| Column Health, Llc | |
|
290 Merrimack St Ste 106 Lawrence MA 01843-2160 | |
| (833) 510-4357 | |
| (866) 460-2997 |
| Full Name | Column Health, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 290 Merrimack St Ste 106, Lawrence, Massachusetts |
| Authorized Official Name and Position | Amy Nieman (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 5138731269 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Column Health, Llc 4600 Montgomery Rd Ste 400 Cincinnati OH 45212-2600 Ph: (833) 510-4357 | Column Health, Llc 290 Merrimack St Ste 106 Lawrence MA 01843-2160 Ph: (833) 510-4357 |
| NPI Number | 1861898934 |
|---|---|
| Provider Enumeration Date | 11/17/2014 |
| Last Update Date | 09/30/2024 |
| Certification Date | 09/30/2024 |
| Medicare PECOS PAC ID | 8224356571 |
|---|---|
| Medicare Enrollment ID | O20150416001040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861898934 | NPI | - | NPPES |
| 110102199A | Medicaid | MA |
| Provider Name | Laura G Kehoe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215924311 PECOS PAC ID: 2769395631 Enrollment ID: I20031106000714 |
| Provider Name | David M Gunther |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467426536 PECOS PAC ID: 9739167230 Enrollment ID: I20040712000256 |
| Provider Name | Michael W Demelis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336108984 PECOS PAC ID: 6507836137 Enrollment ID: I20040729001180 |
| Provider Name | Bernard E Oakley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356353874 PECOS PAC ID: 6507805249 Enrollment ID: I20050502000760 |
| Provider Name | Samborn Hoey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245476506 PECOS PAC ID: 0840355541 Enrollment ID: I20090212000373 |
| Provider Name | Allison E Harren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235348707 PECOS PAC ID: 6204976871 Enrollment ID: I20091214000266 |
| Provider Name | Susan M Ludwig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679873145 PECOS PAC ID: 9739369265 Enrollment ID: I20110215000816 |
| Provider Name | Margaret Poole Mueller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427095173 PECOS PAC ID: 7719967678 Enrollment ID: I20121113000354 |
| Provider Name | Elisabete Valente |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306191168 PECOS PAC ID: 1153573621 Enrollment ID: I20121207000144 |
| Provider Name | Lynne Gomes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598193484 PECOS PAC ID: 3870724594 Enrollment ID: I20141031000138 |
| Provider Name | Monica R Andrade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265836498 PECOS PAC ID: 0446472047 Enrollment ID: I20141115000258 |
| Provider Name | Laurine L Thornton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982694972 PECOS PAC ID: 7911032537 Enrollment ID: I20141119001514 |
| Provider Name | Janel Carello-michl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497066385 PECOS PAC ID: 3173845864 Enrollment ID: I20151019000732 |
| Provider Name | Kathleen M Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093189813 PECOS PAC ID: 6406158161 Enrollment ID: I20160112002430 |
| Provider Name | Edwin R Raffi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730444274 PECOS PAC ID: 5395044697 Enrollment ID: I20160506001777 |
| Provider Name | Robert Sampson |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1699844597 PECOS PAC ID: 3476844598 Enrollment ID: I20160621001871 |
| Provider Name | Melanie Nicole Fossinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194191593 PECOS PAC ID: 6709174139 Enrollment ID: I20161018000411 |
| Provider Name | Heidi Ginter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659356574 PECOS PAC ID: 6709177389 Enrollment ID: I20161116000980 |
| Provider Name | Christopher Mulvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447612684 PECOS PAC ID: 9830458892 Enrollment ID: I20180119000622 |
| Provider Name | Kristina Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730530908 PECOS PAC ID: 9234491283 Enrollment ID: I20180403000631 |
| Provider Name | Christoforos I Giakoumatos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336555267 PECOS PAC ID: 7113272667 Enrollment ID: I20180625000896 |
| Provider Name | Shadie Bajrami |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578045498 PECOS PAC ID: 0840534830 Enrollment ID: I20181203000449 |
| Provider Name | Roberta Finn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164809323 PECOS PAC ID: 4082952072 Enrollment ID: I20190218001562 |
| Provider Name | Amanda Liberty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104312875 PECOS PAC ID: 4486984127 Enrollment ID: I20190924001190 |
