| Lifestance Health | |
|
89 Access Rd Suite 24 Norwood MA 02062 | |
| (781) 551-0999 | |
| (781) 551-3396 |
| Full Name | Lifestance Health |
|---|---|
| Speciality | Psychologist |
| Location | 89 Access Rd, Norwood, Massachusetts |
| Authorized Official Name and Position | Ryan Pardo (CHIEF LEGAL OFFICER) |
| Authorized Official Contact | 4252798500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestance Health 169 Libbey Pkwy East Weymouth MA 02189-3101 Ph: (781) 551-0999 | Lifestance Health 89 Access Rd Suite 24 Norwood MA 02062 Ph: (781) 551-0999 |
| NPI Number | 1912987181 |
|---|---|
| Provider Enumeration Date | 01/22/2006 |
| Last Update Date | 03/26/2024 |
| Certification Date | 03/26/2024 |
| Medicare PECOS PAC ID | 5991763823 |
|---|---|
| Medicare Enrollment ID | O20041227000004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912987181 | NPI | - | NPPES |
| Provider Name | Cheryl L Puerling |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659396794 PECOS PAC ID: 0941104483 Enrollment ID: I20031125000687 |
| Provider Name | Jean M Lochiatto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043245905 PECOS PAC ID: 9830092386 Enrollment ID: I20040130000832 |
| Provider Name | Gary Goldman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841251204 PECOS PAC ID: 5496646275 Enrollment ID: I20040322001352 |
| Provider Name | Kenneth Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194785287 PECOS PAC ID: 9739173618 Enrollment ID: I20040413001076 |
| Provider Name | Kenneth A Wolkon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760564447 PECOS PAC ID: 3779571534 Enrollment ID: I20040504000408 |
| Provider Name | Marsha Weiner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720063035 PECOS PAC ID: 7517956212 Enrollment ID: I20040508000000 |
| Provider Name | Tanya N Yanovsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295719748 PECOS PAC ID: 7214927706 Enrollment ID: I20040517000301 |
| Provider Name | Alexander Kozlovsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679531297 PECOS PAC ID: 5496738205 Enrollment ID: I20040611000874 |
| Provider Name | Sharon Leblanc |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508951906 PECOS PAC ID: 0244201093 Enrollment ID: I20040804000971 |
| Provider Name | Martina M Voglmaier |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407815319 PECOS PAC ID: 0042283566 Enrollment ID: I20040813000652 |
| Provider Name | Rachel Segall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649542408 PECOS PAC ID: 1658345749 Enrollment ID: I20040824000895 |
| Provider Name | William J Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164417200 PECOS PAC ID: 5395710602 Enrollment ID: I20040831000430 |
| Provider Name | Frederick E Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437184264 PECOS PAC ID: 2860451978 Enrollment ID: I20041005000862 |
| Provider Name | Peter M Brigham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821184144 PECOS PAC ID: 2062477292 Enrollment ID: I20041130000094 |
| Provider Name | Alisa V Wincze |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548319163 PECOS PAC ID: 4981652880 Enrollment ID: I20050107000137 |
| Provider Name | Erwin Ilano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972674364 PECOS PAC ID: 0345299137 Enrollment ID: I20050119000610 |
| Provider Name | Susan Andrew |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225141773 PECOS PAC ID: 2062466030 Enrollment ID: I20050311000799 |
| Provider Name | Steven Auster |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851401913 PECOS PAC ID: 8820044605 Enrollment ID: I20050324000442 |
| Provider Name | Mark W Simmons |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730265125 PECOS PAC ID: 7113973850 Enrollment ID: I20050325000525 |
| Provider Name | Christine Senechal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285740860 PECOS PAC ID: 3577519875 Enrollment ID: I20050330000351 |
| Provider Name | Jose A Saporta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265417703 PECOS PAC ID: 2062451354 Enrollment ID: I20050426001360 |
| Provider Name | Michael J Preston |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871673269 PECOS PAC ID: 8123067303 Enrollment ID: I20050427000683 |
| Provider Name | Horacio Hojman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558345512 PECOS PAC ID: 3678514460 Enrollment ID: I20050523000320 |
| Provider Name | Fe Erlita D Festin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326052168 PECOS PAC ID: 4587606439 Enrollment ID: I20050601000607 |
| Provider Name | Charles Pollard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538120563 PECOS PAC ID: 9133164965 Enrollment ID: I20050622001074 |
| Provider Name | Maureen Oconnor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174584106 PECOS PAC ID: 7911942206 Enrollment ID: I20050627001303 |
| Provider Name | Susan K Plante |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1285669127 PECOS PAC ID: 2860438165 Enrollment ID: I20050707000803 |
| Provider Name | Shaomin Xing |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700993664 PECOS PAC ID: 0446282347 Enrollment ID: I20050831000201 |
| Provider Name | Kathleen D Woodward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942394416 PECOS PAC ID: 6709819162 Enrollment ID: I20050915000675 |
| Provider Name | Sangeeta Banerjee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285605907 PECOS PAC ID: 9032142427 Enrollment ID: I20050915000907 |
| Provider Name | Amy P Mosher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497236707 PECOS PAC ID: 9638195035 Enrollment ID: I20051014000473 |
| Provider Name | Andrea L Harte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215238464 PECOS PAC ID: 7315963717 Enrollment ID: I20051014000516 |
| Provider Name | Pamela Holway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821002742 PECOS PAC ID: 0345266474 Enrollment ID: I20051018001177 |
| Provider Name | Audrey R Nathan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518075027 PECOS PAC ID: 9537185475 Enrollment ID: I20051019000980 |
