Umass Memorial Medical Center, Inc. | |
55 Lake Ave N Worcester MA 01655-0002 | |
(508) 334-0254 | |
Not Available |
Full Name | Umass Memorial Medical Center, Inc. |
---|---|
Speciality | Psychiatric Unit |
Location | 55 Lake Ave N, Worcester, Massachusetts |
Authorized Official Name and Position | Sergio Melgar (EVP/CFO) |
Authorized Official Contact | 5083340530 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Umass Memorial Medical Center, Inc. Po Box 415353 Boston MA 02241-5353 Ph: (508) 334-1540 | Umass Memorial Medical Center, Inc. 55 Lake Ave N Worcester MA 01655-0002 Ph: (508) 334-0254 |
NPI Number | 1689760092 |
---|---|
Provider Enumeration Date | 10/04/2006 |
Last Update Date | 12/21/2020 |
Certification Date | 12/21/2020 |
Medicare PECOS PAC ID | 6204745904 |
---|---|
Medicare Enrollment ID | O20031126000444 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689760092 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | (Massachusetts) | Primary |
Provider Name | Donna M. Reed |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1912946195 PECOS PAC ID: 5092707984 Enrollment ID: I20040331001343 |
Provider Name | Cathi A Bartolini |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609895598 PECOS PAC ID: 4183689037 Enrollment ID: I20041119000988 |
Provider Name | Deborah J Esposito |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1205964848 PECOS PAC ID: 5193769800 Enrollment ID: I20050614000640 |
Provider Name | Cindy C Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992779227 PECOS PAC ID: 7618911793 Enrollment ID: I20050620000640 |
Provider Name | Michelle L Rightmyer |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1649472994 PECOS PAC ID: 1254376411 Enrollment ID: I20050628000478 |
Provider Name | Barbara C Olendzki |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1548338015 PECOS PAC ID: 1951346139 Enrollment ID: I20050628000623 |
Provider Name | Roseann J Lavin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841264652 PECOS PAC ID: 5092751065 Enrollment ID: I20050629000981 |
Provider Name | Mary R Innis |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1053366963 PECOS PAC ID: 4183652258 Enrollment ID: I20050729000750 |
Provider Name | Victoria A Andersen |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1447317672 PECOS PAC ID: 9830127760 Enrollment ID: I20050801000912 |
Provider Name | Nathan S Keedy |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1841245693 PECOS PAC ID: 9537193230 Enrollment ID: I20050922000228 |
Provider Name | Jody M Fleshman |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1558557611 PECOS PAC ID: 0941235972 Enrollment ID: I20050928001202 |
Provider Name | Ruth Whitall |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598703332 PECOS PAC ID: 4880610401 Enrollment ID: I20051021000609 |
Provider Name | Leslie S Murphy |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1780623017 PECOS PAC ID: 8022035419 Enrollment ID: I20051025000716 |
Provider Name | Jennifer E Hall |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1346334323 PECOS PAC ID: 3072534353 Enrollment ID: I20051214000596 |
Provider Name | Nia M Jones |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1831113349 PECOS PAC ID: 4385647486 Enrollment ID: I20060810000052 |
Provider Name | Patricia A Macculloch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194822650 PECOS PAC ID: 2163422148 Enrollment ID: I20061226000094 |
Provider Name | Tina R Coderre |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1245391671 PECOS PAC ID: 1456457795 Enrollment ID: I20070503000443 |
Provider Name | Dawn E Bull |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891941167 PECOS PAC ID: 9638239908 Enrollment ID: I20081117000174 |
Provider Name | Eydie I Kasendorf |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1982783346 PECOS PAC ID: 4789740846 Enrollment ID: I20090226000020 |
Provider Name | Nicole Seymour |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1689700841 PECOS PAC ID: 2062560261 Enrollment ID: I20090428000071 |
Provider Name | Idalmis E Murray |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1326203464 PECOS PAC ID: 1557405198 Enrollment ID: I20100219000292 |
Provider Name | Inmay P Macneil |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1073836565 PECOS PAC ID: 7113051707 Enrollment ID: I20100818000546 |
Provider Name | Jillian M Armentrout |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750699310 PECOS PAC ID: 0547444739 Enrollment ID: I20110413000260 |
Provider Name | Sureyya Iscan |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1356408835 PECOS PAC ID: 6800062357 Enrollment ID: I20120104000483 |
Provider Name | Allison E Mcniff |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134409030 PECOS PAC ID: 5294902755 Enrollment ID: I20120124000554 |
Provider Name | Robert J Carey |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1083652952 PECOS PAC ID: 8426216144 Enrollment ID: I20120225000131 |
Provider Name | Karen L Wentworth |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1437104312 PECOS PAC ID: 0547428286 Enrollment ID: I20120227000174 |
