| Cambridge Public Health Commission | |
|
1493 Cambridge St Cambridge MA 02139-1047 | |
| (617) 665-1000 | |
| Not Available |
| Full Name | Cambridge Public Health Commission |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 1493 Cambridge St, Cambridge, Massachusetts |
| Authorized Official Name and Position | Jill Batty (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7813380301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cambridge Public Health Commission 1493 Cambridge St Cambridge MA 02139-1047 Ph: (617) 665-1000 | Cambridge Public Health Commission 1493 Cambridge St Cambridge MA 02139-1047 Ph: (617) 665-1000 |
| NPI Number | 1487603585 |
|---|---|
| Provider Enumeration Date | 05/08/2006 |
| Last Update Date | 06/26/2026 |
| Certification Date | 06/26/2026 |
| Medicare PECOS PAC ID | 8921910894 |
|---|---|
| Medicare Enrollment ID | O20040121000364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487603585 | NPI | - | NPPES |
| 21290 | Other | BMC HEALTH NET | |
| 0007050 | Other | NEIGHBORHOOD HP | |
| 50-0010 | Other | EVERCARE | |
| 796704 | Other | NETWORK HEALTH PROVIDER | |
| 90334 | Other | HARVARD PILGRIM | |
| 62539 | Other | AETNA |
| Provider Name | Linda A Lombardi |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1467519702 PECOS PAC ID: 4981509007 Enrollment ID: I20031203000161 |
| Provider Name | Michael John Malone |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1285671479 PECOS PAC ID: 4385540863 Enrollment ID: I20031208000686 |
| Provider Name | Elizabeth Marcellino Boisvert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215035647 PECOS PAC ID: 1850290883 Enrollment ID: I20040108000127 |
| Provider Name | Kathleen A Silva |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215001466 PECOS PAC ID: 1456265396 Enrollment ID: I20040123000292 |
| Provider Name | Margaret Compher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710085717 PECOS PAC ID: 6608761887 Enrollment ID: I20040217000602 |
| Provider Name | Barbara K Vanzoeren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073619433 PECOS PAC ID: 1254222193 Enrollment ID: I20040322001014 |
| Provider Name | Olivia M Apollon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932289410 PECOS PAC ID: 8325030026 Enrollment ID: I20040401001101 |
| Provider Name | Matthew Leeds |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801953104 PECOS PAC ID: 2567459332 Enrollment ID: I20040426001418 |
| Provider Name | Igor Elman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548221559 PECOS PAC ID: 3173510039 Enrollment ID: I20040430000709 |
| Provider Name | Sara Kleinberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770640021 PECOS PAC ID: 0941298525 Enrollment ID: I20040503001377 |
| Provider Name | Gyorgy L Varai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639117070 PECOS PAC ID: 6608850920 Enrollment ID: I20040615000966 |
| Provider Name | Gloria Acosta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720151210 PECOS PAC ID: 6002886074 Enrollment ID: I20040728000008 |
| Provider Name | Jon Wesley Boyd |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932140258 PECOS PAC ID: 1557332921 Enrollment ID: I20040802000555 |
| Provider Name | George M Dominiak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023065299 PECOS PAC ID: 5799757266 Enrollment ID: I20040806000525 |
| Provider Name | Amy E Sobieszczyk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265506406 PECOS PAC ID: 9032182118 Enrollment ID: I20040817000634 |
| Provider Name | Rakesh Karmacharya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720078389 PECOS PAC ID: 5395710164 Enrollment ID: I20040826000866 |
| Provider Name | Victoria M Levi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336107960 PECOS PAC ID: 0244205458 Enrollment ID: I20040831001244 |
| Provider Name | Linda Hutton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477610962 PECOS PAC ID: 0143295055 Enrollment ID: I20040901001219 |
| Provider Name | Mary C Ward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396955290 PECOS PAC ID: 5294701397 Enrollment ID: I20040909000788 |
| Provider Name | Margaret Lanca |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366521627 PECOS PAC ID: 6709853005 Enrollment ID: I20040915001009 |
| Provider Name | Melissa G Coco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619032216 PECOS PAC ID: 4981672763 Enrollment ID: I20040920000726 |
| Provider Name | Phillip Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619032430 PECOS PAC ID: 1951362276 Enrollment ID: I20041020000975 |
| Provider Name | Adam C Conklin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831304948 PECOS PAC ID: 5698730869 Enrollment ID: I20041130000261 |
| Provider Name | Marina V Yaroshenko |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568443471 PECOS PAC ID: 8224096060 Enrollment ID: I20041228000255 |
| Provider Name | Astrid Desrosiers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033109582 PECOS PAC ID: 6305804998 Enrollment ID: I20041229000514 |
| Provider Name | Soledad C Vera |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699848929 PECOS PAC ID: 1759349012 Enrollment ID: I20050103000811 |
| Provider Name | Rebecca H Warner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770662546 PECOS PAC ID: 5698721322 Enrollment ID: I20050325000399 |
| Provider Name | Ramona Dvorak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386635589 PECOS PAC ID: 0446206734 Enrollment ID: I20050330000293 |
| Provider Name | Richard J Pels |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336288141 PECOS PAC ID: 8426004722 Enrollment ID: I20050330000316 |
| Provider Name | Robert Joseph |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104983659 PECOS PAC ID: 2466499595 Enrollment ID: I20050411000955 |
| Provider Name | Mark Albanese |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366475675 PECOS PAC ID: 1355388927 Enrollment ID: I20050414000856 |
| Provider Name | Norman I Zarsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972676369 PECOS PAC ID: 2365489879 Enrollment ID: I20050414001311 |
| Provider Name | Carline Jean Baptiste |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205882479 PECOS PAC ID: 3173561909 Enrollment ID: I20050421000478 |