| Provider Name | Katherine L Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780751396 PECOS PAC ID: 8022034966 Enrollment ID: I20051019001036 |
| Provider Name | Deborah Lincoln |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295935237 PECOS PAC ID: 2668490863 Enrollment ID: I20051107000229 |
| Provider Name | Judith Casarella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528127750 PECOS PAC ID: 8820002454 Enrollment ID: I20060202000494 |
| Provider Name | Laurie P Hammer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710077854 PECOS PAC ID: 3173530581 Enrollment ID: I20060309000444 |
| Provider Name | Aimee M Smrz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912953480 PECOS PAC ID: 1951314814 Enrollment ID: I20060718000118 |
| Provider Name | Hicham Nouaime |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891809794 PECOS PAC ID: 5496759110 Enrollment ID: I20060911000437 |
| Provider Name | Luz Evangeline S Dizon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902891724 PECOS PAC ID: 0840294583 Enrollment ID: I20060911000626 |
| Provider Name | Maria R Romanoff Rand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639136427 PECOS PAC ID: 3678571122 Enrollment ID: I20061117000329 |
| Provider Name | Robin Pike |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689752719 PECOS PAC ID: 2163420258 Enrollment ID: I20061128000488 |
| Provider Name | Carolyn H Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558441881 PECOS PAC ID: 2961403506 Enrollment ID: I20070124000424 |
| Provider Name | Nancy F Feingold Palmer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801994736 PECOS PAC ID: 2264536457 Enrollment ID: I20070328000100 |
| Provider Name | Miles A Tarter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659498103 PECOS PAC ID: 7315042751 Enrollment ID: I20070413000342 |
| Provider Name | Nancy K Madigan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205876588 PECOS PAC ID: 2264537166 Enrollment ID: I20070423000212 |
| Provider Name | Margaret Hellmann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669698049 PECOS PAC ID: 4385741503 Enrollment ID: I20070523000548 |
| Provider Name | Robert T Ferguson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437264850 PECOS PAC ID: 8325148653 Enrollment ID: I20070716000190 |
| Provider Name | Eleanor M Braun |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962602714 PECOS PAC ID: 0143311696 Enrollment ID: I20070813000367 |
| Provider Name | John L Boisseau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215090170 PECOS PAC ID: 5890885610 Enrollment ID: I20071218000030 |
| Provider Name | Sergio R Korndorfer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326116195 PECOS PAC ID: 1759466550 Enrollment ID: I20080304000359 |
| Provider Name | Mine H Erkan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992853519 PECOS PAC ID: 5799863445 Enrollment ID: I20080421000297 |
| Provider Name | Maria M Cunio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316119894 PECOS PAC ID: 2365520897 Enrollment ID: I20080423000502 |
| Provider Name | Gabriel Goldberger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366422750 PECOS PAC ID: 4789753765 Enrollment ID: I20080516000170 |
| Provider Name | Mary E Gibbons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942388483 PECOS PAC ID: 5496824443 Enrollment ID: I20080517000024 |
| Provider Name | Charlene Ann Budrius |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1851565410 PECOS PAC ID: 7810067121 Enrollment ID: I20080529000318 |
| Provider Name | Smita Srivastava |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316074602 PECOS PAC ID: 8527132950 Enrollment ID: I20080804000397 |
| Provider Name | Lynda Bolduc- Hicks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497828750 PECOS PAC ID: 9133296007 Enrollment ID: I20080917000871 |
| Provider Name | Lisa Zenofsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164541728 PECOS PAC ID: 5597823658 Enrollment ID: I20081020000164 |
| Provider Name | Mary E Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982853370 PECOS PAC ID: 0042379935 Enrollment ID: I20081106000767 |
| Provider Name | Lisa Nutter |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1114114410 PECOS PAC ID: 9234293002 Enrollment ID: I20090123000277 |
| Provider Name | Ellen Cohen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770672800 PECOS PAC ID: 4981760998 Enrollment ID: I20090226000562 |
| Provider Name | Beth A Kuo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194907063 PECOS PAC ID: 6002964202 Enrollment ID: I20090428000029 |
| Provider Name | Cheryl L Pratt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891856241 PECOS PAC ID: 0648329870 Enrollment ID: I20090519000321 |
| Provider Name | David S Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881780088 PECOS PAC ID: 9032269287 Enrollment ID: I20090609000354 |
| Provider Name | Kara Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417083312 PECOS PAC ID: 1557414364 Enrollment ID: I20090727000488 |
| Provider Name | Kenneth Reeves |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023078995 PECOS PAC ID: 9537213418 Enrollment ID: I20090811000567 |
| Provider Name | Paul M Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730140161 PECOS PAC ID: 8022162205 Enrollment ID: I20090822000122 |
| Provider Name | Rebecca Warburton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518012996 PECOS PAC ID: 9234277807 Enrollment ID: I20091119000233 |
| Provider Name | Diana Demetri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285965913 PECOS PAC ID: 5193860179 Enrollment ID: I20100302000336 |
| Provider Name | Andrew Mcbrian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609197938 PECOS PAC ID: 4688867740 Enrollment ID: I20101021000210 |
| Provider Name | Lisa Scharff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063584597 PECOS PAC ID: 3779772967 Enrollment ID: I20110104000302 |
| Provider Name | Charles West |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962728618 PECOS PAC ID: 7113116229 Enrollment ID: I20110105000546 |
| Provider Name | Roger G Pottanat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396066874 PECOS PAC ID: 3072797679 Enrollment ID: I20110406000119 |
