| Eliot Community Human Services | |
|
86 Baker Ave Ext Concord MA 01742 | |
| (978) 369-1113 | |
| (978) 369-0908 |
| Full Name | Eliot Community Human Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 86 Baker Ave Ext, Concord, Massachusetts |
| Authorized Official Name and Position | Kate Markarian (CEO) |
| Authorized Official Contact | 7818610890 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eliot Community Human Services 125 Hartwell Ave Lexington MA 02421-3100 Ph: (781) 861-0890 | Eliot Community Human Services 86 Baker Ave Ext Concord MA 01742 Ph: (978) 369-1113 |
| NPI Number | 1679648182 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 07/24/2019 |
| Medicare PECOS PAC ID | 2062488000 |
|---|---|
| Medicare Enrollment ID | O20040909001199 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679648182 | NPI | - | NPPES |
| 1300911 | Medicaid | MA | |
| M18603 | Other | MA | BCBS OF MA |
| 1005555 | Other | MA | BEACON HEALTH STRATEGIES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 4113 (Massachusetts) | Primary |
| Provider Name | Erich Goetzel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891834388 PECOS PAC ID: 5092629816 Enrollment ID: I20031117000412 |
| Provider Name | Carolyn Dana Marvel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114938479 PECOS PAC ID: 3971580291 Enrollment ID: I20040706000409 |
| Provider Name | Allison Wehr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356389662 PECOS PAC ID: 6608848932 Enrollment ID: I20040809000304 |
| Provider Name | Anne Eden Evins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952334559 PECOS PAC ID: 6305814450 Enrollment ID: I20040917000221 |
| Provider Name | Michael Desmond Murphy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497774418 PECOS PAC ID: 2668434945 Enrollment ID: I20041029000054 |
| Provider Name | Andrew Kwait |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700925823 PECOS PAC ID: 4789635277 Enrollment ID: I20050202000111 |
| Provider Name | German V Crisostomo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285749945 PECOS PAC ID: 4082657002 Enrollment ID: I20050609000769 |
| Provider Name | Mark Gallagher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134280423 PECOS PAC ID: 3870521644 Enrollment ID: I20050802000889 |
| Provider Name | Laura Page |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710010954 PECOS PAC ID: 5799714739 Enrollment ID: I20050810000022 |
| Provider Name | Nonny C Levy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710013164 PECOS PAC ID: 1759308695 Enrollment ID: I20051029000135 |
| Provider Name | Wendy F Gillenson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003037342 PECOS PAC ID: 1052331683 Enrollment ID: I20051129000176 |
| Provider Name | Emily Speagle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174732119 PECOS PAC ID: 9335169986 Enrollment ID: I20051129000261 |
| Provider Name | Keith P Wales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902911191 PECOS PAC ID: 9234138983 Enrollment ID: I20061207000221 |
| Provider Name | Linda A Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316071491 PECOS PAC ID: 5496854192 Enrollment ID: I20070621000057 |
| Provider Name | Deborah B Garfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497886899 PECOS PAC ID: 9830165885 Enrollment ID: I20080715000772 |
| Provider Name | Debra M Little |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154571016 PECOS PAC ID: 4789743592 Enrollment ID: I20081110000031 |
| Provider Name | Lara R Harris-david |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700036720 PECOS PAC ID: 6406916790 Enrollment ID: I20081117000318 |
| Provider Name | Maureen Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336381466 PECOS PAC ID: 3375691298 Enrollment ID: I20090504000403 |
| Provider Name | Faith C Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063601987 PECOS PAC ID: 8921150426 Enrollment ID: I20090714000616 |
| Provider Name | Adam H Saltz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326109760 PECOS PAC ID: 7416003298 Enrollment ID: I20090919000064 |
| Provider Name | Ann Fitzgerald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538222716 PECOS PAC ID: 8426188715 Enrollment ID: I20100614000090 |
| Provider Name | Lee Bulgin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447474739 PECOS PAC ID: 2567655020 Enrollment ID: I20101018000520 |
| Provider Name | Matthew C Geden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164739413 PECOS PAC ID: 4789868092 Enrollment ID: I20110412000188 |
| Provider Name | Nancy A Santoro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194852517 PECOS PAC ID: 1456521913 Enrollment ID: I20110819000448 |