Provider Name | Elizabeth Atlee Menefee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326393646 PECOS PAC ID: 0446404479 Enrollment ID: I20130129000190 |
Provider Name | Jennifer A O'leary Tait |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1982845061 PECOS PAC ID: 1355510140 Enrollment ID: I20130304000186 |
Provider Name | Aneta Braam |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1578967063 PECOS PAC ID: 4183947906 Enrollment ID: I20150102000685 |
Provider Name | Anna Mooradian |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1174923247 PECOS PAC ID: 2567788276 Enrollment ID: I20150224000129 |
Provider Name | Jonathan R Carroll |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1831586064 PECOS PAC ID: 5193007417 Enrollment ID: I20170123000816 |
Provider Name | Caroline T Gaffney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548642929 PECOS PAC ID: 8022390293 Enrollment ID: I20170124000212 |
Provider Name | Mallory L Gibbons |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083150361 PECOS PAC ID: 9032494521 Enrollment ID: I20170324000139 |
Provider Name | Justine Nash |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1790203271 PECOS PAC ID: 0345515367 Enrollment ID: I20171002000893 |
Provider Name | Katherine Dempsey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881140242 PECOS PAC ID: 7012296049 Enrollment ID: I20171228002356 |
Provider Name | Barbara J Laforce |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164706552 PECOS PAC ID: 5698077725 Enrollment ID: I20180404001170 |
Provider Name | Vanessa K Laffert |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1639378755 PECOS PAC ID: 4486991684 Enrollment ID: I20190125001857 |
Provider Name | Susan Anne Tripp |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1043874886 PECOS PAC ID: 9931432259 Enrollment ID: I20190531000589 |
Provider Name | Sara Graves |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1992837389 PECOS PAC ID: 6305172750 Enrollment ID: I20190724000244 |
Provider Name | Mackenzie Souza |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1013579671 PECOS PAC ID: 7618203878 Enrollment ID: I20190725000760 |
Provider Name | Kylie E Grenier |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1124680723 PECOS PAC ID: 7911233184 Enrollment ID: I20190725001074 |
Provider Name | Linda Denering |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1629639331 PECOS PAC ID: 3577899772 Enrollment ID: I20190725002268 |
Provider Name | Kelsey E Lancey |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1710549027 PECOS PAC ID: 5395071450 Enrollment ID: I20190726001049 |
Provider Name | Lisa M Lombardini |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1346809993 PECOS PAC ID: 7719213891 Enrollment ID: I20190726001802 |
Provider Name | Katherine Lauriat Saunders |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1841856440 PECOS PAC ID: 5991031080 Enrollment ID: I20190726002284 |
Provider Name | Paul J Foster |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1164084612 PECOS PAC ID: 0547596678 Enrollment ID: I20190729000625 |
Provider Name | Anna R Grotevant |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1669893996 PECOS PAC ID: 5597092080 Enrollment ID: I20190806003508 |
Provider Name | Jessica A Hews |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1902468572 PECOS PAC ID: 4486981537 Enrollment ID: I20190812003114 |
Provider Name | Melanie M Maletta |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1376746420 PECOS PAC ID: 7416284492 Enrollment ID: I20190814001099 |
Provider Name | Susan E Miller |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1508278706 PECOS PAC ID: 5294066742 Enrollment ID: I20191014003263 |
Provider Name | Sharon H Chan |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1629543467 PECOS PAC ID: 7719219690 Enrollment ID: I20191025000648 |
Provider Name | Kerrilyn M Mcgowan |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1225680283 PECOS PAC ID: 2567895212 Enrollment ID: I20191210002814 |
Provider Name | Sara Jordan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245707348 PECOS PAC ID: 5890025456 Enrollment ID: I20200212001790 |
Provider Name | Allison Jean Aditays |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326602442 PECOS PAC ID: 5193152890 Enrollment ID: I20200218002606 |
Provider Name | Caitlin Dow |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750922613 PECOS PAC ID: 8325476047 Enrollment ID: I20200311002677 |
Provider Name | Elisabeth Jean Roche |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861046682 PECOS PAC ID: 9133559438 Enrollment ID: I20200429002213 |
Provider Name | Caitlin M. Agreda |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1902286750 PECOS PAC ID: 3375955420 Enrollment ID: I20201214001425 |
Provider Name | Jennine Frances Dumont |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1760571616 PECOS PAC ID: 8224440300 Enrollment ID: I20201214002647 |
Provider Name | Samantha Lee Baker |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1326518820 PECOS PAC ID: 5597177618 Enrollment ID: I20201215000896 |
