044998 PECOS PAC ID: 6204205800 Enrollment ID: I20221202001640 |
| Provider Name | Mohamed Alsaidy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982145009 PECOS PAC ID: 4486986791 Enrollment ID: I20221202002422 |
| Provider Name | Andrea M Piquette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851790299 PECOS PAC ID: 8820467079 Enrollment ID: I20221209000387 |
| Provider Name | Courtney Hope Eramo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255048393 PECOS PAC ID: 7719356567 Enrollment ID: I20221216002439 |
| Provider Name | Sarah Goldberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619525615 PECOS PAC ID: 7416327911 Enrollment ID: I20221227001794 |
| Provider Name | Melanie Beth Bruneau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538297098 PECOS PAC ID: 2466822853 Enrollment ID: I20221229000653 |
| Provider Name | Lauren Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902525140 PECOS PAC ID: 3577948280 Enrollment ID: I20230103000810 |
| Provider Name | Natasha J Fevry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619699634 PECOS PAC ID: 8628448792 Enrollment ID: I20230105002784 |
| Provider Name | Sofia Elena Verdeja Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184297210 PECOS PAC ID: 6901276013 Enrollment ID: I20230106001240 |
| Provider Name | Charuta Pednekar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265932933 PECOS PAC ID: 7315317310 Enrollment ID: I20230109002448 |
| Provider Name | Lisa Roy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447628623 PECOS PAC ID: 9032580212 Enrollment ID: I20230126000590 |
| Provider Name | Lashondia Sheree Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669084703 PECOS PAC ID: 6608285051 Enrollment ID: I20230203000552 |
| Provider Name | Amanda Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801264726 PECOS PAC ID: 3577935253 Enrollment ID: I20230206001875 |
| Provider Name | Angel Haydn Reed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639793128 PECOS PAC ID: 4789056441 Enrollment ID: I20230207002259 |
| Provider Name | Ryan Wakim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093033789 PECOS PAC ID: 3375702731 Enrollment ID: I20230222002150 |
| Provider Name | Anne Kamau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639894231 PECOS PAC ID: 3274906250 Enrollment ID: I20230223000374 |
| Provider Name | Donald A Casella |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598894180 PECOS PAC ID: 5193198729 Enrollment ID: I20230302000848 |
| Provider Name | Rosemarie Golash |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104449230 PECOS PAC ID: 2264805704 Enrollment ID: I20230302001527 |
| Provider Name | Marie Elizabeth Guerrier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811646201 PECOS PAC ID: 8628376449 Enrollment ID: I20230308001907 |
| Provider Name | Nina Marie Vitello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770922890 PECOS PAC ID: 7012382047 Enrollment ID: I20230405001263 |
| Provider Name | Regine Jean-lestin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669139960 PECOS PAC ID: 0042685745 Enrollment ID: I20230411002484 |
| Provider Name | Heather Roanna Connors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255037594 PECOS PAC ID: 3870958192 Enrollment ID: I20230420000924 |
| Provider Name | Jason Meyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538443445 PECOS PAC ID: 5496111338 Enrollment ID: I20230518000709 |
| Provider Name | Julie Ann Oneill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578165205 PECOS PAC ID: 3779940952 Enrollment ID: I20230602000489 |
| Provider Name | Julia Sullivan Ahern |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639300494 PECOS PAC ID: 3678854825 Enrollment ID: I20230609001869 |
| Provider Name | Adaeze Nwanegbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578258810 PECOS PAC ID: 2961860168 Enrollment ID: I20230621000410 |
| Provider Name | Joshua M Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124498076 PECOS PAC ID: 5193184000 Enrollment ID: I20230710001844 |
| Provider Name | Cara Gomes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174065684 PECOS PAC ID: 6103286315 Enrollment ID: I20230720000139 |
| Provider Name | Cynthia C Iwunze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821776774 PECOS PAC ID: 9133590391 Enrollment ID: I20230801002567 |
| Provider Name | Linda A Harrod |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265982946 PECOS PAC ID: 4385005503 Enrollment ID: I20230803001388 |
| Provider Name | Marisa Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982362901 PECOS PAC ID: 9931560166 Enrollment ID: I20230803001783 |
