| Gosnold, Inc. | |
|
200 Ter Heun Dr Falmouth MA 02540-2525 | |
| (508) 540-6550 | |
| (508) 540-7480 |
| Full Name | Gosnold, Inc. |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 200 Ter Heun Dr, Falmouth, Massachusetts |
| Authorized Official Name and Position | Raymond V Tamasi (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5085406550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gosnold, Inc. 200 Ter Heun Dr Falmouth MA 02540-2525 Ph: (508) 540-6550 | Gosnold, Inc. 200 Ter Heun Dr Falmouth MA 02540-2525 Ph: (508) 540-6550 |
| NPI Number | 1639219314 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5991776627 |
|---|---|
| Medicare Enrollment ID | O20040804001622 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639219314 | NPI | - | NPPES |
| 1310518 | Medicaid | MA | |
| 1306723 | Medicaid | MA |
| 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 | Ina L Lap |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972550853 PECOS PAC ID: 0446200653 Enrollment ID: I20050126000154 |
| Provider Name | James D Sullivan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730179607 PECOS PAC ID: 5799722039 Enrollment ID: I20050408000563 |
| Provider Name | Judith M Kelley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740337898 PECOS PAC ID: 8628007010 Enrollment ID: I20050805000505 |
| Provider Name | Paul F Bender |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588791891 PECOS PAC ID: 0244256584 Enrollment ID: I20051017000676 |
| Provider Name | Elaine A Wasserman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972682185 PECOS PAC ID: 0547282071 Enrollment ID: I20051228000329 |
| Provider Name | Kimberly A Lane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316270226 PECOS PAC ID: 3072536119 Enrollment ID: I20060104000605 |
| Provider Name | Susan L Foley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184756678 PECOS PAC ID: 2264533314 Enrollment ID: I20070719000696 |
| Provider Name | Jennifer L Ferreira |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326176496 PECOS PAC ID: 1850492851 Enrollment ID: I20070720000387 |
| Provider Name | Janet M Greene |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275663676 PECOS PAC ID: 1951402965 Enrollment ID: I20070720000479 |
| Provider Name | Janet Albahari |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508993718 PECOS PAC ID: 9032201959 Enrollment ID: I20070823000548 |
| 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 | Rebecca H Helman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982899563 PECOS PAC ID: 5890880066 Enrollment ID: I20071003000079 |
| Provider Name | Michelle Nickerson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639383961 PECOS PAC ID: 4385818699 Enrollment ID: I20111123000428 |
| Provider Name | Grant C Marean |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376879239 PECOS PAC ID: 5597904847 Enrollment ID: I20130617000416 |
| Provider Name | Alexandra H Armitage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174583025 PECOS PAC ID: 5890758817 Enrollment ID: I20140915000781 |
| Provider Name | Theresa Marie Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063816916 PECOS PAC ID: 0547541427 Enrollment ID: I20170109001289 |
| Provider Name | Alicia Rodio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215356076 PECOS PAC ID: 3870877434 Enrollment ID: I20200527000371 |
| Provider Name | Christine A Wilcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730733189 PECOS PAC ID: 6305269523 Enrollment ID: I20200707001707 |
| Provider Name | Roger John Martinkus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184251464 PECOS PAC ID: 0345659165 Enrollment ID: I20210507001350 |
| Provider Name | Elizabeth Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669777876 PECOS PAC ID: 7517349426 Enrollment ID: I20220809000282 |
| Provider Name | Nathan Jenkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952772147 PECOS PAC ID: 8527442359 Enrollment ID: I20220829001613 |
| Provider Name | Erin Elizabeth Andrade |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447662770 PECOS PAC ID: 8426418575 Enrollment ID: I20230720002123 |
| Provider Name | Michelle Sarkar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417620048 PECOS PAC ID: 6608220629 Enrollment ID: I20230926000168 |
| Provider Name | Cara-leigh Recker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134558372 PECOS PAC ID: 6204287782 Enrollment ID: I20240109002654 |
| Provider Name | Jessica Greeney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710151352 PECOS PAC ID: 8921451303 Enrollment ID: I20240201002405 |
| Provider Name | Donna R Atwood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942533963 PECOS PAC ID: 0042663387 Enrollment ID: I20240202000371 |
| Provider Name | Kristen Davies |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245483163 PECOS PAC ID: 5092168377 Enrollment ID: I20240202001933 |
| Provider Name | John Clarendon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346332723 PECOS PAC ID: 9234582529 Enrollment ID: I20240202002016 |
| Provider Name | Celeste M Rogers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366572349 PECOS PAC ID: 7113360108 Enrollment ID: I20240207000055 |
| Provider Name | Dea Elizabeth Butcher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487957510 PECOS PAC ID: 8325481377 Enrollment ID: I20240207001658 |
| Provider Name | Sarah M Healy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689982456 PECOS PAC ID: 7315380953 Enrollment ID: I20240209003507 |
| Provider Name | Amanda L Berriault |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306095807 PECOS PAC ID: 7719321165 Enrollment ID: I20240214000852 |
| Provider Name | Sara J Carter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982729190 PECOS PAC ID: 3072957760 Enrollment ID: I20240221002776 |
| Provider Name | Bryce C Reddy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609195163 PECOS PAC ID: 6305283854 Enrollment ID: I20240320002159 |
| Provider Name | Isel Garcia-renart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841807096 PECOS PAC ID: 4082052824 Enrollment ID: I20240329001294 |
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