| Provider Name | Elissa C Kleinman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679639769 PECOS PAC ID: 5092753574 Enrollment ID: I20050425000774 |
| Provider Name | Madeline Albert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326121666 PECOS PAC ID: 2860431566 Enrollment ID: I20050502001291 |
| Provider Name | Marshall Forstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063555423 PECOS PAC ID: 1355378878 Enrollment ID: I20050726000673 |
| Provider Name | Elizabeth I Malvey |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1427113638 PECOS PAC ID: 5092743856 Enrollment ID: I20050802000754 |
| Provider Name | Elio Carretta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063577252 PECOS PAC ID: 4385673631 Enrollment ID: I20050808000651 |
| Provider Name | Robin S Zachary |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215000609 PECOS PAC ID: 4183655863 Enrollment ID: I20050823000165 |
| Provider Name | Claudio Marcelo Demb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730174921 PECOS PAC ID: 3072544469 Enrollment ID: I20050825000477 |
| Provider Name | Sanjay Gulati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316910094 PECOS PAC ID: 7416989843 Enrollment ID: I20050907000541 |
| Provider Name | Nancy Hellman |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1720145394 PECOS PAC ID: 7416989413 Enrollment ID: I20050909000554 |
| Provider Name | Sangeeta Banerjee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285605907 PECOS PAC ID: 9032142427 Enrollment ID: I20050915000907 |
| Provider Name | Ana P Nava |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942344619 PECOS PAC ID: 3476586702 Enrollment ID: I20050916000021 |
| Provider Name | Jason B Strauss |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1326095795 PECOS PAC ID: 2466477104 Enrollment ID: I20051011001048 |
| Provider Name | Lior Givon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326103987 PECOS PAC ID: 5890789739 Enrollment ID: I20051017000675 |
| Provider Name | Jennifer L Heneberry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841374782 PECOS PAC ID: 4789600347 Enrollment ID: I20051022000037 |
| Provider Name | Emily Speagle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174732119 PECOS PAC ID: 9335169986 Enrollment ID: I20051129000261 |
| Provider Name | Kathleen M Hoey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104983683 PECOS PAC ID: 8729008958 Enrollment ID: I20051201000888 |
| Provider Name | Page Carter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215940051 PECOS PAC ID: 8921022518 Enrollment ID: I20060123000408 |
| Provider Name | Todd R Griswold |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457335598 PECOS PAC ID: 3072529114 Enrollment ID: I20060228000219 |
| Provider Name | Kim T Nghiem |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912967985 PECOS PAC ID: 7911917935 Enrollment ID: I20060504000271 |
| Provider Name | Esther F Kletter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629023049 PECOS PAC ID: 1557372844 Enrollment ID: I20060530000160 |
| Provider Name | Sanda S Aung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679564108 PECOS PAC ID: 2163435504 Enrollment ID: I20060801000195 |
| Provider Name | Carmen E Rojas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841236403 PECOS PAC ID: 5395748677 Enrollment ID: I20060808000095 |
| Provider Name | Elizabeth A Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306870480 PECOS PAC ID: 0244233476 Enrollment ID: I20060809000019 |
| Provider Name | Stephen L Pinals |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184720898 PECOS PAC ID: 1355348558 Enrollment ID: I20061101000164 |
| Provider Name | Robert B Gilman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194794768 PECOS PAC ID: 5991705477 Enrollment ID: I20070106000107 |
| Provider Name | Edgardo Trejo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386717627 PECOS PAC ID: 5890795959 Enrollment ID: I20070115000065 |
| Provider Name | Nicholas J Carson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770522443 PECOS PAC ID: 9436150786 Enrollment ID: I20070129000792 |
| Provider Name | Goldie A Eder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306912001 PECOS PAC ID: 8820191703 Enrollment ID: I20070314000117 |
| Provider Name | Joanna Piechniczek Buczek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225056245 PECOS PAC ID: 7416052287 Enrollment ID: I20070424000244 |
| Provider Name | Marshall L Reiner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760491773 PECOS PAC ID: 9436256971 Enrollment ID: I20070518000048 |
| Provider Name | Fida Hassan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235246802 PECOS PAC ID: 1759351869 Enrollment ID: I20071029000562 |
| Provider Name | James G Barrett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588850283 PECOS PAC ID: 2365539897 Enrollment ID: I20071031000439 |
| Provider Name | Marc A Spisto |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538147822 PECOS PAC ID: 4789760901 Enrollment ID: I20080327000408 |
| Provider Name | Melanie Adem |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992832323 PECOS PAC ID: 5496824336 Enrollment ID: I20080519000735 |
| Provider Name | John Giragos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639272818 PECOS PAC ID: 3577632157 Enrollment ID: I20080522000149 |
| Provider Name | Diya J Kallivayalil |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275754863 PECOS PAC ID: 0749357705 Enrollment ID: I20080917000705 |
| Provider Name | Laura Gaugh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780759613 PECOS PAC ID: 3476612011 Enrollment ID: I20081111000478 |
| Provider Name | Peter Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417036864 PECOS PAC ID: 9436210135 Enrollment ID: I20081212000083 |
| Provider Name | Ariel D Otero |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295953867 PECOS PAC ID: 5698837748 Enrollment ID: I20081223000676 |
| Provider Name | Laura Baltzell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093888497 PECOS PAC ID: 5294892899 Enrollment ID: I20090326000243 |
| Provider Name | Simon M W Lejeune |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821035403 PECOS PAC ID: 1759438476 Enrollment ID: I20090416000107 |
