Fuller Hospital | |
200 May St S Attleboro MA 02703-5520 | |
(508) 761-8500 | |
Not Available |
Full Name | Fuller Hospital |
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Speciality | Psychiatric Hospital |
Location | 200 May St, S Attleboro, Massachusetts |
Authorized Official Name and Position | Steve Filton (CFO/ SR VP) |
Authorized Official Contact | 6107683300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fuller Hospital 200 May St S Attleboro MA 02703-5520 Ph: (508) 761-8500 | Fuller Hospital 200 May St S Attleboro MA 02703-5520 Ph: (508) 761-8500 |
NPI Number | 1316917222 |
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Provider Enumeration Date | 01/24/2006 |
Last Update Date | 09/12/2024 |
Medicare PECOS PAC ID | 3274510003 |
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Medicare Enrollment ID | O20040630000610 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316917222 | NPI | - | NPPES |
1103091 | Medicaid | MA |
Provider Name | Suvasini Pandit |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1467497180 PECOS PAC ID: 2769385160 Enrollment ID: I20040202000340 |
Provider Name | Frank Kahr |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1689615403 PECOS PAC ID: 3870585276 Enrollment ID: I20040405000202 |
Provider Name | Kalpana R Polu |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1740219534 PECOS PAC ID: 9739172875 Enrollment ID: I20040406000086 |
Provider Name | Rajendra M Trivedi |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1053322164 PECOS PAC ID: 2365436979 Enrollment ID: I20040414000972 |
Provider Name | Stuart Carter |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1992731723 PECOS PAC ID: 3274523162 Enrollment ID: I20040513000672 |
Provider Name | Heidi H Peterson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558380600 PECOS PAC ID: 3971586348 Enrollment ID: I20040608001137 |
Provider Name | Neena Chaturvedi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518091172 PECOS PAC ID: 2860463783 Enrollment ID: I20040804000694 |
Provider Name | Aafaque Akhter |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1629129382 PECOS PAC ID: 4880666163 Enrollment ID: I20040807000198 |
Provider Name | Michele Casoli Reardon |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1285748186 PECOS PAC ID: 0143289173 Enrollment ID: I20041006000447 |
Provider Name | Christopher M Palacios |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1932250172 PECOS PAC ID: 1153373618 Enrollment ID: I20050214000392 |
Provider Name | Surjit S Maniktala |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801980594 PECOS PAC ID: 9032151022 Enrollment ID: I20050601000056 |
Provider Name | Konrad A Mark |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1912009507 PECOS PAC ID: 9133157597 Enrollment ID: I20050728000052 |
Provider Name | Sharon F Divitto |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1720189525 PECOS PAC ID: 3779515861 Enrollment ID: I20050909000424 |
Provider Name | Steven H Stein |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134156185 PECOS PAC ID: 7517984594 Enrollment ID: I20051028000552 |
Provider Name | Scott Haltzman |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1922025766 PECOS PAC ID: 0042221046 Enrollment ID: I20060505000048 |
Provider Name | Pradeep K Reddy |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1730113473 PECOS PAC ID: 9931110798 Enrollment ID: I20060509000367 |
Provider Name | Zeina N El-chemali |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1578529798 PECOS PAC ID: 3375554033 Enrollment ID: I20060509000480 |
Provider Name | Rosemarie J Spada |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326175548 PECOS PAC ID: 2264538925 Enrollment ID: I20070426000514 |
Provider Name | Martha Fox Segal |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1619127453 PECOS PAC ID: 5597824300 Enrollment ID: I20081110000048 |
Provider Name | Gargi Kundu |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780641217 PECOS PAC ID: 3779599493 Enrollment ID: I20091214000556 |
Provider Name | Lusha Liu |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1427292820 PECOS PAC ID: 2365584984 Enrollment ID: I20100120000619 |
Provider Name | Melvaline Carvalho |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1750417739 PECOS PAC ID: 3375455280 Enrollment ID: I20100603000438 |
Provider Name | Nkechinyere N Wilson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780982884 PECOS PAC ID: 6002085032 Enrollment ID: I20110809000564 |
Provider Name | Jihad B Nader |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1255582565 PECOS PAC ID: 0749450609 Enrollment ID: I20110901000008 |
Provider Name | Stanley Goodman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801178520 PECOS PAC ID: 7719148535 Enrollment ID: I20120420000581 |
Provider Name | Michael Halassa |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1811124639 PECOS PAC ID: 0941469001 Enrollment ID: I20130628000535 |
Provider Name | Ashish K Gupta |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1235462169 PECOS PAC ID: 8224270475 Enrollment ID: I20130819000025 |
Provider Name | Tetyana Tarnavsky |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1689807893 PECOS PAC ID: 2466686662 Enrollment ID: I20131001000204 |
Provider Name | Hamza H Barmada |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1366733115 PECOS PAC ID: 6002049137 Enrollment ID: I20140818001482 |
Provider Name | J Carol Elliott |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1518394196 PECOS PAC ID: 7315264868 Enrollment ID: I20150323001457 |
Provider Name | Jeffrey H Gottlieb |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1043292980 PECOS PAC ID: 0941108476 Enrollment ID: I20150330000777 |
Provider Name | Linda Sue Faulk |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790727303 PECOS PAC ID: 2062423734 Enrollment ID: I20150504000909 |
Provider Name | Scholastica C Nwadiugwu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194141788 PECOS PAC ID: 1658683016 Enrollment ID: I20150629000903 |
