| Boston Neurobehavioral Associates, Llc | |
|
226 Field St New Bedford MA 02740-2133 | |
| (508) 979-5557 | |
| (508) 979-5955 |
| Full Name | Boston Neurobehavioral Associates, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 226 Field St, New Bedford, Massachusetts |
| Authorized Official Name and Position | Mohammad Munir (PRESIDENT) |
| Authorized Official Contact | 7814610800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boston Neurobehavioral Associates, Llc 226 Field St New Bedford MA 02740-2133 Ph: (508) 979-5557 | Boston Neurobehavioral Associates, Llc 226 Field St New Bedford MA 02740-2133 Ph: (508) 979-5557 |
| NPI Number | 1558415307 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 08/05/2024 |
| Medicare PECOS PAC ID | 9436142429 |
|---|---|
| Medicare Enrollment ID | O20120926000381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558415307 | NPI | - | NPPES |
| 9784608 | Medicaid | MA |
| Provider Name | Debora G Lynn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275542094 PECOS PAC ID: 9234111501 Enrollment ID: I20040602000534 |
| Provider Name | James J Cremins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265558548 PECOS PAC ID: 8426029430 Enrollment ID: I20040803001685 |
| Provider Name | Mohammed Munir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881631844 PECOS PAC ID: 5991798993 Enrollment ID: I20040819000239 |
| Provider Name | Eleanor Tedesco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700930914 PECOS PAC ID: 9638119308 Enrollment ID: I20050512000212 |
| Provider Name | Nuzhat Farooqui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689772907 PECOS PAC ID: 7517900012 Enrollment ID: I20050606000962 |
| Provider Name | Barbara A Livingston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861674319 PECOS PAC ID: 3274550785 Enrollment ID: I20051024001047 |
| Provider Name | Sue H Yoon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851350458 PECOS PAC ID: 6305933375 Enrollment ID: I20071107000741 |
| Provider Name | Mushtaque Chachar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891903712 PECOS PAC ID: 4688740434 Enrollment ID: I20081217000521 |
| Provider Name | Susana P Viera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073763082 PECOS PAC ID: 5698838175 Enrollment ID: I20090109000100 |
| Provider Name | Lisa Odgren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518136803 PECOS PAC ID: 2769676832 Enrollment ID: I20101102001358 |
| Provider Name | Carissa Marie Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821307646 PECOS PAC ID: 2264627132 Enrollment ID: I20101117001009 |
| Provider Name | Matthew C Geden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164739413 PECOS PAC ID: 4789868092 Enrollment ID: I20110412000188 |
| Provider Name | Alexis K Baird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164617312 PECOS PAC ID: 7012006125 Enrollment ID: I20110414000880 |
| Provider Name | Ronna Dallal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932407863 PECOS PAC ID: 9537343595 Enrollment ID: I20110415000365 |
| Provider Name | Jihad B Nader |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255582565 PECOS PAC ID: 0749450609 Enrollment ID: I20110901000008 |
| Provider Name | Stephanie Mullins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720104003 PECOS PAC ID: 2365613767 Enrollment ID: I20110915000104 |
| Provider Name | Blondel L Jarvis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225317670 PECOS PAC ID: 3678746062 Enrollment ID: I20111031000573 |
| Provider Name | David N Martino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235410846 PECOS PAC ID: 6800047184 Enrollment ID: I20121114000284 |
| Provider Name | Cheryl A Mcguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124458575 PECOS PAC ID: 7719117332 Enrollment ID: I20140227001182 |
| Provider Name | Cheryl Y Neilsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619399425 PECOS PAC ID: 9830320365 Enrollment ID: I20140327000318 |
| Provider Name | Heather A Wojcik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124443262 PECOS PAC ID: 0749406379 Enrollment ID: I20140717000089 |
| Provider Name | Saumya G Sharma |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285878322 PECOS PAC ID: 4183844111 Enrollment ID: I20140925001267 |
| Provider Name | Erin Eileen Tanner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073920799 PECOS PAC ID: 4587987300 Enrollment ID: I20150102000520 |
| Provider Name | Paul Gould |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801262316 PECOS PAC ID: 6204145055 Enrollment ID: I20151019002253 |
| Provider Name | Prisca Hefti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508133182 PECOS PAC ID: 6901106103 Enrollment ID: I20151119001141 |