| Provider Name | Laura M Warren |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578572780 PECOS PAC ID: 3173677986 Enrollment ID: I20090813000218 |
| Provider Name | Zinah S Abukhalil Quinonez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376662627 PECOS PAC ID: 4789730631 Enrollment ID: I20090918000229 |
| Provider Name | Murtuza Vali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366515009 PECOS PAC ID: 1658427422 Enrollment ID: I20090919000018 |
| Provider Name | Deborah B Kulick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578641171 PECOS PAC ID: 5597801811 Enrollment ID: I20090930000114 |
| Provider Name | William L Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952466740 PECOS PAC ID: 6709921398 Enrollment ID: I20100308000251 |
| Provider Name | Xenia J Johnson Bhembe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831256379 PECOS PAC ID: 6305976697 Enrollment ID: I20100614000019 |
| Provider Name | Debra Rosenblum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255448841 PECOS PAC ID: 3678753944 Enrollment ID: I20110204000070 |
| Provider Name | James A Lech |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245397819 PECOS PAC ID: 6608056635 Enrollment ID: I20110209000134 |
| Provider Name | Ruth A Barron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649340712 PECOS PAC ID: 9739369331 Enrollment ID: I20110215000432 |
| Provider Name | Michelle Heller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386657401 PECOS PAC ID: 9931380219 Enrollment ID: I20110218000758 |
| Provider Name | Stuart E Beck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629141924 PECOS PAC ID: 7214118868 Enrollment ID: I20110302000206 |
| Provider Name | Maria D Arcia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912172040 PECOS PAC ID: 5395921076 Enrollment ID: I20110513000215 |
| Provider Name | Amy M Mayhew |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831336064 PECOS PAC ID: 7810174422 Enrollment ID: I20110608000459 |
| Provider Name | Sharon M Haight Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932312030 PECOS PAC ID: 2163602640 Enrollment ID: I20111029000001 |
| Provider Name | Larisa A Kouperschmidt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336442888 PECOS PAC ID: 2163697194 Enrollment ID: I20111202000384 |
| Provider Name | Alexis L Freedberg |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1336307065 PECOS PAC ID: 6709043326 Enrollment ID: I20120208000845 |
| Provider Name | Silvia S Halperin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679630230 PECOS PAC ID: 1850559386 Enrollment ID: I20120229000786 |
| Provider Name | Margaret Fox |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457423139 PECOS PAC ID: 9335309624 Enrollment ID: I20120323000189 |
| Provider Name | Regina Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669543054 PECOS PAC ID: 2466612791 Enrollment ID: I20120323000605 |
| Provider Name | Michael C Arena |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093976649 PECOS PAC ID: 9436310901 Enrollment ID: I20120410000023 |
| Provider Name | Cindy Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326178344 PECOS PAC ID: 9739341686 Enrollment ID: I20120510000294 |
| Provider Name | Bradford Lewis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588827430 PECOS PAC ID: 0042477432 Enrollment ID: I20120625000625 |
| Provider Name | Malak S Rafla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952625105 PECOS PAC ID: 8325296775 Enrollment ID: I20120910000844 |
| Provider Name | Hsiang S Huang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649386111 PECOS PAC ID: 9931394772 Enrollment ID: I20121009000699 |
| Provider Name | Hon L Ho |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417151127 PECOS PAC ID: 1557511987 Enrollment ID: I20121022000173 |
| Provider Name | Wendy L Reiser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912224346 PECOS PAC ID: 6800047697 Enrollment ID: I20121102000196 |
| Provider Name | Edilia Gomes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992860571 PECOS PAC ID: 6507891173 Enrollment ID: I20130418000485 |
| Provider Name | Catline Jacques |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760703391 PECOS PAC ID: 8022250893 Enrollment ID: I20130807000035 |
| Provider Name | Gaurab Basu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538488812 PECOS PAC ID: 9032352398 Enrollment ID: I20130905000576 |
| Provider Name | Jeffrey Eisen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326280223 PECOS PAC ID: 1951545177 Enrollment ID: I20130910000176 |
| Provider Name | Sarah Stoddard Gunn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518236579 PECOS PAC ID: 8224272133 Enrollment ID: I20130916000450 |
| Provider Name | Zev Schuman-olivier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104952498 PECOS PAC ID: 0941435283 Enrollment ID: I20131023000093 |
| Provider Name | Rebecca A Worrall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003989401 PECOS PAC ID: 3678703105 Enrollment ID: I20140303001235 |
| Provider Name | Richard A. Klaich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528289741 PECOS PAC ID: 4486887619 Enrollment ID: I20140423002121 |
| Provider Name | Fredrick F Crow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609019876 PECOS PAC ID: 3375781271 Enrollment ID: I20140805002166 |
| Provider Name | Kathryn J Tompkins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427360395 PECOS PAC ID: 2668631169 Enrollment ID: I20140807002429 |
| Provider Name | Vikram Kambampati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336352624 PECOS PAC ID: 9335227586 Enrollment ID: I20141110000033 |
| Provider Name | Rebecca L Peak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376771055 PECOS PAC ID: 3678897154 Enrollment ID: I20150112001576 |
| Provider Name | Mary K Wilber |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1649407388 PECOS PAC ID: 1557687001 Enrollment ID: I20150228000041 |
| Provider Name | Alfred S Margulies |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427195767 PECOS PAC ID: 6002128956 Enrollment ID: I20150707000043 |
| Provider Name | Jamila Harris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801195334 PECOS PAC ID: 6002121100 Enrollment ID: I20150819007003 |