| Provider Name | Jennifer Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194418947 PECOS PAC ID: 7618338856 Enrollment ID: I20230803002067 |
| Provider Name | Nancy Kilima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689360489 PECOS PAC ID: 1456713122 Enrollment ID: I20230811001003 |
| Provider Name | Natalie Jackson Kusner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275218349 PECOS PAC ID: 1254794126 Enrollment ID: I20230824002253 |
| Provider Name | Lea Perry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801202825 PECOS PAC ID: 7012370984 Enrollment ID: I20230824002486 |
| Provider Name | Katrina Elizabeth Viaud |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801519889 PECOS PAC ID: 3173986031 Enrollment ID: I20230825001923 |
| Provider Name | Rachael Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881267474 PECOS PAC ID: 8325432073 Enrollment ID: I20230828000067 |
| Provider Name | Moise Rene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528769551 PECOS PAC ID: 8123481553 Enrollment ID: I20230831003199 |
| Provider Name | Cassandra Whitehead |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033677042 PECOS PAC ID: 5294199741 Enrollment ID: I20230915002837 |
| Provider Name | Elizabeth Kittay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831501899 PECOS PAC ID: 9133573462 Enrollment ID: I20230920003238 |
| Provider Name | Colleen Farley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598444747 PECOS PAC ID: 2264886423 Enrollment ID: I20230922000332 |
| Provider Name | Ciara Jaro-locke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245935139 PECOS PAC ID: 1052765773 Enrollment ID: I20230929000799 |
| Provider Name | Qi Na Mai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396445151 PECOS PAC ID: 2365897535 Enrollment ID: I20231006003270 |
| Provider Name | Sarah Grace Simonelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205234390 PECOS PAC ID: 8022463892 Enrollment ID: I20231013001979 |
| Provider Name | Aimee Dupre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316250400 PECOS PAC ID: 7719163294 Enrollment ID: I20231024003938 |
| Provider Name | Kristin Hoyt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285210997 PECOS PAC ID: 1052778529 Enrollment ID: I20231026000921 |
| Provider Name | Shantelle Elizabeth Duplantis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487300414 PECOS PAC ID: 8325494321 Enrollment ID: I20231027000671 |
| Provider Name | Kristen Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366982902 PECOS PAC ID: 6901252808 Enrollment ID: I20231030001392 |
| Provider Name | Michael Gary Lapinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902505639 PECOS PAC ID: 4789031709 Enrollment ID: I20231114000657 |
| Provider Name | Hope Drake |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487269932 PECOS PAC ID: 4486002755 Enrollment ID: I20231127002624 |
| Provider Name | Shulamit Elena Waldoks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962103200 PECOS PAC ID: 9335598606 Enrollment ID: I20231212001787 |
| Provider Name | Tess Jennifer Lauricella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861144388 PECOS PAC ID: 9638529563 Enrollment ID: I20231219001055 |
| Provider Name | Callie Rae Aponte |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164624987 PECOS PAC ID: 7517317332 Enrollment ID: I20231220000895 |
| Provider Name | Daniel J Boland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083924914 PECOS PAC ID: 9335599182 Enrollment ID: I20231220002193 |
| Provider Name | Lynne D Boddie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275866873 PECOS PAC ID: 4284084054 Enrollment ID: I20231220002873 |
| Provider Name | Rachel Matteo Kuntz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942863683 PECOS PAC ID: 4688024367 Enrollment ID: I20231220003650 |
| Provider Name | Annie R Huddle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053678003 PECOS PAC ID: 5193175883 Enrollment ID: I20231220003856 |
| Provider Name | Kimberly Anne Feloney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427493949 PECOS PAC ID: 2163872854 Enrollment ID: I20231220003967 |
| Provider Name | Melissa Menangas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477976462 PECOS PAC ID: 5698122513 Enrollment ID: I20231221000981 |
| Provider Name | Michelle Lee Fernandes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043416092 PECOS PAC ID: 4486004116 Enrollment ID: I20231221001165 |
| Provider Name | Trine Rita Erichsen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760084917 PECOS PAC ID: 9234589979 Enrollment ID: I20231221001457 |
| Provider Name | Rachel Hazelwood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932741030 PECOS PAC ID: 1355791096 Enrollment ID: I20231221001738 |