Provider Name | Sara Elizabeth Chaffee |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1104482157 PECOS PAC ID: 3870905763 Enrollment ID: I20201217002406 |
Provider Name | Caitlyn M Leavitt |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1235806910 PECOS PAC ID: 8820496201 Enrollment ID: I20211015001091 |
Provider Name | Anna Teresa Sinni |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1780350199 PECOS PAC ID: 0345639472 Enrollment ID: I20211111001408 |
Provider Name | Kaitlin Theresa Ryan |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1073172235 PECOS PAC ID: 6406247246 Enrollment ID: I20220105000789 |
Provider Name | Wanda Yvette Pignone |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1982358891 PECOS PAC ID: 6204220734 Enrollment ID: I20220228001286 |
Provider Name | Ashley Jermaine Wight |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1003557760 PECOS PAC ID: 2264819432 Enrollment ID: I20220510001957 |
Provider Name | Stacey Feroleto |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1073251344 PECOS PAC ID: 5991183717 Enrollment ID: I20220608000159 |
Provider Name | Stephen Kheboian |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1366184723 PECOS PAC ID: 2769861509 Enrollment ID: I20220624000459 |
Provider Name | Iman Al-bader |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1801538798 PECOS PAC ID: 7113306838 Enrollment ID: I20220627000090 |
Provider Name | Shahira N Orcel |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1790327450 PECOS PAC ID: 8729310842 Enrollment ID: I20220823002193 |
Provider Name | Marla Joy Phelps |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1245807189 PECOS PAC ID: 1456729706 Enrollment ID: I20221117003350 |
Provider Name | Claudia Carolina Osorio |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1982329736 PECOS PAC ID: 5193194066 Enrollment ID: I20221215001997 |
Provider Name | Alexa Pietrini |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1831809748 PECOS PAC ID: 7810368164 Enrollment ID: I20230124001029 |
Provider Name | Katie Marie Friberg |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1477273936 PECOS PAC ID: 3173980232 Enrollment ID: I20230605001606 |
Provider Name | Carmen Zita Porto |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699375493 PECOS PAC ID: 1850752007 Enrollment ID: I20230803002666 |
Provider Name | Samantha Piazza |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245631548 PECOS PAC ID: 6305068784 Enrollment ID: I20230830003816 |
Provider Name | Cheryl Marie Fikucki |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1316073570 PECOS PAC ID: 5597128868 Enrollment ID: I20230905000825 |
Provider Name | Victoria H Whitney |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1023687233 PECOS PAC ID: 9234592411 Enrollment ID: I20230906001241 |
Provider Name | Meghan Elizabeth Lavin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831542646 PECOS PAC ID: 4688038979 Enrollment ID: I20230920000819 |
Provider Name | Danielle E Viveiros |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245515238 PECOS PAC ID: 2567816648 Enrollment ID: I20230922001860 |
Provider Name | Jamilee Ann Sawicki |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1366132631 PECOS PAC ID: 2466806476 Enrollment ID: I20230925003409 |
Provider Name | Adele L Ory |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1740964659 PECOS PAC ID: 0648624593 Enrollment ID: I20230926001954 |
Provider Name | Stephanie Ann Sech |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386246270 PECOS PAC ID: 7719332881 Enrollment ID: I20231010000113 |
Provider Name | Nicole Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194202655 PECOS PAC ID: 4284080565 Enrollment ID: I20231023001884 |
Provider Name | Elaina Rebello |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1528838729 PECOS PAC ID: 2769828672 Enrollment ID: I20240314001090 |
Provider Name | Payton E Mahoney |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1881457331 PECOS PAC ID: 6800233248 Enrollment ID: I20240321001857 |
Provider Name | Jaclyn Kutil |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1477055192 PECOS PAC ID: 5294174777 Enrollment ID: I20240416004286 |
Olivia Homan, Licsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Cedar St, Worcester, MA 01609 Phone: 617-581-2267 | |
Autism Behavioral Health Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 Sterling St, Worcester, MA 01610 Phone: 508-321-3055 Fax: 508-321-3055 | |
James P. Bresnahan Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 55 Cedar St, Worcester, MA 01609 Phone: 508-752-1170 Fax: 508-752-1800 | |
Community Health Link Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 72 Jaques Ave, Worcester, MA 01610 Phone: 508-438-5578 Fax: 508-860-1023 | |
Guided Growth Therapy Collective Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Falcon St, Worcester, MA 01603 Phone: 508-769-2766 | |
Ld Psych Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Allston Ave, Worcester, MA 01604 Phone: 508-356-4495 | |
Hope Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 465 Park Ave, Worcester, MA 01610 Phone: 508-713-1191 |