| Colony Care Inc | |
|
11 River St Wellesley MA 02481-2098 | |
| (781) 431-1177 | |
| (781) 431-1181 |
| Full Name | Colony Care Inc |
|---|---|
| Speciality | Counselor |
| Location | 11 River St, Wellesley, Massachusetts |
| Authorized Official Name and Position | Gregory A Serrao (PRESIDENT) |
| Authorized Official Contact | 7814311177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colony Care Inc 11 River St Wellesley MA 02481-2098 Ph: (781) 431-1177 | Colony Care Inc 11 River St Wellesley MA 02481-2098 Ph: (781) 431-1177 |
| NPI Number | 1720053408 |
|---|---|
| Provider Enumeration Date | 02/17/2006 |
| Last Update Date | 09/20/2023 |
| Certification Date | 09/20/2023 |
| Medicare PECOS PAC ID | 0042282055 |
|---|---|
| Medicare Enrollment ID | O20040810001192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720053408 | NPI | - | NPPES |
| 42304 | Other | MA | MAGELLAN |
| 732804 | Other | MA | TUFTS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Tracy Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053395616 PECOS PAC ID: 9032189733 Enrollment ID: I20040729000890 |
| Provider Name | Susan P Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487610168 PECOS PAC ID: 7517932528 Enrollment ID: I20040901000476 |
| Provider Name | Laura S Kinney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487629176 PECOS PAC ID: 7911922596 Enrollment ID: I20051012000950 |
| Provider Name | Mahmood Hussain Sharfi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154311611 PECOS PAC ID: 6901823897 Enrollment ID: I20051031000248 |
| Provider Name | Susan M Lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477572964 PECOS PAC ID: 6901820067 Enrollment ID: I20060117000720 |
| Provider Name | Elizabeth N Webb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205878436 PECOS PAC ID: 6608873831 Enrollment ID: I20061101000421 |
| Provider Name | Daniel L Jackson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992874234 PECOS PAC ID: 0446320220 Enrollment ID: I20080605000356 |
| Provider Name | Stacey M Mastromatteo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831421007 PECOS PAC ID: 8820127590 Enrollment ID: I20100519000402 |
| Provider Name | Jessica E Zieky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679723639 PECOS PAC ID: 4284758772 Enrollment ID: I20100907000406 |
| Provider Name | Marcia Winn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710061957 PECOS PAC ID: 5597663203 Enrollment ID: I20120228000617 |
| Provider Name | Celestine M Holt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962741009 PECOS PAC ID: 4880831973 Enrollment ID: I20130509000118 |
| Provider Name | Ryan M Gazzola |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477760775 PECOS PAC ID: 9335365469 Enrollment ID: I20140728000259 |
| Provider Name | Matthew S Ellam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083006696 PECOS PAC ID: 7012299522 Enrollment ID: I20170118000782 |
| Provider Name | Ashley L Tobey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154705572 PECOS PAC ID: 1850676321 Enrollment ID: I20170323002344 |
| Provider Name | Shohana Paradise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124584669 PECOS PAC ID: 6204175250 Enrollment ID: I20190308001316 |
| Provider Name | Elycia M Pittsley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588915334 PECOS PAC ID: 1658613765 Enrollment ID: I20190419000617 |
| Provider Name | Kelly Sellers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376102319 PECOS PAC ID: 5799012852 Enrollment ID: I20190812003506 |
| Provider Name | Elysee M Njontu |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1710447651 PECOS PAC ID: 4486985298 Enrollment ID: I20191009001574 |
| Provider Name | Valerie Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457800997 PECOS PAC ID: 0042575920 Enrollment ID: I20200318000177 |
| Provider Name | David Sugarbaker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154934685 PECOS PAC ID: 1951713163 Enrollment ID: I20201211002489 |
| Provider Name | Alexis Chavis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659590966 PECOS PAC ID: 5193156883 Enrollment ID: I20210219002086 |
| Provider Name | Charles Mahdy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750978755 PECOS PAC ID: 5890103063 Enrollment ID: I20210428001574 |
| Provider Name | Erica Goroshko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265032874 PECOS PAC ID: 4183033939 Enrollment ID: I20210506001726 |
| Provider Name | Laura Zanfes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912251729 PECOS PAC ID: 5698918860 Enrollment ID: I20210517000831 |
| Provider Name | Naila Tariq |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649761321 PECOS PAC ID: 9537568613 Enrollment ID: I20210521000519 |