| Provider Name | Jeffrey Hohl |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982038493 PECOS PAC ID: 6406206150 Enrollment ID: I20231221001953 |
| Provider Name | Kathryn E Berthiaume |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235356106 PECOS PAC ID: 5991155640 Enrollment ID: I20231221002210 |
| Provider Name | Karin Lee Giuliano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477695278 PECOS PAC ID: 8022468784 Enrollment ID: I20231221002482 |
| Provider Name | Derek Case |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487072682 PECOS PAC ID: 7517317183 Enrollment ID: I20231221003207 |
| Provider Name | Ira Gooch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942611942 PECOS PAC ID: 1355791922 Enrollment ID: I20231221003548 |
| Provider Name | Kelsey Virginia Michaud |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558076711 PECOS PAC ID: 1557711132 Enrollment ID: I20231221003552 |
| Provider Name | Janice Lariviere |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811203193 PECOS PAC ID: 6800246554 Enrollment ID: I20231221003681 |
| Provider Name | Mihaela Diana Deliu |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063525699 PECOS PAC ID: 9739539495 Enrollment ID: I20231221003784 |
| Provider Name | Stephanie Laura Knox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558715037 PECOS PAC ID: 7911357579 Enrollment ID: I20231222000060 |
| Provider Name | Shawn Daley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316089725 PECOS PAC ID: 2860842457 Enrollment ID: I20231222000102 |
| Provider Name | Alexandra Gesmer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235704297 PECOS PAC ID: 7719337310 Enrollment ID: I20231222000320 |
| Provider Name | Cheryl Ann Powell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134396443 PECOS PAC ID: 4880044486 Enrollment ID: I20231222000419 |
| Provider Name | Angela Glisson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710019682 PECOS PAC ID: 7911357520 Enrollment ID: I20231222000652 |
| Provider Name | Asha Komanapalli |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508229204 PECOS PAC ID: 0042660656 Enrollment ID: I20231222000951 |
| Provider Name | Kimberly Larson-nelson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992847719 PECOS PAC ID: 3577913193 Enrollment ID: I20231222001086 |
| Provider Name | Eric Vincent Macksoud |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023476116 PECOS PAC ID: 1355798273 Enrollment ID: I20231222001175 |
| Provider Name | Lynne Irene Emmons-boyd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821323650 PECOS PAC ID: 4284084807 Enrollment ID: I20231222001193 |
| Provider Name | Darlene Spencer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043527419 PECOS PAC ID: 3072963693 Enrollment ID: I20231222001343 |
| Provider Name | Christina Casavant-towers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972043172 PECOS PAC ID: 0648627646 Enrollment ID: I20231222001370 |
| Provider Name | Kathleen S Hoyt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972529923 PECOS PAC ID: 7911357686 Enrollment ID: I20231222001500 |
| Provider Name | Kelly Jade Kirby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437439247 PECOS PAC ID: 5991155525 Enrollment ID: I20231222001743 |
| Provider Name | Lisa Margarit |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871635250 PECOS PAC ID: 4789034323 Enrollment ID: I20231222001924 |
| Provider Name | Yulia Timoleon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518584689 PECOS PAC ID: 3779933312 Enrollment ID: I20231222001959 |
| Provider Name | Bridget Rose Lehane |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124667100 PECOS PAC ID: 5890145445 Enrollment ID: I20231222002214 |
| Provider Name | Jason Matthew Thoman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326335472 PECOS PAC ID: 3870943426 Enrollment ID: I20231222002304 |
| Provider Name | Jenna Markland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881205094 PECOS PAC ID: 5991155442 Enrollment ID: I20231222002599 |
| Provider Name | Kimberly Spencer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730599523 PECOS PAC ID: 8022468578 Enrollment ID: I20231222002892 |
| Provider Name | Michelle Murphy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508983511 PECOS PAC ID: 7214387794 Enrollment ID: I20231226000269 |
| Provider Name | Deolinda M. Raposo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770731184 PECOS PAC ID: 8628428117 Enrollment ID: I20231226000449 |
| Provider Name | Audrey Grubb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053934323 PECOS PAC ID: 9436509924 Enrollment ID: I20231226000492 |
