Taravista Behavioral Health | |
85 Patton Rd Devens MA 01434-4401 | |
(978) 615-5200 | |
Not Available |
Full Name | Taravista Behavioral Health |
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Speciality | Psychiatry & Neurology |
Location | 85 Patton Rd, Devens, Massachusetts |
Authorized Official Name and Position | Michael P Krupa (CEO) |
Authorized Official Contact | 9786155200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Taravista Behavioral Health 85 Patton Rd Devens MA 01434-4401 Ph: () - | Taravista Behavioral Health 85 Patton Rd Devens MA 01434-4401 Ph: (978) 615-5200 |
NPI Number | 1811473267 |
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Provider Enumeration Date | 07/18/2018 |
Last Update Date | 07/18/2018 |
Medicare PECOS PAC ID | 8123319498 |
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Medicare Enrollment ID | O20181004001566 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811473267 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
Provider Name | Todd H Carranza |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1659313047 PECOS PAC ID: 0345219747 Enrollment ID: I20041001000641 |
Provider Name | Joanna E Poluha Oneil |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1235113481 PECOS PAC ID: 3072569847 Enrollment ID: I20050324000374 |
Provider Name | David E Sorenson |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1740248210 PECOS PAC ID: 4082661210 Enrollment ID: I20050331000285 |
Provider Name | Nancy P. Patricia Lange |
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Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1053301937 PECOS PAC ID: 6709822018 Enrollment ID: I20050707000860 |
Provider Name | Kenneth A Hetzler |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1083729966 PECOS PAC ID: 6103842778 Enrollment ID: I20051022000095 |
Provider Name | Fida Hassan |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1235246802 PECOS PAC ID: 1759351869 Enrollment ID: I20071029000562 |
Provider Name | Hung K Do |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013069962 PECOS PAC ID: 2860578846 Enrollment ID: I20080401000279 |
Provider Name | Negar Beheshti |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1225295207 PECOS PAC ID: 1355400318 Enrollment ID: I20081105000325 |
Provider Name | Marion V Taylor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801126057 PECOS PAC ID: 6709915929 Enrollment ID: I20100527000057 |
Provider Name | Kathryn R Baldor |
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Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1689742074 PECOS PAC ID: 4789849068 Enrollment ID: I20120712000188 |
Provider Name | Chitra Malur |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1457493702 PECOS PAC ID: 5092723627 Enrollment ID: I20130124000039 |
Provider Name | Erin Rauscher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629271119 PECOS PAC ID: 5799729067 Enrollment ID: I20140430002451 |
Provider Name | Clara Kim |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1285831362 PECOS PAC ID: 4880816586 Enrollment ID: I20141113001036 |
Provider Name | Adam C Lau |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1649415530 PECOS PAC ID: 0143408914 Enrollment ID: I20151119001762 |
Provider Name | Pauline Temu Eteng |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487026399 PECOS PAC ID: 3779880570 Enrollment ID: I20160322001724 |
Provider Name | Colin B. White |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487012282 PECOS PAC ID: 7012297609 Enrollment ID: I20161219001116 |
Provider Name | Jennifer L Burzyk |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407230493 PECOS PAC ID: 7315255452 Enrollment ID: I20171002000434 |
Provider Name | Omar A Mazher |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1558755777 PECOS PAC ID: 1557676822 Enrollment ID: I20180103002463 |
Provider Name | Nicholas A Sousa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225542939 PECOS PAC ID: 6305106899 Enrollment ID: I20180131003078 |
Provider Name | Kristin Anna Mikkelsen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225384951 PECOS PAC ID: 1658520762 Enrollment ID: I20190318000855 |
Provider Name | Annet M Kabuusu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972004182 PECOS PAC ID: 9638410103 Enrollment ID: I20190410000739 |
Provider Name | Susan V Eagleson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366853251 PECOS PAC ID: 8729369244 Enrollment ID: I20190801000927 |
Provider Name | Isha R. Jalnapurkar |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1235539149 PECOS PAC ID: 0840563888 Enrollment ID: I20190807002289 |
