| Charles River Community Health, Inc | |
|
495 Western Ave Brighton MA 02135-1007 | |
| (617) 783-0500 | |
| (617) 987-8222 |
| Full Name | Charles River Community Health, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 495 Western Ave, Brighton, Massachusetts |
| Authorized Official Name and Position | Elizabeth Browne (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6172081511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles River Community Health, Inc 495 Western Ave Brighton MA 02135-1007 Ph: (617) 783-0500 | Charles River Community Health, Inc 495 Western Ave Brighton MA 02135-1007 Ph: (617) 783-0500 |
| NPI Number | 1487664884 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 03/07/2016 |
| Medicare PECOS PAC ID | 5294709812 |
|---|---|
| Medicare Enrollment ID | O20040820000310 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487664884 | NPI | - | NPPES |
| 682536 | Other | MA | TUFTS HEALTH PLAN |
| 686893 | Other | MA | TUFTS HEALTH PLAN |
| M12043 | Other | MA | BCBS MEDICAL/PODIATRY |
| W20419 | Other | MA | BCBS OPTOMETRY |
| 2227002110 | Other | MA | BCBS |
| 1301446 | Medicaid | MA | |
| 903699 | Other | MA | TUFTS HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 4157 (Massachusetts) | Primary |
| Provider Name | Sapna Aggarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710054366 PECOS PAC ID: 3971581133 Enrollment ID: I20040713000821 |
| Provider Name | Nancy Torres Finnerty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568419299 PECOS PAC ID: 2567435530 Enrollment ID: I20040817001238 |
| Provider Name | Stacy A Lyons |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962402644 PECOS PAC ID: 3870567217 Enrollment ID: I20040823000575 |
| Provider Name | Dawn M Patterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396813846 PECOS PAC ID: 1456307735 Enrollment ID: I20050330000200 |
| Provider Name | Mark R Drews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184693616 PECOS PAC ID: 8729027834 Enrollment ID: I20050428000288 |
| Provider Name | Varuna Tuli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558355818 PECOS PAC ID: 3971521097 Enrollment ID: I20051108000164 |
| Provider Name | Linda D Foxworthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376642272 PECOS PAC ID: 1658386990 Enrollment ID: I20060208000328 |
| Provider Name | Jose M Molinar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982799714 PECOS PAC ID: 4789695792 Enrollment ID: I20060505000145 |
| Provider Name | Valerie F Pietry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356352439 PECOS PAC ID: 3678584422 Enrollment ID: I20060509000245 |
| Provider Name | Richard L Ahern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508825951 PECOS PAC ID: 2163518861 Enrollment ID: I20071010000721 |
| Provider Name | Lauren M Lagrega |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760410492 PECOS PAC ID: 6002905056 Enrollment ID: I20071129000090 |
| Provider Name | M. Annette N Hanson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710033626 PECOS PAC ID: 2062571458 Enrollment ID: I20081029000759 |
| Provider Name | Khelda S. Jabbar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124086095 PECOS PAC ID: 1052361003 Enrollment ID: I20081104000265 |
| Provider Name | Tamara Schorr Hammer |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1275798852 PECOS PAC ID: 3678633625 Enrollment ID: I20081120000184 |
| Provider Name | Dara B Arons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548434566 PECOS PAC ID: 2769528512 Enrollment ID: I20091007000754 |
| Provider Name | Rossana Sciolla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770716748 PECOS PAC ID: 4284815325 Enrollment ID: I20110223000557 |
| Provider Name | Katherine Kates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083929459 PECOS PAC ID: 5395918015 Enrollment ID: I20111025000484 |
| Provider Name | Margaret B Duddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528342193 PECOS PAC ID: 8820263577 Enrollment ID: I20111208000618 |
| Provider Name | Victoria Perinsky |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1457429110 PECOS PAC ID: 9830342252 Enrollment ID: I20130116000212 |
| Provider Name | Maria Quiroga-halprin |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1124240379 PECOS PAC ID: 3274786694 Enrollment ID: I20130116000229 |
| Provider Name | Ana Torres-houssami |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1427126143 PECOS PAC ID: 1456504786 Enrollment ID: I20130116000354 |
| Provider Name | Abigail Turkington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952610156 PECOS PAC ID: 2567617624 Enrollment ID: I20130222000019 |
| Provider Name | Caitlin Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205097961 PECOS PAC ID: 5496816514 Enrollment ID: I20140421001200 |
| Provider Name | Jonathon H Jimmerson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972853554 PECOS PAC ID: 0244454692 Enrollment ID: I20140605000811 |
| Provider Name | Maryam Salehpour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265877120 PECOS PAC ID: 6608199039 Enrollment ID: I20141216001189 |
| Provider Name | Allison Sherwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548675523 PECOS PAC ID: 1254655574 Enrollment ID: I20150115000509 |
| Provider Name | Glena Patricia Millan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1659527992 PECOS PAC ID: 1052630464 Enrollment ID: I20150507000086 |
| Provider Name | Christa Jean-baptiste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235528050 PECOS PAC ID: 6305166976 Enrollment ID: I20150521001545 |