| Provider Name | Marc Alexander Robert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134311749 PECOS PAC ID: 9133303662 Enrollment ID: I20110407000634 |
| Provider Name | Kenneth I Weiss |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265469282 PECOS PAC ID: 2961305578 Enrollment ID: I20110510000226 |
| Provider Name | Elizabeth Ferreira |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780902064 PECOS PAC ID: 9436335973 Enrollment ID: I20110517000462 |
| Provider Name | Donna J Graham |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265725816 PECOS PAC ID: 3971781790 Enrollment ID: I20110627000666 |
| Provider Name | Lisa M Zakhary |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831382977 PECOS PAC ID: 8426226739 Enrollment ID: I20110712000347 |
| Provider Name | Shreya Raj |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922261791 PECOS PAC ID: 5799954749 Enrollment ID: I20110808000494 |
| Provider Name | Marci L Langevin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003065186 PECOS PAC ID: 8527238005 Enrollment ID: I20110822000011 |
| Provider Name | Selin S Kepkep |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477791168 PECOS PAC ID: 2365613585 Enrollment ID: I20110920000668 |
| Provider Name | Anne A Alarie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275703423 PECOS PAC ID: 8527231331 Enrollment ID: I20111021000555 |
| Provider Name | Janet L Schuchter |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1801984968 PECOS PAC ID: 1052586187 Enrollment ID: I20111219000451 |
| Provider Name | Carolyn D Greenspon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831263516 PECOS PAC ID: 5991972804 Enrollment ID: I20120118000091 |
| Provider Name | Cynthia Bliss Kaplan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881892149 PECOS PAC ID: 4789842303 Enrollment ID: I20120228000269 |
| Provider Name | Philip Simkowitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821056466 PECOS PAC ID: 5799944310 Enrollment ID: I20120316000406 |
| Provider Name | Alexandra Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184850265 PECOS PAC ID: 8527229699 Enrollment ID: I20120417000417 |
| Provider Name | Stephen E Hylan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215200126 PECOS PAC ID: 9133380942 Enrollment ID: I20120420000524 |
| Provider Name | Stephanie A Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700902103 PECOS PAC ID: 3779746060 Enrollment ID: I20120524000184 |
| Provider Name | Daniel F Rowe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528205770 PECOS PAC ID: 2365692209 Enrollment ID: I20121030000342 |
| Provider Name | John Paul Arena |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487983169 PECOS PAC ID: 3375796618 Enrollment ID: I20130116000459 |
| Provider Name | Catline Jacques |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760703391 PECOS PAC ID: 8022250893 Enrollment ID: I20130807000035 |
| Provider Name | Leanne M Rifenburg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710140660 PECOS PAC ID: 4587806310 Enrollment ID: I20130807000765 |
| Provider Name | Howard Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508021213 PECOS PAC ID: 3779727128 Enrollment ID: I20130925000226 |
| Provider Name | Noreen Donovan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922319508 PECOS PAC ID: 8224262407 Enrollment ID: I20131001000011 |
| Provider Name | Marisa Brava |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225470586 PECOS PAC ID: 7719111632 Enrollment ID: I20131009000481 |
| Provider Name | Anya I Potter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285921254 PECOS PAC ID: 9830325885 Enrollment ID: I20131121000306 |
| Provider Name | Alexandra R Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710326962 PECOS PAC ID: 0749417277 Enrollment ID: I20131209000432 |
| Provider Name | Kristin L Macgregor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255760518 PECOS PAC ID: 0648407833 Enrollment ID: I20131213001229 |
| Provider Name | Teresa H Fox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356594972 PECOS PAC ID: 2769610955 Enrollment ID: I20140127000001 |
| Provider Name | Stephen G Slaten |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487703641 PECOS PAC ID: 2961450226 Enrollment ID: I20140612001948 |
| Provider Name | Rachel Fox Weinberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174811426 PECOS PAC ID: 2567686082 Enrollment ID: I20140624000293 |
| Provider Name | Gloria Lee Kazakov |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730329160 PECOS PAC ID: 9931326659 Enrollment ID: I20140804001404 |
| Provider Name | Jessica Alef |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316043011 PECOS PAC ID: 2466679816 Enrollment ID: I20140808001601 |
| Provider Name | Patricia Coelho |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225372527 PECOS PAC ID: 5294952032 Enrollment ID: I20140819000344 |
| Provider Name | Saumya G Sharma |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285878322 PECOS PAC ID: 4183844111 Enrollment ID: I20140925001267 |
| Provider Name | Dorothie Ferdinand |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841612660 PECOS PAC ID: 8022248467 Enrollment ID: I20141021003013 |
| Provider Name | Michael J Wiehe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013295930 PECOS PAC ID: 0143546812 Enrollment ID: I20150225000078 |
| Provider Name | David E Kesselman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558416404 PECOS PAC ID: 1759692536 Enrollment ID: I20150619001487 |
| Provider Name | Tricia A Karvounis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326367855 PECOS PAC ID: 1254645310 Enrollment ID: I20150803001119 |
| Provider Name | Christopher S Naitza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396144283 PECOS PAC ID: 0648585463 Enrollment ID: I20150821014058 |
| Provider Name | Melanie Jette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619156767 PECOS PAC ID: 7113233784 Enrollment ID: I20150827000038 |
| Provider Name | Rachel Ganz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912388570 PECOS PAC ID: 9133435464 Enrollment ID: I20150902000176 |