Provider Name | Valerie Rice |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457800997 PECOS PAC ID: 0042575920 Enrollment ID: I20200318000177 |
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 | David C Freeman |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1124480355 PECOS PAC ID: 2163713082 Enrollment ID: I20200526003089 |
Provider Name | Agatha Cretzu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205322757 PECOS PAC ID: 5799017877 Enrollment ID: I20200609001052 |
Provider Name | Jean-merimee N Kouagheu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689208050 PECOS PAC ID: 3577982198 Enrollment ID: I20201001001074 |
Provider Name | Alison Elizabeth Ballantyne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336693951 PECOS PAC ID: 6103245444 Enrollment ID: I20201006000862 |
Provider Name | Allison W. Beckler |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1265726558 PECOS PAC ID: 4183921984 Enrollment ID: I20201013000940 |
Provider Name | Ademola Solomon Obele |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134755028 PECOS PAC ID: 0345660775 Enrollment ID: I20201023000091 |
Provider Name | Kristen A Hickey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194851212 PECOS PAC ID: 0547672636 Enrollment ID: I20201214002975 |
Provider Name | Abdonne Ngo Nyele Mbouadeu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184221046 PECOS PAC ID: 4284046160 Enrollment ID: I20201217001593 |
Provider Name | Kristen Cahill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003027574 PECOS PAC ID: 9335551167 Enrollment ID: I20201218001010 |
Provider Name | Edwin Agbonavbare |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386007631 PECOS PAC ID: 5496168080 Enrollment ID: I20201228000824 |
Provider Name | Jean Daniel Mesquita Mello |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1053763730 PECOS PAC ID: 0345671467 Enrollment ID: I20210128003164 |
Provider Name | Tena Chau |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528669264 PECOS PAC ID: 9234544578 Enrollment ID: I20210218000230 |
Provider Name | Roger John Martinkus |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184251464 PECOS PAC ID: 0345659165 Enrollment ID: I20210507001350 |
Provider Name | Chloe Hill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356941140 PECOS PAC ID: 6608275136 Enrollment ID: I20210602003311 |
Provider Name | Kristina T Vassell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538786645 PECOS PAC ID: 8325444797 Enrollment ID: I20210909003354 |
Provider Name | Monika Bonfiglio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124578232 PECOS PAC ID: 6901295021 Enrollment ID: I20211111000947 |
Provider Name | Margarida Botelho |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699443150 PECOS PAC ID: 4587054069 Enrollment ID: I20211124002268 |
Provider Name | Wilby M Siegler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205385630 PECOS PAC ID: 2163700550 Enrollment ID: I20220428002382 |
Provider Name | Anna Lyn Picciano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417611161 PECOS PAC ID: 2860879145 Enrollment ID: I20220509000559 |
Provider Name | Jennifer Ramirez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982333761 PECOS PAC ID: 1557745296 Enrollment ID: I20220830003380 |
Provider Name | Omar A. Shah |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1285043778 PECOS PAC ID: 6103242011 Enrollment ID: I20230508001804 |
Provider Name | Jannet Li Harkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962010272 PECOS PAC ID: 9931511078 Enrollment ID: I20230626001050 |
Provider Name | Alberta K Adu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528722451 PECOS PAC ID: 8628432192 Enrollment ID: I20230918000100 |
Provider Name | Hanane Taha |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972068591 PECOS PAC ID: 3779936836 Enrollment ID: I20240125001859 |
Provider Name | Therese Pelagie Bonok |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467149765 PECOS PAC ID: 5294188033 Enrollment ID: I20240129003139 |
Provider Name | Macrina Chidarikire |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154194538 PECOS PAC ID: 9133568504 Enrollment ID: I20240417004326 |
Provider Name | Stephanie D Grant |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790460756 PECOS PAC ID: 6305286246 Enrollment ID: I20240425003012 |
Provider Name | Robert Kalugo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730878273 PECOS PAC ID: 1355781006 Enrollment ID: I20240430000056 |
Provider Name | Sophia Khalifa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013794544 PECOS PAC ID: 2062852593 Enrollment ID: I20240501002865 |
New England Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 84 Antietam Street, Devens, MA 01434 Phone: 888-224-7312 |