| Provider Name | Patricia Cintra Franco Schram |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1770534760 PECOS PAC ID: 9032114640 Enrollment ID: I20191018001458 |
| Provider Name | Deborah Kay Aloisi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801175450 PECOS PAC ID: 0547697286 Enrollment ID: I20200219001035 |
| Provider Name | Nicholas Njoroge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295251684 PECOS PAC ID: 6103236872 Enrollment ID: I20201109000962 |
| Provider Name | Shannon L Paci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376160788 PECOS PAC ID: 8224442595 Enrollment ID: I20210127002445 |
| Provider Name | Bhavi Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487279303 PECOS PAC ID: 3173937414 Enrollment ID: I20210128001708 |
| Provider Name | Megan Rose Curtis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699138115 PECOS PAC ID: 6305138447 Enrollment ID: I20210806000714 |
| Provider Name | Lydia Sophie Plakias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376169722 PECOS PAC ID: 4486043767 Enrollment ID: I20211108000039 |
| Provider Name | Frank Copeli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780181636 PECOS PAC ID: 2769875400 Enrollment ID: I20220202000348 |
| Provider Name | Duny Damas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265101851 PECOS PAC ID: 6103219142 Enrollment ID: I20220215001276 |
| Provider Name | Sara Ruth Fugazzotto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376113928 PECOS PAC ID: 4789077652 Enrollment ID: I20220217001172 |
| Provider Name | Diane H Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831642990 PECOS PAC ID: 2163816869 Enrollment ID: I20220223000427 |
| Provider Name | Vivien Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902566177 PECOS PAC ID: 3870989718 Enrollment ID: I20220401001477 |
| Provider Name | Amanda Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720665029 PECOS PAC ID: 3971999558 Enrollment ID: I20220407001050 |
| Provider Name | Cassandra Antoine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346810934 PECOS PAC ID: 4789055427 Enrollment ID: I20230117002572 |
| Provider Name | Madeline Sudekum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841829926 PECOS PAC ID: 9133549165 Enrollment ID: I20230208002098 |
| Provider Name | Wilfrid Zamar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598472458 PECOS PAC ID: 4587968300 Enrollment ID: I20230712000731 |
| Provider Name | Vanessa Amatucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053835975 PECOS PAC ID: 6103198189 Enrollment ID: I20230829000854 |
| Provider Name | Rhetta Annie Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578628111 PECOS PAC ID: 1355790999 Enrollment ID: I20231208000419 |
| Provider Name | Margaret Victoria Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174164644 PECOS PAC ID: 0244680981 Enrollment ID: I20231221001824 |
| Provider Name | Whitney Rachel Ward |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881015980 PECOS PAC ID: 4981055647 Enrollment ID: I20240105003992 |
| Provider Name | Rita Ayoub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770205478 PECOS PAC ID: 9234502147 Enrollment ID: I20240506001457 |
| Provider Name | Doreen Barrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487958419 PECOS PAC ID: 6002257714 Enrollment ID: I20240513002284 |
| Provider Name | Ida Fazakas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285074278 PECOS PAC ID: 6709027386 Enrollment ID: I20240607000705 |
Northeast Independent Living Program Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Ballard Rd, Lawrence, MA 01843 Phone: 978-687-4288 Fax: 978-689-4488 | |
Institute For Family Centered Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Methuen St, Lawrence, MA 01840 Phone: 978-794-7966 Fax: 978-794-9890 | |
Family Service, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 430 N Canal St, Lawrence, MA 01840 Phone: 978-327-6659 Fax: 978-327-6601 | |
Lawrence Medical Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 320 Essex St, Lawrence, MA 01840 Phone: 978-655-5290 | |
New England Assessment Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 599 Canal St Ste 416, Lawrence, MA 01840 Phone: 978-688-8030 Fax: 978-688-8032 | |
Northeast Behavioral Health Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Methuen St, Lawrence, MA 01840 Phone: 978-683-3128 | |
Eagle Behavioral Healthcare Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Merrimack St Ste 154, Lawrence, MA 01843 Phone: 978-866-5811 |