| Provider Name | Keri Ann Marinelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396371761 PECOS PAC ID: 7416359377 Enrollment ID: I20210714002874 |
| Provider Name | Nicole Sauve |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770981243 PECOS PAC ID: 6800263435 Enrollment ID: I20221110000855 |
| Provider Name | Kristy Lee Eagles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306042338 PECOS PAC ID: 7517118789 Enrollment ID: I20221122001625 |
| Provider Name | Fauz Miriam Blakely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659021715 PECOS PAC ID: 2365814399 Enrollment ID: I20230220002637 |
| Provider Name | Ryan P Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164035168 PECOS PAC ID: 0749646420 Enrollment ID: I20230523000982 |
| Provider Name | Gregory Alan Hard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356916795 PECOS PAC ID: 5395190557 Enrollment ID: I20231009002965 |
| Provider Name | Biping Huang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295512184 PECOS PAC ID: 9133577505 Enrollment ID: I20231122002862 |
| Provider Name | Jamara Lynn Polzin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881304665 PECOS PAC ID: 7911355037 Enrollment ID: I20231130001764 |
| Provider Name | Tara Conklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023741709 PECOS PAC ID: 9830540129 Enrollment ID: I20240111001128 |
| Provider Name | Jessie Lynn Harper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740062132 PECOS PAC ID: 6800248998 Enrollment ID: I20240112003980 |
| Provider Name | Kaysie Lynn Elg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114238102 PECOS PAC ID: 4880046978 Enrollment ID: I20240112004032 |
| Provider Name | Hanane Taha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972068591 PECOS PAC ID: 3779936836 Enrollment ID: I20240125001859 |
| Provider Name | Amber M. Yannizzi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003362369 PECOS PAC ID: 4981057940 Enrollment ID: I20240126000785 |
| Provider Name | Sarah Hoffman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336817048 PECOS PAC ID: 3173960242 Enrollment ID: I20240325002736 |
| Provider Name | Carson Byrne |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366960700 PECOS PAC ID: 4082053814 Enrollment ID: I20240412002843 |
| Provider Name | Rohan Roberts Goldman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053953141 PECOS PAC ID: 4082053566 Enrollment ID: I20240416004417 |
| Provider Name | Sandra L French |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700946696 PECOS PAC ID: 8921009333 Enrollment ID: I20240521000985 |
| Provider Name | Sarah Marie Power |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154018505 PECOS PAC ID: 5799223392 Enrollment ID: I20240814001784 |
| Provider Name | Jennifer Breslaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821370396 PECOS PAC ID: 2668645888 Enrollment ID: I20240823002054 |
| Provider Name | Payton Brandyberry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174729743 PECOS PAC ID: 3678012408 Enrollment ID: I20240826000531 |
| Provider Name | Natalie Lynn Sheehan Dias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679708085 PECOS PAC ID: 7214476555 Enrollment ID: I20240829003875 |
| Provider Name | Suzanne A Kaytis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184211344 PECOS PAC ID: 8426598558 Enrollment ID: I20240904002328 |
| Provider Name | Katherine Melican |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659954030 PECOS PAC ID: 9234679473 Enrollment ID: I20240913002656 |
| Provider Name | Tedra Lynn Halzel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700469087 PECOS PAC ID: 1153857396 Enrollment ID: I20241211000422 |
| Provider Name | Heena Kim |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154873214 PECOS PAC ID: 1951837814 Enrollment ID: I20241216001850 |
| Provider Name | Melissa Kaeli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386050458 PECOS PAC ID: 6103353578 Enrollment ID: I20241224000496 |
| Provider Name | Kathryn D Roddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861252835 PECOS PAC ID: 8224565692 Enrollment ID: I20241224000741 |
| Provider Name | Debra Anne Jenkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841883428 PECOS PAC ID: 1355878596 Enrollment ID: I20241230000430 |
| Provider Name | Kimberly Masterson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770728198 PECOS PAC ID: 1658806013 Enrollment ID: I20250123003392 |
| Provider Name | Magdalene Kwakye |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083390108 PECOS PAC ID: 7719417740 Enrollment ID: I20250206000952 |
| Provider Name | Jennifer A Campbell Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508623943 PECOS PAC ID: 7113457607 Enrollment ID: I20250213001074 |
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