| Provider Name | Francisca Ojei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235509423 PECOS PAC ID: 3779888201 Enrollment ID: I20160222001819 |
| Provider Name | Joan Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154785335 PECOS PAC ID: 2668763855 Enrollment ID: I20160617001911 |
| Provider Name | Farah Desrosiers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497104178 PECOS PAC ID: 2668768656 Enrollment ID: I20160830002533 |
| Provider Name | Darcy Nora Faibish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154723328 PECOS PAC ID: 6406142959 Enrollment ID: I20160908002218 |
| Provider Name | Monica L O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639459498 PECOS PAC ID: 9638467483 Enrollment ID: I20161206000511 |
| Provider Name | Laura Rusu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235672262 PECOS PAC ID: 1850673088 Enrollment ID: I20170124002280 |
| Provider Name | Eileen Carey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639614605 PECOS PAC ID: 7517240286 Enrollment ID: I20170203002214 |
| Provider Name | Doreen Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881840155 PECOS PAC ID: 7113202995 Enrollment ID: I20170317000040 |
| Provider Name | Angela Terry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154870699 PECOS PAC ID: 6002192341 Enrollment ID: I20170420002083 |
| Provider Name | Jenna M Lamoureux |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568892560 PECOS PAC ID: 9830476001 Enrollment ID: I20170426001872 |
| Provider Name | Maura C Archuleta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548795750 PECOS PAC ID: 1759652183 Enrollment ID: I20170803002112 |
| Provider Name | Rose M Fayette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508090440 PECOS PAC ID: 0042576704 Enrollment ID: I20171113002588 |
| Provider Name | Patricia Almeida |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598093049 PECOS PAC ID: 3476819939 Enrollment ID: I20171116000336 |
| Provider Name | James M Biedak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699284851 PECOS PAC ID: 8921365008 Enrollment ID: I20171128000605 |
| Provider Name | Patricia Rossi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770858185 PECOS PAC ID: 1951535277 Enrollment ID: I20171213000234 |
| Provider Name | Katie Tawakol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609222116 PECOS PAC ID: 1951669241 Enrollment ID: I20171214000535 |
| Provider Name | Kathleen Daigle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760797856 PECOS PAC ID: 1456607159 Enrollment ID: I20180711001812 |
| Provider Name | Sean Martin Markey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699078295 PECOS PAC ID: 2961750302 Enrollment ID: I20180801002786 |
| Provider Name | Nataliya Rozenvayn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487178240 PECOS PAC ID: 0941559751 Enrollment ID: I20180827003072 |
| Provider Name | Victoria Abbie Valeri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164773149 PECOS PAC ID: 6709138886 Enrollment ID: I20181018001070 |
| Provider Name | Michaela Kearney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780100099 PECOS PAC ID: 3072866425 Enrollment ID: I20181101000043 |
| Provider Name | Thanh Tam T Huynh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659876555 PECOS PAC ID: 2163775305 Enrollment ID: I20181105002705 |
| Provider Name | Philip M Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780836437 PECOS PAC ID: 5799039905 Enrollment ID: I20181106002667 |
| Provider Name | Ana Gomes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508374042 PECOS PAC ID: 0749534436 Enrollment ID: I20181115001871 |
| Provider Name | Danielle Shih |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588038210 PECOS PAC ID: 6608113121 Enrollment ID: I20190122003121 |
| Provider Name | Jose A Lugo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205086766 PECOS PAC ID: 7719226117 Enrollment ID: I20190301001326 |
| Provider Name | Deanndra Howard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629631288 PECOS PAC ID: 2062754286 Enrollment ID: I20190508001290 |
| Provider Name | Claire Wakulyaka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750873329 PECOS PAC ID: 5991135840 Enrollment ID: I20200417000763 |
| Provider Name | Jacqueline Shanae Jean-piere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699392324 PECOS PAC ID: 2567881832 Enrollment ID: I20201006002034 |
| Provider Name | Kaitlin Kirby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366053738 PECOS PAC ID: 9436563129 Enrollment ID: I20210120001110 |
| Provider Name | Charles Smyth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962981498 PECOS PAC ID: 4981018397 Enrollment ID: I20210126002951 |