| Provider Name | Amber Frank |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720220601 PECOS PAC ID: 4284874710 Enrollment ID: I20151016001950 |
| Provider Name | Kira M Glassman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043569080 PECOS PAC ID: 4789994609 Enrollment ID: I20151105001048 |
| Provider Name | Kathylene Southard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316373715 PECOS PAC ID: 9830409499 Enrollment ID: I20151110002924 |
| Provider Name | Louis Ostrowsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306135082 PECOS PAC ID: 4880994128 Enrollment ID: I20151118002048 |
| Provider Name | Rachel S Kester |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013216712 PECOS PAC ID: 3678873452 Enrollment ID: I20151201000427 |
| Provider Name | Kathleen R Thelen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053645937 PECOS PAC ID: 5597068114 Enrollment ID: I20160114001646 |
| Provider Name | Leah Soumerai |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679855589 PECOS PAC ID: 4183928245 Enrollment ID: I20160210000725 |
| Provider Name | Marcela Horvitz-lennon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528189073 PECOS PAC ID: 9335186147 Enrollment ID: I20160210001772 |
| Provider Name | Melissa Cranston-bates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104109099 PECOS PAC ID: 2860799665 Enrollment ID: I20160322001715 |
| Provider Name | Alaine K Fredericksen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073892139 PECOS PAC ID: 2769780618 Enrollment ID: I20160411001026 |
| Provider Name | Kate Zona |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508202789 PECOS PAC ID: 9234421207 Enrollment ID: I20160712001783 |
| Provider Name | Rajendra Aldis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386968972 PECOS PAC ID: 4284922451 Enrollment ID: I20161004002614 |
| Provider Name | Solomon J Adelsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023350931 PECOS PAC ID: 8325342181 Enrollment ID: I20161208001478 |
| Provider Name | Hanna Soumerai |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245585660 PECOS PAC ID: 9739460411 Enrollment ID: I20170112000261 |
| Provider Name | Aviva Katz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912443763 PECOS PAC ID: 1951684695 Enrollment ID: I20170203000921 |
| Provider Name | Kevin Andrew Coughlin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750727749 PECOS PAC ID: 9133361421 Enrollment ID: I20170224000293 |
| Provider Name | Kathryn Litwak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396067625 PECOS PAC ID: 9739464389 Enrollment ID: I20170321002573 |
| Provider Name | Brian Orr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992081814 PECOS PAC ID: 7214214121 Enrollment ID: I20170502001785 |
| Provider Name | Marcela D Almeida |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306013065 PECOS PAC ID: 5890833792 Enrollment ID: I20170510000842 |
| Provider Name | Meredith Gansner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659613008 PECOS PAC ID: 3971871252 Enrollment ID: I20170608002000 |
| Provider Name | Justin J Lacasse |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184066219 PECOS PAC ID: 7517256308 Enrollment ID: I20170804000525 |
| Provider Name | Rebecca L Drill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639234248 PECOS PAC ID: 5092086959 Enrollment ID: I20170810002595 |
| Provider Name | Karthik S Sivashanker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912140054 PECOS PAC ID: 0547496507 Enrollment ID: I20170830002203 |
| Provider Name | Camila Azuero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235367491 PECOS PAC ID: 7416223326 Enrollment ID: I20171020001532 |
| Provider Name | Priya Sehgal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316203409 PECOS PAC ID: 9234432006 Enrollment ID: I20180209001793 |
| Provider Name | Jessica Marie Lewczyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205249745 PECOS PAC ID: 6608136577 Enrollment ID: I20180214002240 |
| Provider Name | Pooja Niranjan Dave |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033631643 PECOS PAC ID: 4385905132 Enrollment ID: I20180219002325 |
| Provider Name | Shawn Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013143536 PECOS PAC ID: 9931462793 Enrollment ID: I20180410001469 |
| Provider Name | Jonathan P Deweese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497206817 PECOS PAC ID: 0244593853 Enrollment ID: I20180412002827 |
| Provider Name | Matthew Ewen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104234897 PECOS PAC ID: 1658636329 Enrollment ID: I20180530000489 |
| Provider Name | Scott M Yapo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407199565 PECOS PAC ID: 3870896681 Enrollment ID: I20180531000517 |
| Provider Name | Clara Hungr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356839377 PECOS PAC ID: 9931456266 Enrollment ID: I20180718001577 |
| Provider Name | Edward Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205348752 PECOS PAC ID: 8123375334 Enrollment ID: I20180719000401 |
| Provider Name | Francisco I Surace |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518347962 PECOS PAC ID: 3476802034 Enrollment ID: I20180815003337 |
| Provider Name | Ekta Taneja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013335553 PECOS PAC ID: 1052614815 Enrollment ID: I20180904002244 |
| Provider Name | Julia Fomicheva |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992015275 PECOS PAC ID: 4981954203 Enrollment ID: I20180907001835 |
| Provider Name | Emily Wilner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801081443 PECOS PAC ID: 1355572124 Enrollment ID: I20180911000894 |
| Provider Name | Laura E Cotton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417189366 PECOS PAC ID: 6507117488 Enrollment ID: I20180918000318 |
| Provider Name | Alexandra Landman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114338233 PECOS PAC ID: 9436400736 Enrollment ID: I20180926001266 |
| Provider Name | Sana Sheikh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225431075 PECOS PAC ID: 3274877584 Enrollment ID: I20181127002080 |
| Provider Name | Victoria Ross Hasler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184110652 PECOS PAC ID: 0345585394 Enrollment ID: I20181219000395 |