| Provider Name | Arielle F Hall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689050387 PECOS PAC ID: 9133436801 Enrollment ID: I20150911001762 |
| Provider Name | Melissa T. Stone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972972065 PECOS PAC ID: 7012227481 Enrollment ID: I20151116000463 |
| Provider Name | Alicia S Cashman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285014506 PECOS PAC ID: 9638479256 Enrollment ID: I20151203000203 |
| Provider Name | Lori Ann M. Perretta |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245665645 PECOS PAC ID: 9931408838 Enrollment ID: I20160427001531 |
| Provider Name | Marissa Mauricio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013360304 PECOS PAC ID: 0345536504 Enrollment ID: I20160914001778 |
| Provider Name | Adele Haber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881833051 PECOS PAC ID: 3274687272 Enrollment ID: I20161004002782 |
| Provider Name | Meredith L Prescott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477897437 PECOS PAC ID: 1355639113 Enrollment ID: I20161011000451 |
| Provider Name | Janet Alison Sobczak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881921070 PECOS PAC ID: 7214191014 Enrollment ID: I20161012000860 |
| Provider Name | Stephanie M Fernandez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780130898 PECOS PAC ID: 2567750102 Enrollment ID: I20161013001551 |
| Provider Name | Alejandra H Faust |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114336096 PECOS PAC ID: 4789962994 Enrollment ID: I20161022000128 |
| Provider Name | Rebecca Ahlfors |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245246834 PECOS PAC ID: 1850679515 Enrollment ID: I20161031002362 |
| Provider Name | Justin Michael Mortimer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013277656 PECOS PAC ID: 0941512495 Enrollment ID: I20161107001735 |
| Provider Name | Tessa S Lundquist |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487003745 PECOS PAC ID: 4183903586 Enrollment ID: I20161107001913 |
| Provider Name | Monica G Alley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942652904 PECOS PAC ID: 5597044438 Enrollment ID: I20161116001198 |
| Provider Name | Laura M. Wieczorek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336435122 PECOS PAC ID: 2365738119 Enrollment ID: I20161118001597 |
| Provider Name | Marisa R Mendel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184913154 PECOS PAC ID: 0941448369 Enrollment ID: I20161118001653 |
| Provider Name | Courtney B Kelsch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649722471 PECOS PAC ID: 7618257007 Enrollment ID: I20161130001445 |
| Provider Name | Robert C Metzger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598123432 PECOS PAC ID: 1052691110 Enrollment ID: I20161206002301 |
| Provider Name | Emily Ledonne |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750750139 PECOS PAC ID: 3971886037 Enrollment ID: I20170215001776 |
| Provider Name | Elizabeth O Tassiopoulos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841739893 PECOS PAC ID: 6709161862 Enrollment ID: I20170403000673 |
| Provider Name | Patricia J Gedarovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619420056 PECOS PAC ID: 4385943042 Enrollment ID: I20170418002444 |
| Provider Name | Judith Turner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821125782 PECOS PAC ID: 4385682517 Enrollment ID: I20170508000913 |
| Provider Name | Gregory L Gass |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699733113 PECOS PAC ID: 2062492788 Enrollment ID: I20170516000350 |
| Provider Name | Jodi E Eipper-mains |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720320401 PECOS PAC ID: 9830319987 Enrollment ID: I20170601001237 |
| Provider Name | Ashley Keane Ames |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407303274 PECOS PAC ID: 0042588816 Enrollment ID: I20170620001353 |
| Provider Name | Justin J Lacasse |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184066219 PECOS PAC ID: 7517256308 Enrollment ID: I20170804000525 |
| Provider Name | Alison Mcglone Disseler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972851582 PECOS PAC ID: 4082832779 Enrollment ID: I20170919000432 |
| Provider Name | Suzanna Zaganjori |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083029003 PECOS PAC ID: 4880960525 Enrollment ID: I20171024001764 |
| Provider Name | Timothy D Wight |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487102224 PECOS PAC ID: 3577829829 Enrollment ID: I20171102001693 |
| Provider Name | Thomas B Moore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184039364 PECOS PAC ID: 6901164011 Enrollment ID: I20171219002243 |
| Provider Name | Joanne R Featherston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164829420 PECOS PAC ID: 7214295831 Enrollment ID: I20180103000109 |
| Provider Name | Benjamin David Lee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942505631 PECOS PAC ID: 8022372416 Enrollment ID: I20180511000885 |
| Provider Name | Kirsten Z Daly |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1609995117 PECOS PAC ID: 2062449770 Enrollment ID: I20180516000619 |
| Provider Name | Suzanne R Merlis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225193238 PECOS PAC ID: 0941258966 Enrollment ID: I20180613001349 |
| Provider Name | Catherine Giello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255849733 PECOS PAC ID: 5890047997 Enrollment ID: I20181017001392 |
| Provider Name | Larisa V Karpova |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194130971 PECOS PAC ID: 9436377769 Enrollment ID: I20181024003154 |
| Provider Name | Richard B Granahan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295088789 PECOS PAC ID: 2163775883 Enrollment ID: I20181026001516 |
| Provider Name | Charlotte Baillieul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235436171 PECOS PAC ID: 9638423569 Enrollment ID: I20181113001750 |
| Provider Name | Eniana J Tabor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902350408 PECOS PAC ID: 2567716244 Enrollment ID: I20181115001485 |