| Provider Name | Karin Camara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528526415 PECOS PAC ID: 3678987823 Enrollment ID: I20210128002583 |
| Provider Name | Christina Haggerty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215404322 PECOS PAC ID: 0042625683 Enrollment ID: I20210212001289 |
| Provider Name | Lacinda O'steen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477901866 PECOS PAC ID: 4486941648 Enrollment ID: I20210217000136 |
| Provider Name | Ashley Norby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508266743 PECOS PAC ID: 1658787346 Enrollment ID: I20210303003085 |
| Provider Name | Julie Fishman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255981932 PECOS PAC ID: 3274940176 Enrollment ID: I20210319001511 |
| Provider Name | Paul Lison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245745082 PECOS PAC ID: 6800205907 Enrollment ID: I20210430001348 |
| Provider Name | Nicholas Heath |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699943472 PECOS PAC ID: 7719386960 Enrollment ID: I20210520002256 |
| Provider Name | Sarah Rego |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598383978 PECOS PAC ID: 1254731680 Enrollment ID: I20210607001948 |
| Provider Name | Gerald Jean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275128613 PECOS PAC ID: 9133536220 Enrollment ID: I20210614000635 |
| Provider Name | Ariel Cussen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013498153 PECOS PAC ID: 2860893849 Enrollment ID: I20210628003490 |
| Provider Name | Emily Mehta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154994440 PECOS PAC ID: 8123422342 Enrollment ID: I20210811000245 |
| Provider Name | Maryam Abdishoo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275143778 PECOS PAC ID: 0648675256 Enrollment ID: I20210819003019 |
| Provider Name | Jennifer Oung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073148540 PECOS PAC ID: 5799181095 Enrollment ID: I20210913001489 |
| Provider Name | Salman Kazim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154437457 PECOS PAC ID: 1153410360 Enrollment ID: I20211007001711 |
| Provider Name | Astrid March |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598432270 PECOS PAC ID: 3971901612 Enrollment ID: I20211009000054 |
| Provider Name | Anthony Vario |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558813501 PECOS PAC ID: 8224436969 Enrollment ID: I20211009000112 |
| Provider Name | Katie-ann Izzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942883509 PECOS PAC ID: 6901296714 Enrollment ID: I20211210001066 |
| Provider Name | Rachel L Kravitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306281829 PECOS PAC ID: 9537550769 Enrollment ID: I20211227000222 |
| Provider Name | Siobhan Eilise Mcdonold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013673367 PECOS PAC ID: 5496147050 Enrollment ID: I20220112000828 |
| Provider Name | Christine Sameiro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366680068 PECOS PAC ID: 0648662908 Enrollment ID: I20220118001457 |
| Provider Name | Gerryanne Jean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407232952 PECOS PAC ID: 4082990999 Enrollment ID: I20220322001357 |
| Provider Name | Qays Munir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902391014 PECOS PAC ID: 4082968730 Enrollment ID: I20220330002380 |
| Provider Name | Jose Nieves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669609319 PECOS PAC ID: 2062809098 Enrollment ID: I20220421002265 |
| Provider Name | Christina Mesa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063018067 PECOS PAC ID: 0244627859 Enrollment ID: I20220429000999 |
| Provider Name | Alexa Bader |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366890600 PECOS PAC ID: 2961889134 Enrollment ID: I20220510001641 |
| Provider Name | Katelyn Depatsy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669013173 PECOS PAC ID: 9537546668 Enrollment ID: I20220511001642 |
| Provider Name | Arianne Zorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578224713 PECOS PAC ID: 3779961172 Enrollment ID: I20220525001582 |
| Provider Name | Moe Mcneill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568900389 PECOS PAC ID: 3476932757 Enrollment ID: I20220616000528 |
| Provider Name | David Chindo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487160297 PECOS PAC ID: 5597012765 Enrollment ID: I20220617002582 |
| Provider Name | Kaitlin Mr Mace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811338528 PECOS PAC ID: 9234511031 Enrollment ID: I20220726002224 |
| Provider Name | Comfort Olufunmilayo Sowale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427620756 PECOS PAC ID: 8527441450 Enrollment ID: I20220810001547 |