| Provider Name | Hilary Gaiser |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225413198 PECOS PAC ID: 6406162544 Enrollment ID: I20150903001161 |
| Provider Name | Elizabeth Rohr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154792141 PECOS PAC ID: 2062709298 Enrollment ID: I20161003000124 |
| Provider Name | Janice G Cho |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1033340005 PECOS PAC ID: 7416250030 Enrollment ID: I20161019000943 |
| Provider Name | Amy Campbell Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104370345 PECOS PAC ID: 7315227618 Enrollment ID: I20161202000633 |
| Provider Name | Julia E Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124579271 PECOS PAC ID: 0042592735 Enrollment ID: I20170112000977 |
| Provider Name | Melanie Joy Giegel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316366008 PECOS PAC ID: 3375760952 Enrollment ID: I20170216000143 |
| Provider Name | Klavdia Brisson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114338530 PECOS PAC ID: 2365714771 Enrollment ID: I20170821000532 |
| Provider Name | Oren Lee-parritz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497124846 PECOS PAC ID: 1658647128 Enrollment ID: I20171027001644 |
| Provider Name | Chadani Ayer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255747952 PECOS PAC ID: 5991062036 Enrollment ID: I20171128003403 |
| Provider Name | Mary Christine Rowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649797911 PECOS PAC ID: 5496013898 Enrollment ID: I20171212002292 |
| Provider Name | Nicole Lieberman Foxe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477069631 PECOS PAC ID: 7113257924 Enrollment ID: I20190920002130 |
| Provider Name | Lisa Ngu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063990950 PECOS PAC ID: 6305178740 Enrollment ID: I20191104002816 |
| Provider Name | Kristin Rajala |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396173001 PECOS PAC ID: 0143529974 Enrollment ID: I20191212002169 |
| Provider Name | Kimberly Centeio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598317935 PECOS PAC ID: 1759716160 Enrollment ID: I20200113001884 |
| Provider Name | Rima Olga Gemayel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134781644 PECOS PAC ID: 7416382692 Enrollment ID: I20200116000284 |
| Provider Name | Olga Mclellan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942834858 PECOS PAC ID: 1052741766 Enrollment ID: I20200421001709 |
| Provider Name | Cassandre Voltaire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922539360 PECOS PAC ID: 3476803560 Enrollment ID: I20200806001511 |
| Provider Name | Raul Alejandro Morinigo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558882936 PECOS PAC ID: 4486065620 Enrollment ID: I20201119002200 |
| Provider Name | Grace Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114275393 PECOS PAC ID: 4486991080 Enrollment ID: I20210401001285 |
| Provider Name | Kristen Catlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245673128 PECOS PAC ID: 7315355815 Enrollment ID: I20210422000675 |
| Provider Name | Aviva Friedman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518453588 PECOS PAC ID: 3870842248 Enrollment ID: I20211022000160 |
| Provider Name | Bennett Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811342595 PECOS PAC ID: 2769761329 Enrollment ID: I20220909002712 |
| Provider Name | Taylor Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144957036 PECOS PAC ID: 2769850734 Enrollment ID: I20221122003057 |
| Provider Name | Jennifer R Morehouse |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861955676 PECOS PAC ID: 5890163778 Enrollment ID: I20221128000537 |
| Provider Name | Crystal Branham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417224239 PECOS PAC ID: 8921268079 Enrollment ID: I20230324000562 |
| Provider Name | Devonna M Curry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083320881 PECOS PAC ID: 5698131332 Enrollment ID: I20230522003282 |
| Provider Name | Kara Palmberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013614338 PECOS PAC ID: 6204296494 Enrollment ID: I20230719003468 |
| Provider Name | Chelesia Burkes Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669025854 PECOS PAC ID: 7517395387 Enrollment ID: I20230823002480 |
| Provider Name | Marisa Tuncali |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770278996 PECOS PAC ID: 2466807441 Enrollment ID: I20231011001221 |
| Provider Name | Olivia Brunette Weltz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437743234 PECOS PAC ID: 5496106569 Enrollment ID: I20240112003073 |
Sleep Health Centers Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1505 Commonwealth Ave, 5th Floor, Brighton, MA 02135 Phone: 617-783-1441 Fax: 617-783-1448 | |
Walter J Lee Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 280 Washington St, Suite 201, Brighton, MA 02135 Phone: 617-254-7473 Fax: 617-254-3141 | |
Charles River Community Health, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 495 Western Ave, Brighton, MA 02135 Phone: 617-783-0500 | |
Stanton Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 280 Washington St, Suite 102, Brighton, MA 02135 Phone: 617-782-5700 Fax: 617-782-2250 | |
Randall Bock Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1660 Soldiers Field Rd # 1021, Brighton, MA 02135 Phone: 617-901-4847 Fax: 781-286-3076 | |
Twin Rivers Endoscopy Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 Warren St, Brighton, MA 02135 Phone: 617-562-5359 | |
Providers Who Care Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1853 Commonwealth Ave, Suite 1, Brighton, MA 02135 Phone: 617-254-3006 Fax: 617-254-3007 |