| Provider Name | Josephine A Bell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114281276 PECOS PAC ID: 1254678006 Enrollment ID: I20190131003179 |
| Provider Name | Astrea Greig |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346657384 PECOS PAC ID: 0446598890 Enrollment ID: I20190211002966 |
| Provider Name | Margaret Danielle Weiss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437504479 PECOS PAC ID: 7618266354 Enrollment ID: I20190320001253 |
| Provider Name | Janicia Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588975387 PECOS PAC ID: 4981891942 Enrollment ID: I20190517000354 |
| Provider Name | Alison Samantha Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821200155 PECOS PAC ID: 5193068666 Enrollment ID: I20190524000761 |
| Provider Name | Jason Samlin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689029803 PECOS PAC ID: 6103159900 Enrollment ID: I20190611000794 |
| Provider Name | Daniel Gonzalez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932527470 PECOS PAC ID: 4284937046 Enrollment ID: I20190709002022 |
| Provider Name | Romy Nehme |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871907576 PECOS PAC ID: 8628369444 Enrollment ID: I20190725001528 |
| Provider Name | Menatalla Ads |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548637572 PECOS PAC ID: 9638405863 Enrollment ID: I20190725003369 |
| Provider Name | Michael Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467938266 PECOS PAC ID: 8426385527 Enrollment ID: I20190813001085 |
| Provider Name | Mari Elizabeth Yamamoto |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649529496 PECOS PAC ID: 5092077982 Enrollment ID: I20190904001510 |
| Provider Name | Jessica Rea Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285994160 PECOS PAC ID: 0547592545 Enrollment ID: I20191024000133 |
| Provider Name | Lynn Eleano Delisi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487836011 PECOS PAC ID: 9638501406 Enrollment ID: I20191115001778 |
| Provider Name | Christina M Luberto |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407261381 PECOS PAC ID: 7618300856 Enrollment ID: I20191203000263 |
| Provider Name | Ana Schreck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710355268 PECOS PAC ID: 5799118345 Enrollment ID: I20191212000763 |
| Provider Name | Jubin Karimi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659781573 PECOS PAC ID: 2062786106 Enrollment ID: I20200107000632 |
| Provider Name | Julie P. Dunne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023426640 PECOS PAC ID: 0042646663 Enrollment ID: I20200130000832 |
| Provider Name | Irina Livitz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568950335 PECOS PAC ID: 5597191155 Enrollment ID: I20200130002163 |
| Provider Name | David Nguyen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891341293 PECOS PAC ID: 8729414388 Enrollment ID: I20200130002358 |
| Provider Name | Rachel Conrad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225424583 PECOS PAC ID: 5496181992 Enrollment ID: I20200131001219 |
| Provider Name | Marla Ann Ohanesian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972802353 PECOS PAC ID: 6800224783 Enrollment ID: I20200309001725 |
| Provider Name | Ineida Barros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417418336 PECOS PAC ID: 2668800145 Enrollment ID: I20200316001983 |
| Provider Name | Stephanie M Fosbenner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255794699 PECOS PAC ID: 3375832397 Enrollment ID: I20200324001397 |
| Provider Name | Nadia Olivia Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962794370 PECOS PAC ID: 6406273259 Enrollment ID: I20200825003603 |
| Provider Name | Eileen Huttlin Kirtane |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154784098 PECOS PAC ID: 1557780020 Enrollment ID: I20201001003018 |
| Provider Name | Eleanor Castine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396240305 PECOS PAC ID: 7113337494 Enrollment ID: I20201028001874 |
| Provider Name | Yangchen Tenzin Gethoktsang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649888702 PECOS PAC ID: 3971913963 Enrollment ID: I20201103000597 |
| Provider Name | Laura Vanwort-meng |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083233514 PECOS PAC ID: 7416360003 Enrollment ID: I20201228000673 |
| Provider Name | Kimberly Erin Lemkin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316325145 PECOS PAC ID: 5799074720 Enrollment ID: I20210127001603 |
| Provider Name | Jean Daniel Mesquita Mello |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053763730 PECOS PAC ID: 0345671467 Enrollment ID: I20210128003164 |
| Provider Name | Sierra Black |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891242376 PECOS PAC ID: 8921413261 Enrollment ID: I20210218000377 |
| Provider Name | Azeesat Babajide |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568759413 PECOS PAC ID: 7416217492 Enrollment ID: I20210218000572 |
| Provider Name | Alexis Chavis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659590966 PECOS PAC ID: 5193156883 Enrollment ID: I20210219002086 |
| Provider Name | Stephanie Cohen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366805996 PECOS PAC ID: 5890107114 Enrollment ID: I20210311001865 |
| Provider Name | Lisa Rosenfeld |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205287117 PECOS PAC ID: 2769779438 Enrollment ID: I20210316000700 |
| Provider Name | Ellen Feely |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497130827 PECOS PAC ID: 9638585615 Enrollment ID: I20210317002145 |
| Provider Name | Patricia Ann Ann Green Cameron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689209397 PECOS PAC ID: 9638587348 Enrollment ID: I20210419001759 |
| Provider Name | Lauren Tollack |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922461326 PECOS PAC ID: 5193133411 Enrollment ID: I20210426001297 |
| Provider Name | Southey Saul |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083240238 PECOS PAC ID: 8123437142 Enrollment ID: I20210504001071 |
| Provider Name | Joshua Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013387273 PECOS PAC ID: 7416368071 Enrollment ID: I20210510001200 |
| Provider Name | Brooke Schober |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962998245 PECOS PAC ID: 5395144323 Enrollment ID: I20210525001528 |