| Provider Name | Craig L Sussman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154591030 PECOS PAC ID: 3577710813 Enrollment ID: I20120822000039 |
| Provider Name | Ruby L Boyd |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467612861 PECOS PAC ID: 9133379381 Enrollment ID: I20121024000108 |
| Provider Name | James G Bouras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750662532 PECOS PAC ID: 8820240666 Enrollment ID: I20121130000444 |
| Provider Name | Alana E Nagle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003059544 PECOS PAC ID: 6406090281 Enrollment ID: I20130917000616 |
| Provider Name | Hannah Larsen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376786202 PECOS PAC ID: 3678714151 Enrollment ID: I20140217000603 |
| Provider Name | Jill E Wuonola |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760766422 PECOS PAC ID: 5597981563 Enrollment ID: I20140728002155 |
| Provider Name | Laurie F Pellerin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467883033 PECOS PAC ID: 9032335724 Enrollment ID: I20140801002284 |
| Provider Name | J Carol Elliott |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1518394196 PECOS PAC ID: 7315264868 Enrollment ID: I20150323001457 |
| Provider Name | Siu Ping Chin Feman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932423829 PECOS PAC ID: 7618119058 Enrollment ID: I20150608001541 |
| Provider Name | Sarah E Herold |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417256660 PECOS PAC ID: 4284875766 Enrollment ID: I20151029002243 |
| Provider Name | Julie A Foss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801082342 PECOS PAC ID: 0143521948 Enrollment ID: I20151221002071 |
| Provider Name | Cynthia Simpson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780068783 PECOS PAC ID: 6709180649 Enrollment ID: I20160212001134 |
| Provider Name | Marjorie Smerlas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821497090 PECOS PAC ID: 0941506166 Enrollment ID: I20160314001364 |
| Provider Name | Douglas M Katz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588729883 PECOS PAC ID: 0244211001 Enrollment ID: I20160623000217 |
| Provider Name | Suzanne Sherman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891170957 PECOS PAC ID: 7618265703 Enrollment ID: I20161005000421 |
| Provider Name | Michelle Danforth |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1457735532 PECOS PAC ID: 8820386238 Enrollment ID: I20161017002791 |
| Provider Name | Michael Gibbons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063888253 PECOS PAC ID: 2567740939 Enrollment ID: I20161107000561 |
| Provider Name | Patrick Hale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114266848 PECOS PAC ID: 0446530638 Enrollment ID: I20161205001592 |
| Provider Name | Christopher Bang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457898777 PECOS PAC ID: 0749565547 Enrollment ID: I20170317000567 |
| Provider Name | Caroline B Brien |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437346665 PECOS PAC ID: 0941585095 Enrollment ID: I20170403000094 |
| Provider Name | Laura A Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649796715 PECOS PAC ID: 7911270376 Enrollment ID: I20170906002312 |
| Provider Name | Leah Bellman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134571201 PECOS PAC ID: 8426322678 Enrollment ID: I20170927000154 |
| Provider Name | Joshua Nathan Eigen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801927348 PECOS PAC ID: 6901172717 Enrollment ID: I20171024000020 |
| Provider Name | Cornelius N Bela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962912964 PECOS PAC ID: 2062771942 Enrollment ID: I20180123000903 |
| Provider Name | Aileen Lorenzo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851706238 PECOS PAC ID: 0648530014 Enrollment ID: I20180202000694 |
| Provider Name | Anne Khudari |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063792869 PECOS PAC ID: 9830450949 Enrollment ID: I20180307000677 |
| Provider Name | George Njoroge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013420272 PECOS PAC ID: 0446556336 Enrollment ID: I20180517002256 |
| Provider Name | Nathan E Hartvigsen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497811087 PECOS PAC ID: 7315293842 Enrollment ID: I20180712003451 |
| Provider Name | Elizabeth Carleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952669194 PECOS PAC ID: 4981952348 Enrollment ID: I20180801003746 |
| Provider Name | Courtney Rita Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386134807 PECOS PAC ID: 5395096531 Enrollment ID: I20180926003487 |
| Provider Name | Maeghan Ann Dillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043736291 PECOS PAC ID: 1850645268 Enrollment ID: I20181120002775 |
