| Eleanor Health Professional Ma, Pllc | |
|
108 Grove St Ste 200 Worcester MA 01605-2651 | |
| (866) 420-5113 | |
| (833) 963-2102 |
| Full Name | Eleanor Health Professional Ma, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 108 Grove St Ste 200, Worcester, Massachusetts |
| Authorized Official Name and Position | Nzinga Harrison (OWNER) |
| Authorized Official Contact | 7812306838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eleanor Health Professional Ma, Pllc Po Box 386 Portsmouth NH 03802-0386 Ph: () - | Eleanor Health Professional Ma, Pllc 108 Grove St Ste 200 Worcester MA 01605-2651 Ph: (866) 420-5113 |
| NPI Number | 1205446374 |
|---|---|
| Provider Enumeration Date | 08/04/2020 |
| Last Update Date | 03/24/2025 |
| Certification Date | 03/24/2025 |
| Medicare PECOS PAC ID | 7416360946 |
|---|---|
| Medicare Enrollment ID | O20201230001583 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205446374 | NPI | - | NPPES |
| Provider Name | Debra Lamoureux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396828570 PECOS PAC ID: 4284674342 Enrollment ID: I20050509000092 |
| Provider Name | Linda M Kinch |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1174560817 PECOS PAC ID: 4284791385 Enrollment ID: I20090317000129 |
| Provider Name | Joy E O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578841185 PECOS PAC ID: 9436324712 Enrollment ID: I20111215000191 |
| Provider Name | Kimberly Roberts-schultheis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013128586 PECOS PAC ID: 2668693854 Enrollment ID: I20141103000868 |
| Provider Name | Myles Jen Kin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669766135 PECOS PAC ID: 7012145030 Enrollment ID: I20150710001705 |
| Provider Name | Freddy Carreras Alvarado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184057648 PECOS PAC ID: 0345539516 Enrollment ID: I20170323000967 |
| Provider Name | Cherise L Robinson Pires |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649767054 PECOS PAC ID: 1153676861 Enrollment ID: I20180621000644 |
| Provider Name | Nzinga Harrison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518099910 PECOS PAC ID: 5698793875 Enrollment ID: I20201230001803 |
| Provider Name | Jadebrey Vyshette Kennon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518574441 PECOS PAC ID: 1951721307 Enrollment ID: I20220610001765 |
| Provider Name | Trinasia Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902427933 PECOS PAC ID: 3173902079 Enrollment ID: I20220623002277 |
| Provider Name | Misty Leigh Hinkle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164190799 PECOS PAC ID: 0345621991 Enrollment ID: I20220714000640 |
| Provider Name | Stephen William North |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073611091 PECOS PAC ID: 3476527300 Enrollment ID: I20220906000587 |
| Provider Name | Marcell Ines Baez Patrone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952068660 PECOS PAC ID: 4385009489 Enrollment ID: I20230425000389 |
| Provider Name | Choomia Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710559638 PECOS PAC ID: 1759789340 Enrollment ID: I20240604000846 |
| Provider Name | Marisa Pamela Savic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548875875 PECOS PAC ID: 4183036379 Enrollment ID: I20240612002645 |
| Provider Name | Paula Weisman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013542984 PECOS PAC ID: 8729408000 Enrollment ID: I20240622000210 |
| Provider Name | Evelyn Carini Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508546383 PECOS PAC ID: 3971966359 Enrollment ID: I20240830000932 |
| Provider Name | Anisha Gosain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932608155 PECOS PAC ID: 5991104887 Enrollment ID: I20240906002423 |
| Provider Name | Virmarie Diaz Fernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306248075 PECOS PAC ID: 8628499506 Enrollment ID: I20240911004372 |
| Provider Name | David Scott Schwartz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326492125 PECOS PAC ID: 1951710979 Enrollment ID: I20240918002566 |
| Provider Name | Jalessa Shanice Cherry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013447960 PECOS PAC ID: 3870909419 Enrollment ID: I20240920002770 |
| Provider Name | Ellen Sundstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962688788 PECOS PAC ID: 8022189430 Enrollment ID: I20241224001442 |
| Provider Name | Ebika Eyong Mbuagbaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194335240 PECOS PAC ID: 7315322757 Enrollment ID: I20250131002329 |
| Provider Name | Paulo Juan Verdeflor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831537372 PECOS PAC ID: 5294155180 Enrollment ID: I20250530000648 |
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