| Provider Name | Marcela Mota Aversa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609387513 PECOS PAC ID: 9032569520 Enrollment ID: I20231226000603 |
| Provider Name | Jared Proulx |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417128885 PECOS PAC ID: 2163872664 Enrollment ID: I20231226000820 |
| Provider Name | Michelle Winston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346710225 PECOS PAC ID: 4880044387 Enrollment ID: I20231226000853 |
| Provider Name | Joan Maressa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174665426 PECOS PAC ID: 4789034281 Enrollment ID: I20231226000900 |
| Provider Name | Mark Burrowes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518039288 PECOS PAC ID: 5698125193 Enrollment ID: I20231226000903 |
| Provider Name | Kourtney Roy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700445947 PECOS PAC ID: 7214387729 Enrollment ID: I20231226001019 |
| Provider Name | Kelly Ann Kugel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518005446 PECOS PAC ID: 5092165506 Enrollment ID: I20231226001177 |
| Provider Name | Amanda Richards |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063878635 PECOS PAC ID: 7719337229 Enrollment ID: I20231226001183 |
| Provider Name | Karen Frances Citrano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427364231 PECOS PAC ID: 6507216025 Enrollment ID: I20231226001352 |
| Provider Name | Danielle Powers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639697881 PECOS PAC ID: 2769832286 Enrollment ID: I20231226001411 |
| Provider Name | Joel Berger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376090613 PECOS PAC ID: 6305296823 Enrollment ID: I20231226001419 |
| Provider Name | Lori Perry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396887675 PECOS PAC ID: 1759731276 Enrollment ID: I20231226001441 |
| Provider Name | Laura C Giannelli |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912392093 PECOS PAC ID: 3375993892 Enrollment ID: I20231226001555 |
| Provider Name | Georgina Bellamy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386780211 PECOS PAC ID: 2264882786 Enrollment ID: I20231226001628 |
| Provider Name | Samantha Rice |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295186658 PECOS PAC ID: 9931559374 Enrollment ID: I20231227000846 |
| Provider Name | Patricia Sittig |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437211976 PECOS PAC ID: 9234287988 Enrollment ID: I20231227001064 |
| Provider Name | Rene Schwiesow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003181272 PECOS PAC ID: 5294185682 Enrollment ID: I20231227002536 |
| Provider Name | Erin Rooney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528652765 PECOS PAC ID: 1052761442 Enrollment ID: I20231227002709 |
| Provider Name | Rachel Levesque |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1891077368 PECOS PAC ID: 6103276480 Enrollment ID: I20231228002668 |
| Provider Name | Erin Sutherland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588053615 PECOS PAC ID: 8426408709 Enrollment ID: I20231228002851 |
| Provider Name | Sarah Magaril |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548808736 PECOS PAC ID: 4688024961 Enrollment ID: I20231228002961 |
| Provider Name | Jayne P. Serino |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023191541 PECOS PAC ID: 7618327727 Enrollment ID: I20240102000413 |
| Provider Name | Leroy Adams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376611459 PECOS PAC ID: 8224488333 Enrollment ID: I20240102000490 |
| Provider Name | David Randall Hays |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609087246 PECOS PAC ID: 6305296419 Enrollment ID: I20240102000559 |
| Provider Name | Karen Ann Penta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760524151 PECOS PAC ID: 2365892486 Enrollment ID: I20240102000699 |
| Provider Name | Thomas Sprague |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588105613 PECOS PAC ID: 1153771274 Enrollment ID: I20240102000796 |
| Provider Name | Jessica Lyn Gagne-griffin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407464076 PECOS PAC ID: 7113377235 Enrollment ID: I20240102000917 |
| Provider Name | Rachel Esther Tomei |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285980722 PECOS PAC ID: 8426487232 Enrollment ID: I20240102001283 |
| Provider Name | Melissa Ann Recore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275982316 PECOS PAC ID: 5294185328 Enrollment ID: I20240102001361 |
| Provider Name | Sheree Greenwood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508079773 PECOS PAC ID: 1254781396 Enrollment ID: I20240102001475 |
| Provider Name | Sharon Enright |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780458125 PECOS PAC ID: 7618327792 Enrollment ID: I20240102002980 |