| Provider Name | Romy Nehme |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871907576 PECOS PAC ID: 8628369444 Enrollment ID: I20190725001528 |
| Provider Name | Kelly Sellers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376102319 PECOS PAC ID: 5799012852 Enrollment ID: I20190812003506 |
| Provider Name | Andrea P Vana |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871817049 PECOS PAC ID: 5698005635 Enrollment ID: I20190918001158 |
| Provider Name | Kevin John Mccarthy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184004426 PECOS PAC ID: 7618207689 Enrollment ID: I20190918002307 |
| Provider Name | Susan L Kingston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497124895 PECOS PAC ID: 6406187533 Enrollment ID: I20191003003072 |
| Provider Name | Robyn Elizabeth Kinsherf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043878234 PECOS PAC ID: 3476884313 Enrollment ID: I20191008002123 |
| Provider Name | Roxanne Loizeaux |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225466410 PECOS PAC ID: 3375874589 Enrollment ID: I20191018001098 |
| Provider Name | Massiel Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801449863 PECOS PAC ID: 7416380183 Enrollment ID: I20191211000449 |
| Provider Name | Welky Alexandra Galvis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275187676 PECOS PAC ID: 9638502347 Enrollment ID: I20191211002043 |
| Provider Name | Oanh Tran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578019170 PECOS PAC ID: 8123455110 Enrollment ID: I20200304001566 |
| Provider Name | Eleanor Joan Corcoran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851645816 PECOS PAC ID: 8426487513 Enrollment ID: I20200413001009 |
| Provider Name | Morgan Taylor Doherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871117556 PECOS PAC ID: 1951727072 Enrollment ID: I20200819001580 |
| Provider Name | Sasha Pierina Grullon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043836513 PECOS PAC ID: 9335569532 Enrollment ID: I20201008001827 |
| Provider Name | Jennifer Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649780008 PECOS PAC ID: 5698188290 Enrollment ID: I20201228001115 |
| Provider Name | Elisabeth V Moreno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891940268 PECOS PAC ID: 4688087349 Enrollment ID: I20210119002489 |
| Provider Name | Olivia Beane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033767710 PECOS PAC ID: 4688080807 Enrollment ID: I20210311002704 |
| Provider Name | Jessica Pepin |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1932727963 PECOS PAC ID: 0042622409 Enrollment ID: I20210324000614 |
| Provider Name | Amanda H Thorne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669036950 PECOS PAC ID: 7416364757 Enrollment ID: I20210401001898 |
| Provider Name | Shannon Denice Griffith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194325290 PECOS PAC ID: 2567865108 Enrollment ID: I20210720003468 |
| Provider Name | Victoria Pena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487293767 PECOS PAC ID: 0446656656 Enrollment ID: I20210913002232 |
| Provider Name | Natasa Ristivojevic |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1245821222 PECOS PAC ID: 8426455239 Enrollment ID: I20210921003543 |
| Provider Name | Christina M Maloney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467734038 PECOS PAC ID: 9739577115 Enrollment ID: I20211104001476 |
| Provider Name | Lisa Boselli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487809125 PECOS PAC ID: 9830588540 Enrollment ID: I20211118002718 |
| Provider Name | Kianna Altagracia Contreras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780230094 PECOS PAC ID: 1557752177 Enrollment ID: I20211215001204 |
| Provider Name | Steffani Pouliot |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679964183 PECOS PAC ID: 0648512160 Enrollment ID: I20220209000308 |
| Provider Name | Susan Martinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306941893 PECOS PAC ID: 2860497658 Enrollment ID: I20220210000461 |
| Provider Name | Sara Ann Hickey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962915819 PECOS PAC ID: 5890189583 Enrollment ID: I20220223000060 |
| Provider Name | Sara Gordon Belmont |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104353382 PECOS PAC ID: 1658766357 Enrollment ID: I20220316000547 |
| Provider Name | David Wabwile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861162604 PECOS PAC ID: 2668867300 Enrollment ID: I20220316002857 |
| Provider Name | Amy Jane Seslowsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134784317 PECOS PAC ID: 5496140923 Enrollment ID: I20220321001621 |