| Provider Name | Veenu Thakur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275901514 PECOS PAC ID: 4082906383 Enrollment ID: I20220908000755 |
| Provider Name | Jean Faucher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235579798 PECOS PAC ID: 3072999697 Enrollment ID: I20221005002989 |
| Provider Name | Laura Packard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700350568 PECOS PAC ID: 4789050584 Enrollment ID: I20221019002427 |
| Provider Name | Katrin Margolin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255937041 PECOS PAC ID: 3971979790 Enrollment ID: I20221019002824 |
| Provider Name | Tracy Vo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245975945 PECOS PAC ID: 1951778257 Enrollment ID: I20221028002259 |
| Provider Name | Kasheida Hector |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124577390 PECOS PAC ID: 2466829692 Enrollment ID: I20221101001888 |
| Provider Name | Carrie Long |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992955801 PECOS PAC ID: 5597132688 Enrollment ID: I20221102001517 |
| Provider Name | Madison R Dewolfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376287227 PECOS PAC ID: 7911374566 Enrollment ID: I20221110001604 |
| Provider Name | Francis Kim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982320750 PECOS PAC ID: 4587031042 Enrollment ID: I20221114000697 |
| Provider Name | Matthew Iannolino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386152627 PECOS PAC ID: 0648648980 Enrollment ID: I20221117002828 |
| Provider Name | Lisa Bluth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710694864 PECOS PAC ID: 8224406178 Enrollment ID: I20221125000201 |
| Provider Name | Carlene Mcnair |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669928925 PECOS PAC ID: 8820466782 Enrollment ID: I20221125000402 |
| Provider Name | Jessica Stanley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649728965 PECOS PAC ID: 1850769456 Enrollment ID: I20221201000540 |
| Provider Name | Fatou Cisset |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710610589 PECOS PAC ID: 1456720812 Enrollment ID: I20221207002697 |
| Provider Name | Michele S Ramos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467692640 PECOS PAC ID: 1951467141 Enrollment ID: I20221214001009 |
| Provider Name | Diana Desouza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083334288 PECOS PAC ID: 0840669776 Enrollment ID: I20221215000325 |
| Provider Name | Jisselle Assad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679145452 PECOS PAC ID: 3274902119 Enrollment ID: I20221215000501 |
| Provider Name | Brittney Hennessy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992350789 PECOS PAC ID: 4587034905 Enrollment ID: I20221229002061 |
| Provider Name | Germanie Saint-vil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972232932 PECOS PAC ID: 5496125700 Enrollment ID: I20230103000965 |
| Provider Name | Jason M. Alan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922742469 PECOS PAC ID: 4688046998 Enrollment ID: I20230215001264 |
| Provider Name | Doris Kissi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144940230 PECOS PAC ID: 1658743612 Enrollment ID: I20230221001447 |
| Provider Name | Alexis Fratus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477137438 PECOS PAC ID: 9739552720 Enrollment ID: I20230222000182 |
| Provider Name | Rebecca Ashman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417441403 PECOS PAC ID: 4486027331 Enrollment ID: I20230224000430 |
| Provider Name | Christine Bile |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093452344 PECOS PAC ID: 3072970177 Enrollment ID: I20230606000159 |
| Provider Name | Marcela Casas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386311298 PECOS PAC ID: 5991162026 Enrollment ID: I20230606001359 |
| Provider Name | Justice Gomes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285350645 PECOS PAC ID: 3476910431 Enrollment ID: I20230606003081 |
| Provider Name | Febe Dancier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255780482 PECOS PAC ID: 0345607354 Enrollment ID: I20230607001079 |
| Provider Name | Jordana Forstot |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336850312 PECOS PAC ID: 1153788179 Enrollment ID: I20230607001173 |
| Provider Name | Lena Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144708223 PECOS PAC ID: 2163889189 Enrollment ID: I20230607001643 |
| Provider Name | Abigail Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831810258 PECOS PAC ID: 8426415357 Enrollment ID: I20230607002026 |
| Provider Name | Donelle Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407583883 PECOS PAC ID: 3577922178 Enrollment ID: I20230629002276 |