| Provider Name | Caroline Byron |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154845329 PECOS PAC ID: 7113261942 Enrollment ID: I20181205003456 |
| Provider Name | Ermal Bojdani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609226323 PECOS PAC ID: 6901143718 Enrollment ID: I20190131001685 |
| Provider Name | Alexandra V Brewer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265903231 PECOS PAC ID: 6800133638 Enrollment ID: I20190131002190 |
| Provider Name | Alyssa F Dallas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427407196 PECOS PAC ID: 4880932219 Enrollment ID: I20190211002083 |
| Provider Name | Colin Schafer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609391473 PECOS PAC ID: 5092055657 Enrollment ID: I20190318001169 |
| Provider Name | Keith Howard Mantel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356351118 PECOS PAC ID: 9638171846 Enrollment ID: I20190605000645 |
| Provider Name | Hilary L Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114469293 PECOS PAC ID: 7214263003 Enrollment ID: I20190801000054 |
| Provider Name | Mark Shelford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649496779 PECOS PAC ID: 5496082877 Enrollment ID: I20190807003198 |
| Provider Name | Amber L Comeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336600915 PECOS PAC ID: 1951631696 Enrollment ID: I20190924001106 |
| Provider Name | Yangmu Xu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124672522 PECOS PAC ID: 7618207267 Enrollment ID: I20190924001905 |
| Provider Name | Arturo Lopez-casanova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770145484 PECOS PAC ID: 0143550384 Enrollment ID: I20191001001844 |
| Provider Name | Natalie J Casey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477044618 PECOS PAC ID: 0941532576 Enrollment ID: I20191030002838 |
| Provider Name | Allison M. Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295389237 PECOS PAC ID: 2062844152 Enrollment ID: I20191111002106 |
| Provider Name | Eileen A Mcconnaughy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164457214 PECOS PAC ID: 8921432188 Enrollment ID: I20191220000798 |
| Provider Name | Joanne Giallombardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316499593 PECOS PAC ID: 4082980693 Enrollment ID: I20200120000161 |
| Provider Name | Cheryl Godbout |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396091526 PECOS PAC ID: 0648608554 Enrollment ID: I20200306001211 |
| Provider Name | Rebecca Zafran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386190130 PECOS PAC ID: 2567890429 Enrollment ID: I20200309000652 |
| Provider Name | Darcy Peifer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750591202 PECOS PAC ID: 3779911425 Enrollment ID: I20200312000733 |
| Provider Name | Kerrie Moran |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1518514884 PECOS PAC ID: 2163850355 Enrollment ID: I20200323001298 |
| Provider Name | Stevie Butterworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417456724 PECOS PAC ID: 2769811975 Enrollment ID: I20200408003454 |
| Provider Name | Patricia R Donahue Kennedy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033288196 PECOS PAC ID: 6204062060 Enrollment ID: I20200422002035 |
| Provider Name | Emma Keidel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477080448 PECOS PAC ID: 4284065665 Enrollment ID: I20200519002744 |
| Provider Name | Nisha Patel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184942278 PECOS PAC ID: 0749602068 Enrollment ID: I20200615002175 |
| Provider Name | Nicole Henry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255874905 PECOS PAC ID: 6103249347 Enrollment ID: I20200707002637 |
| Provider Name | Thanh Nguyen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477956928 PECOS PAC ID: 8022432426 Enrollment ID: I20200717002307 |
| Provider Name | Alexis Mccrohan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285299438 PECOS PAC ID: 5193140655 Enrollment ID: I20200731001268 |
| Provider Name | Gregory Young |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255619540 PECOS PAC ID: 3870918196 Enrollment ID: I20200804001759 |
| Provider Name | Rony S Berbara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891145124 PECOS PAC ID: 2961795141 Enrollment ID: I20200826002559 |
| Provider Name | Anne Fournier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285279992 PECOS PAC ID: 6002236874 Enrollment ID: I20201015002659 |
| Provider Name | Kara Naylon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003446782 PECOS PAC ID: 6406276757 Enrollment ID: I20201026002976 |
| Provider Name | Kajal Bhatt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174011837 PECOS PAC ID: 2365852035 Enrollment ID: I20201109001041 |
| Provider Name | Melanie Blount |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013103589 PECOS PAC ID: 1254741770 Enrollment ID: I20201111001826 |
| Provider Name | Julia R Gefter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164843181 PECOS PAC ID: 7315357852 Enrollment ID: I20201111002814 |
| Provider Name | Jamie A Cohen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417343393 PECOS PAC ID: 4880908003 Enrollment ID: I20201117001274 |
| Provider Name | Sejal M Patel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366847956 PECOS PAC ID: 8022429398 Enrollment ID: I20201118001906 |
| Provider Name | Alyssa Rautenberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285097873 PECOS PAC ID: 9335550425 Enrollment ID: I20201120001433 |
| Provider Name | Brian Siembor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447627195 PECOS PAC ID: 1052722089 Enrollment ID: I20201124001305 |
| Provider Name | Matthew Shang |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053827428 PECOS PAC ID: 0547671588 Enrollment ID: I20201124002014 |
| Provider Name | Hayley B Siegel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992171557 PECOS PAC ID: 7911318837 Enrollment ID: I20201125002521 |
| Provider Name | Dorothy Yep |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831636455 PECOS PAC ID: 7719398551 Enrollment ID: I20201130000575 |
| Provider Name | Sanja Petrovic-stojkovic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952532160 PECOS PAC ID: 1658668918 Enrollment ID: I20201201001887 |