| Provider Name | Lily Chan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609308956 PECOS PAC ID: 7315214814 Enrollment ID: I20210609002045 |
| Provider Name | Austin Greenhaw |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760913453 PECOS PAC ID: 7315347291 Enrollment ID: I20210615000733 |
| Provider Name | Audrey Dimauro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871941039 PECOS PAC ID: 4082900980 Enrollment ID: I20210713003538 |
| Provider Name | Adhithi Rajan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518322908 PECOS PAC ID: 0941604557 Enrollment ID: I20210804001623 |
| Provider Name | Rachad Rayess |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629248091 PECOS PAC ID: 9335264258 Enrollment ID: I20210816003412 |
| Provider Name | Kelsey E Yacura |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487247615 PECOS PAC ID: 1052716909 Enrollment ID: I20210816003707 |
| Provider Name | Luciana M Quintanilha |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871011429 PECOS PAC ID: 0042615726 Enrollment ID: I20210818001448 |
| Provider Name | Judith Frank |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679094015 PECOS PAC ID: 2163828724 Enrollment ID: I20210907001441 |
| Provider Name | Marie Eustache |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457922908 PECOS PAC ID: 8729485123 Enrollment ID: I20210928002640 |
| Provider Name | Allison Nussbaum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316309545 PECOS PAC ID: 6204128978 Enrollment ID: I20210929001270 |
| Provider Name | William T Schleyer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598175150 PECOS PAC ID: 0143510198 Enrollment ID: I20211110002285 |
| Provider Name | Esther Cazeau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972080893 PECOS PAC ID: 0143610535 Enrollment ID: I20211129000444 |
| Provider Name | Veronica Ann Faller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134659360 PECOS PAC ID: 0143593368 Enrollment ID: I20211210001933 |
| Provider Name | Teresa Barbosa Rodrigues Protasio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437631389 PECOS PAC ID: 8123419231 Enrollment ID: I20211228002130 |
| Provider Name | Jennifer A Schonberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992283030 PECOS PAC ID: 7315339082 Enrollment ID: I20220110002230 |
| Provider Name | Ronald James Frost |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184050700 PECOS PAC ID: 2961894373 Enrollment ID: I20220115000039 |
| Provider Name | Carlos Eduardo Guzman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245553726 PECOS PAC ID: 9638561822 Enrollment ID: I20220120001346 |
| Provider Name | Kathryn Higgins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396390910 PECOS PAC ID: 3971995739 Enrollment ID: I20220128000511 |
| Provider Name | Mikaela Noelle Coger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083194799 PECOS PAC ID: 3870987688 Enrollment ID: I20220221001890 |
| Provider Name | Timothy J Shea |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518457753 PECOS PAC ID: 7416208657 Enrollment ID: I20220622000380 |
| Provider Name | Lovester Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497298079 PECOS PAC ID: 0941689939 Enrollment ID: I20220622001103 |
| Provider Name | David Dayan-rosenman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992083885 PECOS PAC ID: 4385940113 Enrollment ID: I20220628002111 |
| Provider Name | Peter Theodosis Daniolos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316037682 PECOS PAC ID: 0840487096 Enrollment ID: I20220721002144 |
| Provider Name | Andrew S Hyatt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487158176 PECOS PAC ID: 6608124870 Enrollment ID: I20220730000125 |
| Provider Name | Saneliso Masuku |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508251984 PECOS PAC ID: 8729462478 Enrollment ID: I20220830003824 |
| Provider Name | Anissa Ali |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194008789 PECOS PAC ID: 1557745916 Enrollment ID: I20220902000433 |
| Provider Name | Carla Merlos Chindongo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760809685 PECOS PAC ID: 2860876232 Enrollment ID: I20220902001140 |
| Provider Name | Stephen L Pinals |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1184720898 PECOS PAC ID: 1355348558 Enrollment ID: I20221006002577 |
| Provider Name | Swathi Damodaran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164885794 PECOS PAC ID: 6204204829 Enrollment ID: I20221201001544 |
| Provider Name | Erika A Pruett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376172353 PECOS PAC ID: 9032588587 Enrollment ID: I20221206001275 |
| Provider Name | Natalia Bracamonte Moreno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922482918 PECOS PAC ID: 3678942133 Enrollment ID: I20221206001731 |
| Provider Name | Marissa Caan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093219669 PECOS PAC ID: 6406104678 Enrollment ID: I20221212002206 |
| Provider Name | Ingrid Sarmiento |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285884205 PECOS PAC ID: 3476924077 Enrollment ID: I20230118001548 |
| Provider Name | Bupe Martha Habiyambere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154967099 PECOS PAC ID: 0345661575 Enrollment ID: I20230214000322 |
| Provider Name | Jana Desimone Wozniak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336814169 PECOS PAC ID: 7214300086 Enrollment ID: I20230224001842 |
| Provider Name | Gabriella Guillette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205551678 PECOS PAC ID: 0547633612 Enrollment ID: I20230310002081 |
| Provider Name | Jessika Susan Scogland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063077808 PECOS PAC ID: 5395110589 Enrollment ID: I20230330002262 |
| Provider Name | Amanda Sousa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548877087 PECOS PAC ID: 5991161564 Enrollment ID: I20230524001642 |
| Provider Name | Jeremy Kasparian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801588637 PECOS PAC ID: 5496112385 Enrollment ID: I20230608000873 |
| Provider Name | Di Xun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245647841 PECOS PAC ID: 4880975861 Enrollment ID: I20230622002672 |