| Provider Name | Peggy Suet Ching Szeto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568621316 PECOS PAC ID: 6507040334 Enrollment ID: I20220329000483 |
| Provider Name | Lia Simonds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639747223 PECOS PAC ID: 3971990268 Enrollment ID: I20220505001562 |
| Provider Name | Chizoba Ndah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780332478 PECOS PAC ID: 9335527555 Enrollment ID: I20220531002304 |
| Provider Name | Nayara Inocencio De Souza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235656141 PECOS PAC ID: 4981083565 Enrollment ID: I20220628002977 |
| Provider Name | Stephanie S Mokashi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629572615 PECOS PAC ID: 5496137945 Enrollment ID: I20220801002126 |
| Provider Name | Onome Esuturie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528791001 PECOS PAC ID: 7113393927 Enrollment ID: I20221019002543 |
| Provider Name | Kayla Courtney Hulburt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326546854 PECOS PAC ID: 6406224849 Enrollment ID: I20221116001554 |
| Provider Name | Danisa Batista |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922451053 PECOS PAC ID: 7911377411 Enrollment ID: I20221227001596 |
| Provider Name | Margaret Maina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750734026 PECOS PAC ID: 3678944196 Enrollment ID: I20230120000589 |
| Provider Name | Nicole Ann Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376747907 PECOS PAC ID: 3971547746 Enrollment ID: I20230123001159 |
| Provider Name | Joseph Connors |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699427518 PECOS PAC ID: 0345612354 Enrollment ID: I20230220001743 |
| Provider Name | Chidumga Mercy Onuigbo-oben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790924413 PECOS PAC ID: 0345613915 Enrollment ID: I20230301001315 |
| Provider Name | Jennifer Hui Yoo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376250985 PECOS PAC ID: 3375916588 Enrollment ID: I20230308001512 |
| Provider Name | Ryan James Keogh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154664670 PECOS PAC ID: 8123492998 Enrollment ID: I20230317000134 |
| Provider Name | Karen M Nielsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407120793 PECOS PAC ID: 6406221472 Enrollment ID: I20230404001980 |
| Provider Name | Febe Dancier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255780482 PECOS PAC ID: 0345607354 Enrollment ID: I20230607001079 |
| Provider Name | Jessica Luddy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669733325 PECOS PAC ID: 9537527676 Enrollment ID: I20230621002000 |
| Provider Name | Patricia N Ngaruiya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548593288 PECOS PAC ID: 3971966847 Enrollment ID: I20230824002302 |
| Provider Name | Terrin Morgan Gathers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700504065 PECOS PAC ID: 7113371097 Enrollment ID: I20230926003192 |
| Provider Name | Ashley Garrett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760912620 PECOS PAC ID: 6002263316 Enrollment ID: I20231108001467 |
| Provider Name | Jennifer Morazes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568136570 PECOS PAC ID: 9638526809 Enrollment ID: I20231109000364 |
| Provider Name | Sheila Payen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780160218 PECOS PAC ID: 7618324831 Enrollment ID: I20231109002645 |
| Provider Name | Devin Veronica Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417508946 PECOS PAC ID: 1658721832 Enrollment ID: I20231229002619 |
| Provider Name | Carolyn T Melbye |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295367373 PECOS PAC ID: 1557712254 Enrollment ID: I20240107000118 |
| Provider Name | Lisa Fredman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568012110 PECOS PAC ID: 1254782998 Enrollment ID: I20240108003594 |
| Provider Name | Ladan Nabavi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427170638 PECOS PAC ID: 4981055373 Enrollment ID: I20240110002521 |
| Provider Name | Toni Corcoran |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922493279 PECOS PAC ID: 8224480322 Enrollment ID: I20240113000063 |
| Provider Name | Ashley Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215550041 PECOS PAC ID: 1456703461 Enrollment ID: I20240116000624 |
| Provider Name | Danielle Pratt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568843613 PECOS PAC ID: 1254783145 Enrollment ID: I20240116003425 |
| Provider Name | Kirtley Young |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982004602 PECOS PAC ID: 3870945652 Enrollment ID: I20240117002116 |