| Provider Name | Rhianna Candido |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699383489 PECOS PAC ID: 9335550839 Enrollment ID: I20201203002598 |
| Provider Name | Sarah C Rycroft |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740849843 PECOS PAC ID: 7214349331 Enrollment ID: I20201215000908 |
| Provider Name | Meghan Gowan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316313430 PECOS PAC ID: 3870905474 Enrollment ID: I20201223000210 |
| Provider Name | Laura Vanwort-meng |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083233514 PECOS PAC ID: 7416360003 Enrollment ID: I20201228000673 |
| Provider Name | Peter S Ward |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013358464 PECOS PAC ID: 4486067634 Enrollment ID: I20210106002597 |
| Provider Name | Erica Rollock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326499559 PECOS PAC ID: 2163835307 Enrollment ID: I20210108000209 |
| Provider Name | Sarah Albert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679762330 PECOS PAC ID: 4385057231 Enrollment ID: I20210113002237 |
| Provider Name | Nicole Nemerovsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861004798 PECOS PAC ID: 2466866728 Enrollment ID: I20210127002065 |
| Provider Name | Elyssa B Ku |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528404332 PECOS PAC ID: 5991119273 Enrollment ID: I20210127002796 |
| Provider Name | Simon Davis-millis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588030233 PECOS PAC ID: 9830503143 Enrollment ID: I20210128000354 |
| Provider Name | Ivonne J Cruz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164874384 PECOS PAC ID: 6507273356 Enrollment ID: I20210324000394 |
| Provider Name | Jason M Schmotzer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295771038 PECOS PAC ID: 1759394372 Enrollment ID: I20210324003033 |
| Provider Name | Joshua M Hatcher-mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407398142 PECOS PAC ID: 3173803756 Enrollment ID: I20210510002316 |
| Provider Name | Lawrence Bobrin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124030234 PECOS PAC ID: 6103065610 Enrollment ID: I20210510002719 |
| Provider Name | Madison White |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285235440 PECOS PAC ID: 4486054038 Enrollment ID: I20210618000052 |
| Provider Name | Jared Robert Nemkov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235589623 PECOS PAC ID: 8325326341 Enrollment ID: I20210621003453 |
| Provider Name | Kathy Menne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902496854 PECOS PAC ID: 2062813504 Enrollment ID: I20210622002172 |
| Provider Name | David A Barbosa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245884907 PECOS PAC ID: 5496156945 Enrollment ID: I20210622002336 |
| Provider Name | Olga Smetkov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083705511 PECOS PAC ID: 9537184783 Enrollment ID: I20210622002943 |
| Provider Name | Deborah A O'bryan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861056509 PECOS PAC ID: 5698178846 Enrollment ID: I20210726001202 |
| Provider Name | Erica Araujo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548852635 PECOS PAC ID: 0840693636 Enrollment ID: I20210731000078 |
| Provider Name | Richard A Harris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568602027 PECOS PAC ID: 6305169814 Enrollment ID: I20210731000100 |
| Provider Name | Jamie Bruce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780969519 PECOS PAC ID: 1759791825 Enrollment ID: I20210915000974 |
| Provider Name | Juliana P Rezende |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427426766 PECOS PAC ID: 0244638310 Enrollment ID: I20211005001250 |
| Provider Name | Lesley Roy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366705758 PECOS PAC ID: 7315345485 Enrollment ID: I20211005001313 |
| Provider Name | Elizabeth Grace Verbeck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295047900 PECOS PAC ID: 9638567803 Enrollment ID: I20211021001520 |
| Provider Name | Laura Dicienzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316329337 PECOS PAC ID: 0244628741 Enrollment ID: I20211103000867 |
| Provider Name | Danielle N Abrams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891358438 PECOS PAC ID: 8820487978 Enrollment ID: I20211111002253 |
| Provider Name | Alexandra Elizabeth Loesch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548778129 PECOS PAC ID: 2466842760 Enrollment ID: I20211130002395 |
| Provider Name | Duny Damas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265101851 PECOS PAC ID: 6103219142 Enrollment ID: I20220215001276 |
| Provider Name | Judith Fernando |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043631591 PECOS PAC ID: 3779993118 Enrollment ID: I20221010001712 |
| Provider Name | John F Humphrys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518494293 PECOS PAC ID: 3779959697 Enrollment ID: I20221018002458 |
| Provider Name | Bryce Jacobson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922561372 PECOS PAC ID: 7416323092 Enrollment ID: I20221024000684 |
| Provider Name | Lauren M Baumann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659648434 PECOS PAC ID: 5597133363 Enrollment ID: I20221129001496 |
| Provider Name | Terri M Clack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487169173 PECOS PAC ID: 0143579086 Enrollment ID: I20221207000920 |
| Provider Name | Lisa Roy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447628623 PECOS PAC ID: 9032580212 Enrollment ID: I20230126000590 |
| Provider Name | Christopher William Driscoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548831274 PECOS PAC ID: 5991178725 Enrollment ID: I20230227001326 |
| Provider Name | Derek Terrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841522398 PECOS PAC ID: 7012382419 Enrollment ID: I20230418001005 |
| Provider Name | Brian Castelluccio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508485301 PECOS PAC ID: 7214368851 Enrollment ID: I20230526000812 |
| Provider Name | Frank Gallo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093008963 PECOS PAC ID: 5597934083 Enrollment ID: I20230605000842 |