| Provider Name | Sonia Gooden-alexis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417011610 PECOS PAC ID: 6507216561 Enrollment ID: I20240103002274 |
| Provider Name | Alan Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275947202 PECOS PAC ID: 1951752971 Enrollment ID: I20240103004623 |
| Provider Name | Sarenna Liss Rosario |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225501117 PECOS PAC ID: 5890146765 Enrollment ID: I20240105000185 |
| Provider Name | Reneelynn Marie Proctor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275840514 PECOS PAC ID: 5698126498 Enrollment ID: I20240105001781 |
| Provider Name | Karen Freeman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730220773 PECOS PAC ID: 9436312774 Enrollment ID: I20240105002397 |
| Provider Name | Michael Biffar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205153178 PECOS PAC ID: 6103277504 Enrollment ID: I20240110002750 |
| Provider Name | Tamar Thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275675431 PECOS PAC ID: 2961854963 Enrollment ID: I20240116000422 |
| Provider Name | Karin Beth Holt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619156544 PECOS PAC ID: 2466828603 Enrollment ID: I20240116004581 |
| Provider Name | Eileen Mary Levesque |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295020865 PECOS PAC ID: 3476905159 Enrollment ID: I20240118000684 |
| Provider Name | Merrily W Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093815193 PECOS PAC ID: 3072965649 Enrollment ID: I20240118004051 |
| Provider Name | Michael Accordino |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225567068 PECOS PAC ID: 7416309802 Enrollment ID: I20240122002682 |
| Provider Name | Emilee Cafardo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447523816 PECOS PAC ID: 2567814957 Enrollment ID: I20240122002817 |
| Provider Name | Victoria Jean Stephens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538729405 PECOS PAC ID: 4183076573 Enrollment ID: I20240122002889 |
| Provider Name | Michelle Leblanc-hughes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871011221 PECOS PAC ID: 2961854369 Enrollment ID: I20240122003030 |
| Provider Name | Nancy L Kennedy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629137021 PECOS PAC ID: 0143672493 Enrollment ID: I20240123000646 |
| Provider Name | Nicole Stoico |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366018731 PECOS PAC ID: 7012360993 Enrollment ID: I20240126002214 |
| Provider Name | Emilea Gartrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396391165 PECOS PAC ID: 8325491608 Enrollment ID: I20240202001572 |
| Provider Name | James David Hyde |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568401990 PECOS PAC ID: 3870936958 Enrollment ID: I20240206000700 |
| Provider Name | Darcy Kay Woods |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649346461 PECOS PAC ID: 1850734732 Enrollment ID: I20240207003205 |
| Provider Name | Jeremiah Chapman Morelock |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1164567459 PECOS PAC ID: 4486097086 Enrollment ID: I20240212000801 |
| Provider Name | Nicole Leblanc |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942782974 PECOS PAC ID: 8022469576 Enrollment ID: I20240214003548 |
| Provider Name | Ashley Lynn Thiboutot |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902416431 PECOS PAC ID: 0143664383 Enrollment ID: I20240215003457 |
| Provider Name | Andrew Velasquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346523099 PECOS PAC ID: 0042655243 Enrollment ID: I20240227004435 |
| Provider Name | Paige Cachat Couture |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1497075246 PECOS PAC ID: 0749650620 Enrollment ID: I20240228001803 |
| Provider Name | Kayley Miller |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1255746566 PECOS PAC ID: 0648615716 Enrollment ID: I20240228002184 |
| Provider Name | Alyssa S Monahan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316566870 PECOS PAC ID: 8921443797 Enrollment ID: I20240302000261 |
| Provider Name | Linda Lufkin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629415666 PECOS PAC ID: 6901241678 Enrollment ID: I20240304003411 |
| Provider Name | Olufemi Akinwunmi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972040640 PECOS PAC ID: 7214373554 Enrollment ID: I20240309000014 |
| Provider Name | Monica Muiruri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467161794 PECOS PAC ID: 4082050299 Enrollment ID: I20240311002098 |
| Provider Name | Darkovna Widline Juste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396508883 PECOS PAC ID: 0648616623 Enrollment ID: I20240313000469 |
