MEDITELECARE OF MASSACHUSETTS, PLLC
Social Worker (Clinical)

Address: 84 State St, Boston, MA 02109-2202

MEDITELECARE OF MASSACHUSETTS, PLLC (NPI# 1003496506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003496506
Entity Type Organization
Organization Name MEDITELECARE OF MASSACHUSETTS, PLLC
Practice Address 84 State St
Boston
MA 02109-2202
Practice Telephone 8607886404
Practice Fax Number 8608290495
Mailing Address Po Box 1595
Middletown
CT 06457-8095
Mailing Telephone 8607886404
Mailing Fax Number 8608290495
Certification Date 2021-04-09
Enumeration Date 2021-04-09
Last Update Date 2021-04-09
Authorized Official Telephone 8607886404
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
N 1041C0700X Social Worker
Specialization: Clinical
193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
193200000X MULTI-SPECIALTY GROUP Allopathic & Osteopathic Physicians
N 2084P0805X Psychiatry & Neurology
Specialization: Geriatric Psychiatry
193200000X MULTI-SPECIALTY GROUP Allopathic & Osteopathic Physicians
N 363L00000X Nurse Practitioner 193200000X MULTI-SPECIALTY GROUP Physician Assistants & Advanced Practice Nursing Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
193200000X MULTI-SPECIALTY GROUP Physician Assistants & Advanced Practice Nursing Providers
Y 103TC0700X Psychologist
Specialization: Clinical
193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers

Office Location

Street Address 84 STATE ST
City BOSTON
State MA
Zip Code 02109-2202

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932561289 Joanna Machain · Joanna Reiman Nurse Practitioner 84 State St, Suite 660, Boston, MA 02109-2202 2016-03-25
1851767206 Tal Katz Psychologist - Clinical 84 State St, Suite 660, Boston, MA 02109-2202 2015-08-19
1316272594 Lucineia Tancredo Nurse Practitioner - Family 84 State St, Suite 660, Boston, MA 02109-2202 2009-10-06
1053527028 Medoptions of Massachusetts LLC Psychologist - Clinical 84 State St, Suite 660, Boston, MA 02109-2202 2007-05-15
1134613185 Albert J Proia Nurse Practitioner 84 State St Ste 660, Boston, MA 02109 2018-06-21
1487125217 Erica Marie Hill Nurse Practitioner - Family 84 State St Ste 660, Boston, MA 02109-2200 2018-12-05
1508369166 Stephany Boafo Gyasi Nurse Practitioner - Family 84 State St Ste 660, Boston, MA 02109-2200 2018-03-09
1356883896 Deborah M. Moore Nurse Practitioner 84 State St Ste 660, Boston, MA 02109-2200 2016-11-15
1982062840 Yuan Jia Nurse Practitioner 84 State St Ste 660, Boston, MA 02109-2200 2016-02-08
1538455472 Kathleen Anne Burke Social Worker - Clinical 84 State St Ste 660, Boston, MA 02109-2200 2011-06-20
Find all providers in the same address

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1477167385 Hidden Gems Counseling LLC Clinic/Center - Mental Health (Including Community Mental Health Center) 6 Liberty Sq, Pmb 452, Boston, MA 02109 2020-09-08
1710596697 Boston Center for Health Psychology and Biofeedback, LLC Psychologist - Clinical 10 Post Office Sq., Ste 800 South, Boston, MA 02109 2020-07-27
1568925311 Robyn Kievit LLC Dietitian, Registered 112 Water Street Suite 203, Boston, MA 02109 2019-04-09
1023503786 Merissa Wright Behavior Technician 8 Faneuil Hall Marketplace, 3rd Floor, Boston, MA 02109 2018-06-26
1710584701 Elizabeth Ann Barth Dietitian, Registered 556 Commercial St Apt 1, Boston, MA 02109-1064 2020-10-03
1942788500 Kathleen Verni Social Worker - Clinical 2 Battery Wharf Unit 2310, Boston, MA 02109-1099 2018-08-04
1982239430 Catherine Dam Physician Assistant 357 Commercial St Apt 420, Boston, MA 02109-1236 2020-03-05
1265094122 Mass General Brigham Community Physicians Inc. · One Medical Internal Medicine 28 State St Ste 2860, Boston, MA 02109-1789 2019-07-01
1164007878 Medco Respiratory Instruments, Inc Durable Medical Equipment & Medical Supplies 75 State St Ste 100, Boston, MA 02109-1826 2021-03-15
1245874346 Casey Elizabeth Costello Health Educator 60 State St Ste 700, Boston, MA 02109-1894 2019-10-31
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013594480 Ellen Marie Parsons Psychologist - Clinical 900 Commonwealth Ave Ste 2, Boston, MA 02215-1200 2021-03-24
1043803885 Robert Michael Joseph Psychologist - Clinical 1597 Washington St Apt 402, Boston, MA 02118-1913 2021-02-12
1124614987 Dr Jodi Coochise LLC Psychologist - Clinical 399 Boylston St Ste 900a, Boston, MA 02116-3305 2020-12-16
1033725833 Max Brian Wu Psychologist - Clinical 112 Water St Ste 400, Boston, MA 02109-4211 2020-09-17
1992314330 Deborah Cohen Psychologist - Clinical 25 State St Fl 26, Boston, MA 02109-2700 2020-07-30
1710596697 Boston Center for Health Psychology and Biofeedback, LLC Psychologist - Clinical 10 Post Office Sq., Ste 800 South, Boston, MA 02109 2020-07-27
1275157497 Stephen Houran Behnke Psychologist - Clinical Massachusetts Mental Health Center, 75 Fenwood Road, Boston, MA 02111 2020-06-03
1619599594 Bozena Forbes Psychologist - Clinical 7 Clarkson St, Boston, MA 02125-2525 2020-05-13
1083235055 Yiling Zhang, Ph.d., LLC Psychologist - Clinical 185 Devonshire St Ste 701, Boston, MA 02110-1413 2020-04-30
1376189845 Nicholas Alexander Livingston Psychologist - Clinical 150 S Huntington Ave Rm B13-79, Boston, MA 02130-4817 2019-11-20
Find all providers in BOSTON

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City BOSTON
Zip Code 02109

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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