| Provider Name | Keith Donohue |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497390298 PECOS PAC ID: 2163859679 Enrollment ID: I20230714001461 |
| Provider Name | Latifa Buxamusa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396148961 PECOS PAC ID: 5890155832 Enrollment ID: I20230721001673 |
| Provider Name | Lisa Gill Sobhian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902495344 PECOS PAC ID: 7618338237 Enrollment ID: I20230731000439 |
| Provider Name | Krista Rose Sbordone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932896255 PECOS PAC ID: 7416318787 Enrollment ID: I20230802003524 |
| Provider Name | Scot Richard Frink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558099895 PECOS PAC ID: 8123480837 Enrollment ID: I20230811002650 |
| Provider Name | Neeti Sanghrajka Shah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154908234 PECOS PAC ID: 9234591777 Enrollment ID: I20230815001821 |
| Provider Name | Briana Elizabeth Cast-clifton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063058329 PECOS PAC ID: 6204298383 Enrollment ID: I20230822001861 |
| Provider Name | Judith Ann Bayog |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962515676 PECOS PAC ID: 6406219112 Enrollment ID: I20230829001416 |
| Provider Name | Rebecca Abigail Kaye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487360343 PECOS PAC ID: 6507220514 Enrollment ID: I20230908003537 |
| Provider Name | Noel Warwick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730440660 PECOS PAC ID: 4789983123 Enrollment ID: I20230909000161 |
| Provider Name | Hali Ann Massri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972099026 PECOS PAC ID: 4688038623 Enrollment ID: I20230911000495 |
| Provider Name | Jennifer L Madsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417615188 PECOS PAC ID: 3779947650 Enrollment ID: I20230911002998 |
| Provider Name | Zoe Lucille M. H. Mestre Lanman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023630456 PECOS PAC ID: 4486018363 Enrollment ID: I20230911003107 |
| Provider Name | Caitlin Ann Mahoney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326706540 PECOS PAC ID: 3173977238 Enrollment ID: I20230925001028 |
| Provider Name | Jamie Lynn Dantuono |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801538103 PECOS PAC ID: 9234585035 Enrollment ID: I20231031001869 |
| Provider Name | Marianty Mavros Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487363339 PECOS PAC ID: 4789031824 Enrollment ID: I20231109003802 |
| Provider Name | Nicole Mary Diamond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518641851 PECOS PAC ID: 2264889971 Enrollment ID: I20231116002118 |
| Provider Name | Jennifer Lee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154019826 PECOS PAC ID: 6608224167 Enrollment ID: I20231122002052 |
| Provider Name | Elise Jun Zhou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255066932 PECOS PAC ID: 5395193676 Enrollment ID: I20231127003167 |
| Provider Name | Kiara Rossborough |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972095123 PECOS PAC ID: 8527416726 Enrollment ID: I20231129000761 |
| Provider Name | Anne M Cashman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245565936 PECOS PAC ID: 0749376432 Enrollment ID: I20231227003239 |
| Provider Name | Laura Michelle Pelton Sweet |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588895510 PECOS PAC ID: 0749630952 Enrollment ID: I20240102000264 |
| Provider Name | Suzanne Flynn Briggette |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396880688 PECOS PAC ID: 9234589391 Enrollment ID: I20240102002316 |
| Provider Name | Sarah Kate Seagrave |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770712341 PECOS PAC ID: 4587014568 Enrollment ID: I20240103002658 |
| Provider Name | Emma Jay |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891242889 PECOS PAC ID: 9638520695 Enrollment ID: I20240104000871 |
| Provider Name | Sebastian Putzeys |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609371103 PECOS PAC ID: 0345691317 Enrollment ID: I20240104001407 |
| Provider Name | Heather Davidson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720495609 PECOS PAC ID: 4082065909 Enrollment ID: I20240104003348 |
| Provider Name | Jennifer Pollock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083076962 PECOS PAC ID: 0244681161 Enrollment ID: I20240104003403 |
| Provider Name | Geneva Ivy Olcott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396360566 PECOS PAC ID: 2769833698 Enrollment ID: I20240104003606 |
| Provider Name | Monica A Goodrich-pelletier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841350188 PECOS PAC ID: 0244681179 Enrollment ID: I20240104003864 |
| Provider Name | Micah Lacombe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386129435 PECOS PAC ID: 7517318371 Enrollment ID: I20240105003651 |
| Provider Name | Magda Elisabeth Kozdrowicz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093887655 PECOS PAC ID: 7618328121 Enrollment ID: I20240109004152 |
| Provider Name | Melissa Ellen Farmer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922164920 PECOS PAC ID: 8527419928 Enrollment ID: I20240110002874 |
| Provider Name | Johanna L. Almestica |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720205388 PECOS PAC ID: 1153772439 Enrollment ID: I20240111000893 |
| Provider Name | Meghan F Miklusak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699170431 PECOS PAC ID: 5597116715 Enrollment ID: I20240111002606 |
| Provider Name | Jennifer Gardner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942501085 PECOS PAC ID: 8921459140 Enrollment ID: I20240111002704 |
| Provider Name | Donald James Hager |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366689994 PECOS PAC ID: 9537510789 Enrollment ID: I20240111003716 |
| Provider Name | Elizabeth Irene Hughes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972730588 PECOS PAC ID: 8527410653 Enrollment ID: I20240115000041 |
| Provider Name | Colleen Sweeney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215491584 PECOS PAC ID: 3476905522 Enrollment ID: I20240115000595 |
