| The Danielsen Institute | |
|
185 Bay State Rd Boston MA 02215-1506 | |
| (617) 353-3047 | |
| Not Available |
| Full Name | The Danielsen Institute |
|---|---|
| Speciality | Clinic/Center |
| Location | 185 Bay State Rd, Boston, Massachusetts |
| Authorized Official Name and Position | Cara Ellis (DIRECTOR OF FINANCES) |
| Authorized Official Contact | 6173533047 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Danielsen Institute 185 Bay State Rd Boston MA 02215-1506 Ph: () - | The Danielsen Institute 185 Bay State Rd Boston MA 02215-1506 Ph: (617) 353-3047 |
| NPI Number | 1053419598 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8921070822 |
|---|---|
| Medicare Enrollment ID | O20090107000255 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053419598 | NPI | - | NPPES |
| 1005000 | Other | MA | BEACON HEALTH STRATEGIES |
| W10575 | Other | MA | BCBS-PSYCHOLOGISTS |
| 0005525710 | Other | MA | CHICKERING |
| 734176 | Other | MA | TUFTS |
| M18665 | Other | MA | BLUE CROSS BLUE SHIELD |
| M18666 | Other | MA | BCBS-PSYCHIATRISTS |
| P10340 | Other | MA | BCBS-LICSW |
| 290252 | Other | MA | MAGELLAN |
| LMG104 | Other | MA | BCBS-LMHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 4405 (Massachusetts) | Primary |
| Provider Name | Nancy G Devor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801939178 PECOS PAC ID: 8123012093 Enrollment ID: I20040413001045 |
| Provider Name | Michele R Klau |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1629135090 PECOS PAC ID: 8729043724 Enrollment ID: I20041201000190 |
| Provider Name | Miriam Bronstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285733998 PECOS PAC ID: 5294762563 Enrollment ID: I20050719000941 |
| Provider Name | Theresa E Gilmore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548356363 PECOS PAC ID: 1153336748 Enrollment ID: I20060220000029 |
| Provider Name | David A Rupert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033221601 PECOS PAC ID: 7012923378 Enrollment ID: I20060224000164 |
| Provider Name | George Stavros |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073626164 PECOS PAC ID: 9436154804 Enrollment ID: I20060919000367 |
| Provider Name | Jennifer Stuart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710108469 PECOS PAC ID: 2769674589 Enrollment ID: I20101012000002 |
| Provider Name | Laura E Captari |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871227595 PECOS PAC ID: 2567845506 Enrollment ID: I20220824000128 |
| Provider Name | Saliha Kozan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932459377 PECOS PAC ID: 6709244684 Enrollment ID: I20230626000916 |
| Provider Name | Elise Choe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205501426 PECOS PAC ID: 4385080589 Enrollment ID: I20240311001521 |
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