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 | Omar A Mazher |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1558755777 PECOS PAC ID: 1557676822 Enrollment ID: I20180103002463 |
Provider Name | Nicholas A Sousa |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225542939 PECOS PAC ID: 6305106899 Enrollment ID: I20180131003078 |
Provider Name | Michael Geoghegan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699290924 PECOS PAC ID: 5698035145 Enrollment ID: I20180201002140 |
Provider Name | Jeaninne Blackwell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003144171 PECOS PAC ID: 8628254992 Enrollment ID: I20180309000834 |
Provider Name | Quinn Flatley |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1689966764 PECOS PAC ID: 0547566432 Enrollment ID: I20180402000114 |
Provider Name | Daryl E. Blaney |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1780095091 PECOS PAC ID: 6103045075 Enrollment ID: I20180605001158 |
Provider Name | Anas Hannoun |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1023437597 PECOS PAC ID: 9931406147 Enrollment ID: I20180606003075 |
Provider Name | Shana N Coshal |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1114338068 PECOS PAC ID: 0446508725 Enrollment ID: I20180802001023 |
Provider Name | Diana Paris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477987535 PECOS PAC ID: 0143459701 Enrollment ID: I20190416000269 |
Provider Name | Halevoor B Mahalingaiah |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1598830804 PECOS PAC ID: 1759289598 Enrollment ID: I20190617000445 |
Provider Name | Daniel Zariczny |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1215489984 PECOS PAC ID: 1759615081 Enrollment ID: I20191122001511 |
Provider Name | Zachary Joseph Langevin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588205496 PECOS PAC ID: 6800220195 Enrollment ID: I20191219000320 |
Provider Name | Darlene Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689641755 PECOS PAC ID: 0345399671 Enrollment ID: I20201104002633 |
Provider Name | Audrey Usry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932588837 PECOS PAC ID: 1254741028 Enrollment ID: I20201105002005 |
Provider Name | Gabriel Sanchez |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1235525783 PECOS PAC ID: 4789917840 Enrollment ID: I20201110002630 |
Provider Name | Jeffrey M Brown |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1285082164 PECOS PAC ID: 7719223460 Enrollment ID: I20201123002369 |
Provider Name | Paul O'keefe |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1730229741 PECOS PAC ID: 2466344692 Enrollment ID: I20210504001127 |
Provider Name | Nadine Rousseau |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710563887 PECOS PAC ID: 2769884501 Enrollment ID: I20210715002570 |
Provider Name | Lindsey Rhoden |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1972950921 PECOS PAC ID: 9931492436 Enrollment ID: I20210920001802 |
Provider Name | Lili Kelly |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1548488570 PECOS PAC ID: 1052419108 Enrollment ID: I20220114001687 |
Provider Name | Rebekah Mchoul |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124699848 PECOS PAC ID: 5092101386 Enrollment ID: I20220414000565 |
Provider Name | Mary Hoft |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992055503 PECOS PAC ID: 3476825480 Enrollment ID: I20220425000789 |
Provider Name | Chizoba Ndah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780332478 PECOS PAC ID: 9335527555 Enrollment ID: I20220531002304 |
Provider Name | Olga O Kuznetsova |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1780179168 PECOS PAC ID: 0840535886 Enrollment ID: I20220620000575 |
Provider Name | Jillian Larissa Bradley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871110221 PECOS PAC ID: 2264812544 Enrollment ID: I20220705000144 |
Provider Name | Okechukwu Nnaemeka Uzoeshi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508538208 PECOS PAC ID: 5890177067 Enrollment ID: I20220804000923 |
Provider Name | Billy J Thornton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346691714 PECOS PAC ID: 2769778331 Enrollment ID: I20220808001269 |
Provider Name | Patricia Mcguire |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1730264292 PECOS PAC ID: 8325339252 Enrollment ID: I20220823001112 |
Provider Name | Mary Alice Gillingham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154817906 PECOS PAC ID: 5496093999 Enrollment ID: I20220824001797 |
Provider Name | Terrie H Allen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407109267 PECOS PAC ID: 7113170986 Enrollment ID: I20220915002709 |
Provider Name | Natasha J Fevry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619699634 PECOS PAC ID: 8628448792 Enrollment ID: I20230105002784 |
Provider Name | Patricia Varela |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639783780 PECOS PAC ID: 8729459961 Enrollment ID: I20230125002215 |
Provider Name | Cyril Sabin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467162024 PECOS PAC ID: 6507237740 Enrollment ID: I20230125002484 |
Provider Name | Amanda A Twait |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417197690 PECOS PAC ID: 5799831921 Enrollment ID: I20230125002664 |
Provider Name | Tatjana Dottin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649655184 PECOS PAC ID: 3476924697 Enrollment ID: I20230126002636 |
Provider Name | Bupe Martha Habiyambere |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154967099 PECOS PAC ID: 0345661575 Enrollment ID: I20230214000322 |
Provider Name | Adetutu Owolabi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164135570 PECOS PAC ID: 3577920081 Enrollment ID: I20230526001609 |
Provider Name | Primrose V Del Rosario |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720759863 PECOS PAC ID: 4284093147 Enrollment ID: I20231024002348 |
Provider Name | Julius Abam |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215537857 PECOS PAC ID: 0749653160 Enrollment ID: I20240423001217 |