| Provider Name | Shannon Lee Costa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073169918 PECOS PAC ID: 0042662041 Enrollment ID: I20240116000428 |
| Provider Name | Adam Lacasse |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760938773 PECOS PAC ID: 2668824582 Enrollment ID: I20240116004368 |
| Provider Name | Brendon Mccue |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083055057 PECOS PAC ID: 1658729793 Enrollment ID: I20240117003506 |
| Provider Name | Molly Casey Weiner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528719333 PECOS PAC ID: 3274986401 Enrollment ID: I20240124002123 |
| Provider Name | Nancy E Boutin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063177004 PECOS PAC ID: 3779936919 Enrollment ID: I20240124002685 |
| Provider Name | Alison Marie Szymanski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659083038 PECOS PAC ID: 3870946023 Enrollment ID: I20240124003049 |
| Provider Name | George White |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659783397 PECOS PAC ID: 1951754639 Enrollment ID: I20240130000384 |
| Provider Name | Elise Seymour |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932524493 PECOS PAC ID: 1658724380 Enrollment ID: I20240130001852 |
| Provider Name | Zachary A Cottrell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053661165 PECOS PAC ID: 3678916947 Enrollment ID: I20240205000731 |
| Provider Name | David Paul Jenkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952848061 PECOS PAC ID: 9739522665 Enrollment ID: I20240208000423 |
| Provider Name | Laura Domanico |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518367101 PECOS PAC ID: 5597108019 Enrollment ID: I20240212001780 |
| Provider Name | Lauren Christine Doyle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699088344 PECOS PAC ID: 9032552567 Enrollment ID: I20240212002028 |
| Provider Name | Erin Cohen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801188115 PECOS PAC ID: 7618310178 Enrollment ID: I20240212002991 |
| Provider Name | Crystal Marie Vergati |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609199090 PECOS PAC ID: 6002259462 Enrollment ID: I20240213002310 |
| Provider Name | Amanda Wells |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083036958 PECOS PAC ID: 4183067549 Enrollment ID: I20240213002337 |
| Provider Name | Sarah Frances Cordle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992299432 PECOS PAC ID: 1355785635 Enrollment ID: I20240214001988 |
| Provider Name | Philip Hyde |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659777183 PECOS PAC ID: 9133563265 Enrollment ID: I20240216002460 |
| Provider Name | Catherine Rose Cavanaugh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083203103 PECOS PAC ID: 5698119212 Enrollment ID: I20240221004118 |
| Provider Name | Tiffany Andersen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669052783 PECOS PAC ID: 0840634432 Enrollment ID: I20240222002044 |
| Provider Name | Danielle Lauren Boisvert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366064990 PECOS PAC ID: 3173968443 Enrollment ID: I20240226003329 |
| Provider Name | Nieshia Whittingham |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1255790523 PECOS PAC ID: 4880039023 Enrollment ID: I20240228000806 |
| Provider Name | Jessica Thornton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679028633 PECOS PAC ID: 3971948050 Enrollment ID: I20240228002650 |
| Provider Name | Jessica N Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912554056 PECOS PAC ID: 2062857949 Enrollment ID: I20240301001002 |
| Provider Name | Lisa Diane Massaro |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1568624625 PECOS PAC ID: 0143665901 Enrollment ID: I20240302000143 |
| Provider Name | Elissa Mcintosh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265003214 PECOS PAC ID: 3779928536 Enrollment ID: I20240302000179 |
| Provider Name | Sophia Mobayed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851962385 PECOS PAC ID: 2062858723 Enrollment ID: I20240315003289 |
| Provider Name | Tracy Deveau |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205254562 PECOS PAC ID: 4880624287 Enrollment ID: I20240322002104 |
| Provider Name | Yael Sara Katz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871702142 PECOS PAC ID: 4284046095 Enrollment ID: I20240401002785 |
| Provider Name | Bonnie Robinson Courtemanche |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760065569 PECOS PAC ID: 0446698609 Enrollment ID: I20240405003636 |
| Provider Name | April Marie Keegan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649708025 PECOS PAC ID: 6608214697 Enrollment ID: I20240410001168 |
| Provider Name | Anthony Primavera |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134856438 PECOS PAC ID: 4789022641 Enrollment ID: I20240411000160 |
| Provider Name | Kira Marie Enloe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194426171 PECOS PAC ID: 1850733049 Enrollment ID: I20240520001420 |
| Provider Name | Nicole Caplin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518638451 PECOS PAC ID: 6406298264 Enrollment ID: I20240524000118 |
Mary C. Tarvin, Licsw Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1 Walpole St, Suite 1, Norwood, MA 02062 Phone: 781-414-2247 Fax: 781-352-3996 | |
Jessica Volpe Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 991 Providence Hwy # 1187, Norwood, MA 02062 Phone: 781-269-1840 | |
Wellcare Physicians Group, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 100 Morse St, Norwood, MA 02062 Phone: 781-769-8700 Fax: 781-769-8704 | |
Caritas Norwood Hospital-psychiatry-impatient Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Washington St, Norwood, MA 02062 Phone: 781-769-4000 Fax: 617-562-5415 | |
Suburban Psychiatric Specialists Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Boston Providence Tpke Ste 22b, Norwood, MA 02062 Phone: 508-206-8578 | |
Doctor Popat Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 183 Rock St, Norwood, MA 02062 Phone: 774-254-3861 | |
Insightful Resolutions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Heaton Ave, Norwood, MA 02062 Phone: 781-680-5679 |