| Provider Name | Christopher David |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508362849 PECOS PAC ID: 5597168310 Enrollment ID: I20230630000695 |
| Provider Name | Fayola Fears |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740841287 PECOS PAC ID: 9032445051 Enrollment ID: I20230705003244 |
| Provider Name | Obinna Ikechukwu Ekekezie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386104909 PECOS PAC ID: 2365804697 Enrollment ID: I20230817001927 |
| Provider Name | Alair Newman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144725086 PECOS PAC ID: 6103175187 Enrollment ID: I20230906002162 |
| Provider Name | Mariko Shimizu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750813861 PECOS PAC ID: 7618241324 Enrollment ID: I20230907000574 |
| Provider Name | James David Phillion |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821643883 PECOS PAC ID: 9638533532 Enrollment ID: I20230911003749 |
| Provider Name | Anne Daly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295362135 PECOS PAC ID: 5294199873 Enrollment ID: I20230914003724 |
| Provider Name | Hjalmar Manuel Zambrana Bonaparte |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265148597 PECOS PAC ID: 3476907452 Enrollment ID: I20230925002379 |
| Provider Name | Sarah Sanders |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598225286 PECOS PAC ID: 7416283098 Enrollment ID: I20231019001291 |
| Provider Name | Kaveh Ghaedi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235576224 PECOS PAC ID: 5395768584 Enrollment ID: I20231026001571 |
| Provider Name | Elizabeth Eber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093811010 PECOS PAC ID: 2163509274 Enrollment ID: I20231107001711 |
| Provider Name | Rahil A Rojiani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720548589 PECOS PAC ID: 9436485794 Enrollment ID: I20231107002162 |
| Provider Name | Annet Namujju Bukulu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750905410 PECOS PAC ID: 3476903311 Enrollment ID: I20231219001389 |
| Provider Name | Jackie Zziwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225502768 PECOS PAC ID: 1759619893 Enrollment ID: I20240109001671 |
| Provider Name | Caroline Marchetta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437606365 PECOS PAC ID: 1850743865 Enrollment ID: I20240116000802 |
| Provider Name | Adriane Jakell Meadows |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477040442 PECOS PAC ID: 2961746060 Enrollment ID: I20240131002582 |
| Provider Name | Rebecca Kan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457939720 PECOS PAC ID: 9133566797 Enrollment ID: I20240319002674 |
| Provider Name | Tina Wu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588168249 PECOS PAC ID: 2769738699 Enrollment ID: I20240402001872 |
| Provider Name | Jennifer Stinson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598198590 PECOS PAC ID: 8527366269 Enrollment ID: I20240411002613 |
| Provider Name | Gabriel Felix |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275093866 PECOS PAC ID: 0345576922 Enrollment ID: I20240513002920 |
| Provider Name | Kelli Baldrick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609092105 PECOS PAC ID: 5991833113 Enrollment ID: I20240517001121 |
| Provider Name | Katherine H Sbay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942465257 PECOS PAC ID: 4587712070 Enrollment ID: I20240524000126 |
| Provider Name | Sarah Jane Berman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336776764 PECOS PAC ID: 6507275583 Enrollment ID: I20240528000731 |
| Provider Name | Allison Cerise Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255768685 PECOS PAC ID: 4385186386 Enrollment ID: I20240605003128 |
| Provider Name | Ari Pehkonen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538647151 PECOS PAC ID: 3577005594 Enrollment ID: I20240605004046 |
| Provider Name | Liliana Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396113254 PECOS PAC ID: 0749543403 Enrollment ID: I20240607000310 |
| Provider Name | Emily Malavenda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114486123 PECOS PAC ID: 3971831298 Enrollment ID: I20240618001449 |
| Provider Name | Whittney Danielle Wiley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770110181 PECOS PAC ID: 6608293865 Enrollment ID: I20240723001871 |
| Provider Name | Adam Bazari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548896541 PECOS PAC ID: 7416364872 Enrollment ID: I20240725000278 |
| Provider Name | Elizabeth Musaev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538864269 PECOS PAC ID: 5597128827 Enrollment ID: I20240726000037 |
| Provider Name | Han Yue |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639638430 PECOS PAC ID: 5597091991 Enrollment ID: I20240807002883 |
| Provider Name | Bridget Twomey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821504275 PECOS PAC ID: 7012454085 Enrollment ID: I20240808000566 |
| Provider Name | Samuel Joseph Mcmillen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578199436 PECOS PAC ID: 5890233142 Enrollment ID: I20240816003493 |
| Provider Name | Maria Alejandra Foglia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316680598 PECOS PAC ID: 3779024682 Enrollment ID: I20240919000265 |
| Provider Name | Margaret Ann Iaccarino |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770149254 PECOS PAC ID: 6103357330 Enrollment ID: I20240930000714 |
| Provider Name | Jessica Michael Irihapeti Stubbing |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306606108 PECOS PAC ID: 2264963230 Enrollment ID: I20241001002492 |
| Provider Name | Jacqueline M Buchanan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619471760 PECOS PAC ID: 1557619715 Enrollment ID: I20241007003937 |
| Provider Name | Haley Anna Euting |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598225666 PECOS PAC ID: 2668706441 Enrollment ID: I20241009001946 |
| Provider Name | Yveton Isnor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174264766 PECOS PAC ID: 7517499056 Enrollment ID: I20241022002204 |
| Provider Name | B Payson Croy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114692043 PECOS PAC ID: 9436683042 Enrollment ID: I20241105001758 |
| Provider Name | Nehemie Jones-swaby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932754405 PECOS PAC ID: 5395270888 Enrollment ID: I20241120003224 |