| Provider Name | Kelsey Beando |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396406005 PECOS PAC ID: 4688011232 Enrollment ID: I20240319002334 |
| Provider Name | Andrea Ruth Tucker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386021806 PECOS PAC ID: 7315384674 Enrollment ID: I20240321002850 |
| Provider Name | Connor Stahl-bryant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922674415 PECOS PAC ID: 4880031103 Enrollment ID: I20240322001003 |
| Provider Name | Anne Macneil |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972739316 PECOS PAC ID: 6507203627 Enrollment ID: I20240326000504 |
| Provider Name | Jennifer Linn Hogue |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1477052199 PECOS PAC ID: 8527405554 Enrollment ID: I20240326001202 |
| Provider Name | Marie Laudie Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104504430 PECOS PAC ID: 4385082130 Enrollment ID: I20240329001639 |
| Provider Name | Mckenzie Lauren Espero |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962982561 PECOS PAC ID: 8224476791 Enrollment ID: I20240403000191 |
| Provider Name | Eric Karl Pircher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649763301 PECOS PAC ID: 5294173431 Enrollment ID: I20240405002999 |
| Provider Name | Stacey A Dobrowolski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821870395 PECOS PAC ID: 0143668103 Enrollment ID: I20240410000302 |
| Provider Name | Maria Rose Mclaughlin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093016123 PECOS PAC ID: 1557709441 Enrollment ID: I20240411001118 |
| Provider Name | Rohan Roberts Goldman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053953141 PECOS PAC ID: 4082053566 Enrollment ID: I20240416004417 |
| Provider Name | Talia Barlar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306601752 PECOS PAC ID: 6305285321 Enrollment ID: I20240423002758 |
| Provider Name | Lee Reis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558123158 PECOS PAC ID: 1850731860 Enrollment ID: I20240424002161 |
| Provider Name | Laura Ann Brondyk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679113930 PECOS PAC ID: 4688014426 Enrollment ID: I20240426002927 |
| Provider Name | Matthew James Luz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801491717 PECOS PAC ID: 2062852601 Enrollment ID: I20240430003500 |
| Provider Name | Maria Giacoletto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114681640 PECOS PAC ID: 0143660472 Enrollment ID: I20240502003134 |
| Provider Name | Rosalba D Conde |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700455441 PECOS PAC ID: 0244671956 Enrollment ID: I20240513002402 |
| Provider Name | Laura Appleton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437755600 PECOS PAC ID: 7517308133 Enrollment ID: I20240514003095 |
| Provider Name | Griselda Sanchez Lorenzo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467850990 PECOS PAC ID: 7113369372 Enrollment ID: I20240521000205 |
| Provider Name | Stephanie Sullivan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417677105 PECOS PAC ID: 0840674982 Enrollment ID: I20240528003069 |
| Provider Name | Yessica Carolina Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306610811 PECOS PAC ID: 3274075288 Enrollment ID: I20240605003709 |
| Provider Name | Sarvenaz Moshfegh Asiedu |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164973384 PECOS PAC ID: 2668914458 Enrollment ID: I20240607002331 |
| Provider Name | Allison Courtney Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275228850 PECOS PAC ID: 6608318241 Enrollment ID: I20240611000633 |
| Provider Name | Mark Anthony Figueroa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689334369 PECOS PAC ID: 8628416468 Enrollment ID: I20240611001792 |
| Provider Name | Cailin A James |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194371039 PECOS PAC ID: 2163965559 Enrollment ID: I20240613001343 |
Womenandchildrenempowermentinc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 Crane Ave S, Taunton, MA 02780 Phone: 347-495-7087 | |
Morton Hospital Behavioral Medicine Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 88 Washington St, Taunton, MA 02780 Phone: 508-828-7881 | |
Ccbc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 19 Cedar St, Taunton, MA 02780 Phone: 508-823-5400 Fax: 508-824-6604 | |
Community Care Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Main St, Taunton, MA 02780 Phone: 508-821-7777 | |
Counseling Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 152 Dean St Ste 6, Taunton, MA 02780 Phone: 508-725-6705 | |
Meleka Psychiatric Care, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 Bay St Fl 1, Meleka Psychiatric Care,llc, Taunton, MA 02780 Phone: 508-880-0544 Fax: 508-880-0545 |