| Provider Name | Hazell Imbert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578286183 PECOS PAC ID: 4183076755 Enrollment ID: I20240118003989 |
| Provider Name | Ellen Jane Freshman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154602936 PECOS PAC ID: 5496669525 Enrollment ID: I20240118004424 |
| Provider Name | Jordan Bodwell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497206577 PECOS PAC ID: 9234581794 Enrollment ID: I20240119002634 |
| Provider Name | Caitlin Antoinette Entwistle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255966586 PECOS PAC ID: 9436502200 Enrollment ID: I20240129000472 |
| Provider Name | Arden Wainwright |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649769332 PECOS PAC ID: 0143673921 Enrollment ID: I20240129000972 |
| Provider Name | Raeanna M Lucey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497379994 PECOS PAC ID: 3678926466 Enrollment ID: I20240129001386 |
| Provider Name | Trinh Viet Dang |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366084964 PECOS PAC ID: 5294188736 Enrollment ID: I20240131002667 |
| Provider Name | Yakira Nunez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609157585 PECOS PAC ID: 8426401811 Enrollment ID: I20240201002636 |
| Provider Name | James Hadaway |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306358452 PECOS PAC ID: 7416390703 Enrollment ID: I20240202002425 |
| Provider Name | Mikaela Boisvert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154970101 PECOS PAC ID: 1254774557 Enrollment ID: I20240202002784 |
| Provider Name | Jennifer L Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033553219 PECOS PAC ID: 9436592755 Enrollment ID: I20240202003568 |
| Provider Name | Melissa Jane Jadhav |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023372976 PECOS PAC ID: 5395188494 Enrollment ID: I20240206001566 |
| Provider Name | Peng Li |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023498417 PECOS PAC ID: 8022451145 Enrollment ID: I20240206001950 |
| Provider Name | Daniel Allen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669963856 PECOS PAC ID: 1850734989 Enrollment ID: I20240206002287 |
| Provider Name | Meagan Jameson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538591433 PECOS PAC ID: 4082057047 Enrollment ID: I20240206003730 |
| Provider Name | Maria Bisbas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912302316 PECOS PAC ID: 7618310236 Enrollment ID: I20240209002653 |
| Provider Name | Ke Jiang |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053952838 PECOS PAC ID: 0244674505 Enrollment ID: I20240215000344 |
| Provider Name | Nancy Hendrickson Haddad |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114062817 PECOS PAC ID: 8921442195 Enrollment ID: I20240215001269 |
| Provider Name | Stephanie Ault |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710501028 PECOS PAC ID: 9638513856 Enrollment ID: I20240215002917 |
| Provider Name | Alyssa Cetoute |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518349968 PECOS PAC ID: 7810333424 Enrollment ID: I20240306000208 |
| Provider Name | Sarajane Morse Mullins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487159539 PECOS PAC ID: 5395181465 Enrollment ID: I20240312000394 |
| Provider Name | Hannah Beaver |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750759817 PECOS PAC ID: 7719323690 Enrollment ID: I20240314000097 |
| Provider Name | Kimberly Ann Knowles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740842293 PECOS PAC ID: 1759727563 Enrollment ID: I20240314001552 |
| Provider Name | Sarah Hoffman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336817048 PECOS PAC ID: 3173960242 Enrollment ID: I20240325002736 |
| Provider Name | Kerry Ann Rivard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881810133 PECOS PAC ID: 7012354004 Enrollment ID: I20240326003413 |
| Provider Name | Lynne Marie Butler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043466097 PECOS PAC ID: 4789022476 Enrollment ID: I20240401000636 |
| Provider Name | Pamela A Bradbury |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043392350 PECOS PAC ID: 3779921028 Enrollment ID: I20240404003446 |
| Provider Name | Suzanne Kramer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174797682 PECOS PAC ID: 5294174488 Enrollment ID: I20240422000279 |
| Provider Name | Sara Heller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841653664 PECOS PAC ID: 3779923776 Enrollment ID: I20240424001664 |
| Provider Name | Krisha Shakya |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366215972 PECOS PAC ID: 7214378025 Enrollment ID: I20240510001791 |
| Provider Name | Shannon Marie Main |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538885686 PECOS PAC ID: 3971944661 Enrollment ID: I20240513001669 |