| Provider Name | Melina Heroux |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891420022 PECOS PAC ID: 8527593771 Enrollment ID: I20241125001170 |
| Provider Name | Andrew Jian-bing Chin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366823163 PECOS PAC ID: 6901333723 Enrollment ID: I20241218001010 |
| Provider Name | Cydney Parker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831161025 PECOS PAC ID: 2264400894 Enrollment ID: I20241230000903 |
| Provider Name | Katlyn Kovacs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558002980 PECOS PAC ID: 7618405408 Enrollment ID: I20250107002545 |
| Provider Name | Samantha Mosher Galster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255905063 PECOS PAC ID: 1759810666 Enrollment ID: I20250122001578 |
| Provider Name | Shuzi Meng |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588432702 PECOS PAC ID: 9335678267 Enrollment ID: I20250122002700 |
| Provider Name | Sarah M Hagan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235770264 PECOS PAC ID: 0547799371 Enrollment ID: I20250123003245 |
| Provider Name | Kary Daviela Suazo Baez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992282255 PECOS PAC ID: 3375072127 Enrollment ID: I20250124000143 |
| Provider Name | Linda Beyley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568892628 PECOS PAC ID: 8123372786 Enrollment ID: I20250131000361 |
| Provider Name | Laura Elizabeth Corell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427689298 PECOS PAC ID: 6002346137 Enrollment ID: I20250205000686 |
| Provider Name | Vanessa Claire Warshaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053042622 PECOS PAC ID: 5193255123 Enrollment ID: I20250206000938 |
| Provider Name | Joseph Rosansky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164917381 PECOS PAC ID: 8022548940 Enrollment ID: I20250207000834 |
| Provider Name | Olatunji Anthony Osineye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891420071 PECOS PAC ID: 5698205524 Enrollment ID: I20250207000981 |
| Provider Name | Sonja Louise Edwards-sylvester |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972094571 PECOS PAC ID: 9739619552 Enrollment ID: I20250210001408 |
| Provider Name | Maria Carolina Izquiel Bermudez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467000141 PECOS PAC ID: 7113457888 Enrollment ID: I20250211000581 |
| Provider Name | Sarah Carbone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134996374 PECOS PAC ID: 6608306394 Enrollment ID: I20250211001331 |
| Provider Name | Ana Maria Santos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063025229 PECOS PAC ID: 4284164724 Enrollment ID: I20250212002721 |
| Provider Name | Drew E Madore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770164741 PECOS PAC ID: 8123549227 Enrollment ID: I20250305002667 |
| Provider Name | David R Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134326812 PECOS PAC ID: 9739600651 Enrollment ID: I20250307003144 |
| Provider Name | Linda Tran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245885359 PECOS PAC ID: 0941722482 Enrollment ID: I20250313002768 |
| Provider Name | Netanya Lebach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982335113 PECOS PAC ID: 8123540259 Enrollment ID: I20250319000096 |
| Provider Name | Seth L Nyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730792417 PECOS PAC ID: 3173045911 Enrollment ID: I20250320003036 |
| Provider Name | Esther Hwi-young Kim |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801660972 PECOS PAC ID: 4880117464 Enrollment ID: I20250325002523 |
| Provider Name | Lee Milne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972278059 PECOS PAC ID: 6608399399 Enrollment ID: I20250403000728 |
| Provider Name | Hannah G Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043718000 PECOS PAC ID: 1850815002 Enrollment ID: I20250409000670 |
| Provider Name | Kevin Salomon Salazar Barrera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336946110 PECOS PAC ID: 9739603895 Enrollment ID: I20250410000439 |
| Provider Name | Molly Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306411442 PECOS PAC ID: 3577087667 Enrollment ID: I20250410001195 |
| Provider Name | Julia Hyman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144855420 PECOS PAC ID: 8729503172 Enrollment ID: I20250417001987 |
| Provider Name | Hyoseon Hardt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417331174 PECOS PAC ID: 6507381431 Enrollment ID: I20250423001304 |
| Provider Name | Becca Wolfson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437405974 PECOS PAC ID: 5294251013 Enrollment ID: I20250424002285 |
| Provider Name | Heidi Rachel Lopez-romero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942054234 PECOS PAC ID: 2365968070 Enrollment ID: I20250425000570 |
| Provider Name | Caroline H Rosa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508483017 PECOS PAC ID: 4789101130 Enrollment ID: I20250508001638 |
| Provider Name | Abigail Kagan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598420564 PECOS PAC ID: 9133638174 Enrollment ID: I20250602002634 |
Center For Family Connection Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 Cambridge St, Cambridge, MA 02141 Phone: 617-547-0909 Fax: 617-497-5952 | |
Nora Ilniczky, Ph.d., Psychotherapy And Wellbeing, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1158 Massachusetts Ave, Suite #307, Cambridge, MA 02138 Phone: 617-894-0055 | |
President & Fellows Of Harvard College Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 Mount Auburn St, Harvard University Health Services, Cambridge, MA 02138 Phone: 617-495-2323 Fax: 617-495-2327 | |
Iodice Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 Massachusetts Ave Ste 4, Cambridge, MA 02140 Phone: 774-836-0761 | |
Central Square Mental Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 675 Massachusetts Ave Ste 12, Cambridge, MA 02139 Phone: 978-843-0600 | |
Woven Psychotherapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 Harvey St, Cambridge, MA 02140 Phone: 617-480-4072 | |
Highland Psychological Associates, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 875 Massachusetts Ave, Suite 71, Cambridge, MA 02139 Phone: 857-600-0875 |