| Provider Name | Juhi Nath |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134840325 PECOS PAC ID: 7113387465 Enrollment ID: I20230718002108 |
| Provider Name | Patricia N Ngaruiya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548593288 PECOS PAC ID: 3971966847 Enrollment ID: I20230824002302 |
| Provider Name | Julie Panchamsingh-barakat |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437508629 PECOS PAC ID: 3274988365 Enrollment ID: I20231010001045 |
| Provider Name | Nowah Vanjah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629341268 PECOS PAC ID: 5890141287 Enrollment ID: I20231020001243 |
| Provider Name | Marissa Goldman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245002278 PECOS PAC ID: 9436507076 Enrollment ID: I20231121001207 |
| Provider Name | Alan Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639566615 PECOS PAC ID: 3779932363 Enrollment ID: I20231207002647 |
| Provider Name | Madeline Ehrlich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992572325 PECOS PAC ID: 8820449549 Enrollment ID: I20240108000642 |
| Provider Name | Damian Amanfo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053094326 PECOS PAC ID: 2860836178 Enrollment ID: I20240214003325 |
| Provider Name | Dennis Dipinto |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013150523 PECOS PAC ID: 3274979687 Enrollment ID: I20240307003088 |
| Provider Name | Mikayla Mcclellan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609410836 PECOS PAC ID: 8921444340 Enrollment ID: I20240307003347 |
| Provider Name | Bianca Thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235668690 PECOS PAC ID: 7618313032 Enrollment ID: I20240307003513 |
| Provider Name | Grace Bongiorno |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316368574 PECOS PAC ID: 6507202926 Enrollment ID: I20240307003627 |
| Provider Name | Xinyuan Liu |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194371971 PECOS PAC ID: 0941646376 Enrollment ID: I20240307003734 |
| Provider Name | Jamie Sullivan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881101772 PECOS PAC ID: 1557707981 Enrollment ID: I20240307003850 |
| Provider Name | Claudine E Jones-bourne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013335017 PECOS PAC ID: 5698029502 Enrollment ID: I20240321000873 |
| Provider Name | Deena Dimaria |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215653316 PECOS PAC ID: 9931546900 Enrollment ID: I20240326002547 |
| Provider Name | James Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851714653 PECOS PAC ID: 3577901792 Enrollment ID: I20240409000189 |
| Provider Name | Israel Egeruo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083489835 PECOS PAC ID: 1557700275 Enrollment ID: I20240415001654 |
| Provider Name | Obioma Okeke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558064659 PECOS PAC ID: 2365881810 Enrollment ID: I20240416003485 |
| Provider Name | Kevin Manning |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174656813 PECOS PAC ID: 4587005897 Enrollment ID: I20240516002611 |
| Provider Name | Heather Welch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477188878 PECOS PAC ID: 1153762349 Enrollment ID: I20240520000886 |
| Provider Name | Paula De Almeida |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992832125 PECOS PAC ID: 3870935026 Enrollment ID: I20240521000067 |
| Provider Name | Teron Verma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356704225 PECOS PAC ID: 3375837107 Enrollment ID: I20240529001155 |
| Provider Name | Ketlyne Juste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720705262 PECOS PAC ID: 9133661051 Enrollment ID: I20240606003860 |
Internal Medicine And Preventive Care, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Virgo Dr, New Bedford, MA 02745 Phone: 508-496-5704 | |
Dartmouth Primary Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 651 Orchard St, Suite 202 A, New Bedford, MA 02744 Phone: 508-994-5300 Fax: 508-994-4225 | |
Michael A. Taylor, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3388 Acushnet Ave, New Bedford, MA 02745 Phone: 508-995-3333 Fax: 508-998-6666 | |
South East Center For Swallowing And Communication Disorders, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 92 Grape St, Unit 1, New Bedford, MA 02740 Phone: 508-991-2332 Fax: 508-991-8437 | |
Giga Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 606 Tarkiln Hill Rd, Giga Medical, New Bedford, MA 02745 Phone: 508-985-1955 Fax: 508-985-1977 | |
Blue World Counseling Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 227 Union St Ste 408, New Bedford, MA 02740 Phone: 508-202-0741 | |
New Bedford Surgical Associates Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 49 Hawthorn St, New Bedford, MA 02740 Phone: 508-992-3838 Fax: 508-993-9377 |