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1 Washington St Taunton MA 02780-3960 | |
| (508) 823-5400 | |
| (508) 824-6604 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Washington St, Taunton, Massachusetts |
| Authorized Official Name and Position | Philip Shea (PRESIDENT CEO) |
| Authorized Official Contact | 5089778100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1 Washington St Taunton MA 02780-3960 Ph: (508) 823-5400 | 1 Washington St Taunton MA 02780-3960 Ph: (508) 823-5400 |
| NPI Number | 1730215781 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 05/12/2009 |
| Medicare PECOS PAC ID | 0143127779 |
|---|---|
| Medicare Enrollment ID | O20040917000246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730215781 | NPI | - | NPPES |
| 1304721 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Gabriela Velcea |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558456731 PECOS PAC ID: 5799757092 Enrollment ID: I20040809000057 |
| Provider Name | Marina Radisic Basovic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841381027 PECOS PAC ID: 7113955048 Enrollment ID: I20050801000901 |
| Provider Name | Christine C Korben |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811020910 PECOS PAC ID: 7012946072 Enrollment ID: I20050810000167 |
| Provider Name | Debra Skinner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376675173 PECOS PAC ID: 1557390531 Enrollment ID: I20050810000350 |
| Provider Name | John R Masson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942348537 PECOS PAC ID: 4981621471 Enrollment ID: I20051024000886 |
| Provider Name | Debra M Little |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154571016 PECOS PAC ID: 4789743592 Enrollment ID: I20081110000031 |
| Provider Name | Ellen Flynn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699803551 PECOS PAC ID: 9931236833 Enrollment ID: I20100426000177 |
| Provider Name | Rafael I Gracia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073539276 PECOS PAC ID: 8224212956 Enrollment ID: I20110405000323 |
| Provider Name | Paul Weiss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205989555 PECOS PAC ID: 9739168873 Enrollment ID: I20110721000112 |
| Provider Name | Andrea Russell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396948667 PECOS PAC ID: 6800065855 Enrollment ID: I20110808000469 |
| Provider Name | Meghan Christine Savina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093964942 PECOS PAC ID: 4981864410 Enrollment ID: I20120321000127 |
| Provider Name | Somatra L Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003164310 PECOS PAC ID: 8921236811 Enrollment ID: I20140123000849 |
| Provider Name | Jeannette M Sorace-burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780063628 PECOS PAC ID: 2365748621 Enrollment ID: I20160311001736 |
| Provider Name | Cristin Poirier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164550901 PECOS PAC ID: 1456646330 Enrollment ID: I20160817002502 |
| Provider Name | Gregory A Westmoreland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457659518 PECOS PAC ID: 1759656648 Enrollment ID: I20171003004994 |
| Provider Name | Richard M Orluk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528511599 PECOS PAC ID: 6901171818 Enrollment ID: I20171003005718 |
| Provider Name | Kerri M Rothwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568724698 PECOS PAC ID: 9335414101 Enrollment ID: I20171004000793 |
| Provider Name | Beth Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053836957 PECOS PAC ID: 1254605322 Enrollment ID: I20180125002872 |
| Provider Name | Alexandra R Lynn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689030843 PECOS PAC ID: 5698002442 Enrollment ID: I20190816000764 |
| Provider Name | Jean Ann Helger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215452008 PECOS PAC ID: 8820421977 Enrollment ID: I20191204001916 |
| Provider Name | Lacy E Milano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437581642 PECOS PAC ID: 3779992474 Enrollment ID: I20210510002424 |
| Provider Name | Abdelbassat M Zerguine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548655384 PECOS PAC ID: 9931400165 Enrollment ID: I20210809001673 |
| Provider Name | Jessica L Freitas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801413299 PECOS PAC ID: 2961806922 Enrollment ID: I20210812002582 |
| Provider Name | Charity Iriowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861070187 PECOS PAC ID: 6204234917 Enrollment ID: I20211011002716 |
| Provider Name | Sandra O'loughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982374625 PECOS PAC ID: 9638567043 Enrollment ID: I20211103001816 |
| Provider Name | Valerie Ann Seney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831219096 PECOS PAC ID: 1658758727 Enrollment ID: I20220510002370 |
| Provider Name | Jennifer Sawyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659854115 PECOS PAC ID: 7416329495 Enrollment ID: I20230221002240 |
| Provider Name | Robert Joseph Accettullo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538311071 PECOS PAC ID: 3577009315 Enrollment ID: I20240729001618 |
| Provider Name | Jaimie Leah Rebello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417600123 PECOS PAC ID: 5698211431 Enrollment ID: I20240729001873 |
| Provider Name | Paige Maddy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013523877 PECOS PAC ID: 5799221552 Enrollment ID: I20240729002728 |
| Provider Name | Courtney M Matto |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1215263454 PECOS PAC ID: 9133665904 Enrollment ID: I20240729002843 |
| Provider Name | Michelle Little |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356889299 PECOS PAC ID: 6002352887 Enrollment ID: I20240729003437 |
| Provider Name | Jessica Hobart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871972257 PECOS PAC ID: 3678019460 Enrollment ID: I20240729003740 |
| Provider Name | Athalia Ballantyne |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1821791351 PECOS PAC ID: 3971040742 Enrollment ID: I20240730002295 |
| Provider Name | Emily Riley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508629601 PECOS PAC ID: 4981141769 Enrollment ID: I20240730002797 |
| Provider Name | Katarina Alexandra Radovsky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336765734 PECOS PAC ID: 1355888652 Enrollment ID: I20240805002023 |
| Provider Name | Tanei Smoot |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235613118 PECOS PAC ID: 6800333105 Enrollment ID: I20240805002039 |
| Provider Name | Athalia Ballantyne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821791351 PECOS PAC ID: 3971040742 Enrollment ID: I20240807000916 |
| Provider Name | Thea Ann Dickinson-rowles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811015340 PECOS PAC ID: 6901343003 Enrollment ID: I20240807002356 |
| Provider Name | Theresa E Ruby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124174784 PECOS PAC ID: 8527505627 Enrollment ID: I20240807002383 |
| Provider Name | Emily Rose Snow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033449129 PECOS PAC ID: 9335686351 Enrollment ID: I20240807003220 |
| Provider Name | Philip Ryan Mullins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598992422 PECOS PAC ID: 9335686393 Enrollment ID: I20240808000347 |
| Provider Name | Jennifer A Buker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326195322 PECOS PAC ID: 3779020748 Enrollment ID: I20240808000486 |
| Provider Name | Andrea J. Damon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417184789 PECOS PAC ID: 0749728632 Enrollment ID: I20240809001525 |
| Provider Name | Jessika G De Castro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437783784 PECOS PAC ID: 0648718551 Enrollment ID: I20240809002031 |
| Provider Name | Elizabeth Ann Moniz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922524446 PECOS PAC ID: 1254870538 Enrollment ID: I20240830000659 |
| Provider Name | Katherine Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396150330 PECOS PAC ID: 2365973088 Enrollment ID: I20241007000410 |
| Provider Name | Margaret Beth Kane |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245997873 PECOS PAC ID: 4880125335 Enrollment ID: I20241008002164 |
| Provider Name | Alexander Schubert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194157164 PECOS PAC ID: 2567994007 Enrollment ID: I20241022002033 |
| Provider Name | Tarah Grace Coppolino |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770059602 PECOS PAC ID: 4981137023 Enrollment ID: I20241029001434 |
Womenandchildrenempowermentinc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 Crane Ave S, Taunton, MA 02780 Phone: 347-495-7087 | |
Community Care Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Main St, Taunton, MA 02780 Phone: 508-821-7777 | |
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 | |