| Provider Name | Amanda Cronin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831591742 PECOS PAC ID: 9335581271 Enrollment ID: I20240523002965 |
| Provider Name | Alison Calandra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023710019 PECOS PAC ID: 7315489200 Enrollment ID: I20240606002927 |
| Provider Name | Mary Stathos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720690357 PECOS PAC ID: 0648712042 Enrollment ID: I20240612002688 |
| Provider Name | Justin Dodge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669110912 PECOS PAC ID: 0941748735 Enrollment ID: I20240812001545 |
| Provider Name | Emma Clay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003598202 PECOS PAC ID: 7911445226 Enrollment ID: I20240819001010 |
| Provider Name | Leila Rizk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548843956 PECOS PAC ID: 5597206102 Enrollment ID: I20240924000128 |
| Provider Name | Nathaniel Ezra Kieval |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851676654 PECOS PAC ID: 7012458623 Enrollment ID: I20240924000174 |
| Provider Name | Jennifer Lee Dimaio-mccracken |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558836395 PECOS PAC ID: 0143751164 Enrollment ID: I20241002000234 |
| Provider Name | Meaghan Mccarthy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972991750 PECOS PAC ID: 8527599034 Enrollment ID: I20241008000455 |
| Provider Name | Janna Suzanne Levi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760955785 PECOS PAC ID: 1153664719 Enrollment ID: I20241011000892 |
| Provider Name | Tamires Bertoldo Viana |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932626595 PECOS PAC ID: 7012449069 Enrollment ID: I20241015002256 |
| Provider Name | Emily Beth Mudd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508531492 PECOS PAC ID: 4880126861 Enrollment ID: I20241015003510 |
| Provider Name | Cleziane Sousa Oliveira |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518527571 PECOS PAC ID: 8527590447 Enrollment ID: I20241017000317 |
| Provider Name | Marina Swietek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447639455 PECOS PAC ID: 4183158546 Enrollment ID: I20241108000456 |
| Provider Name | Kirsten Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477375749 PECOS PAC ID: 1850826603 Enrollment ID: I20241203001466 |
| Provider Name | Baylee Fairhurst |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396218384 PECOS PAC ID: 7012445232 Enrollment ID: I20250115001407 |
| Provider Name | Adriana M Claudio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841770906 PECOS PAC ID: 5597294835 Enrollment ID: I20250130003737 |
| Provider Name | Elizabeth Seryna Desir |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295457752 PECOS PAC ID: 5092245258 Enrollment ID: I20250204001554 |
| Provider Name | Taylor Richter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437785417 PECOS PAC ID: 0042740946 Enrollment ID: I20250207000294 |
| Provider Name | Chanelle Zaria Garcia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831862952 PECOS PAC ID: 5890225346 Enrollment ID: I20250212003419 |
| Provider Name | Christina Mellen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972143881 PECOS PAC ID: 5799215240 Enrollment ID: I20250212003466 |
| Provider Name | Jonathan Acquaviva |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902512767 PECOS PAC ID: 5799208013 Enrollment ID: I20250327002188 |
| Provider Name | Rebecca J Matthews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114748142 PECOS PAC ID: 8022532100 Enrollment ID: I20250410000895 |
| Provider Name | Natasha Pawa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255078580 PECOS PAC ID: 2567989601 Enrollment ID: I20250512002282 |
| Provider Name | Luisa Maria Buitrago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972196632 PECOS PAC ID: 9830608728 Enrollment ID: I20250603000107 |
| Provider Name | Mario Jose Davila |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518611730 PECOS PAC ID: 2365951084 Enrollment ID: I20250604001314 |
Concord Comprehensive Neuropsychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 86 Baker Avenue Ext Ste 301, Concord, MA 01742 Phone: 978-341-4992 | |
Here & Whole Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 88 Southfield Rd, Concord, MA 01742 Phone: 978-798-0074 | |
Arete Psychology Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1150 Main St Ste 6b, Concord, MA 01742 Phone: 978-337-6095 | |
Dbt Works Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 575 Virginia Road, Building 3, Concord, MA 01742 Phone: 646-369-6250 | |
Cary Meyer, Psyd, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Damonmill Sq Ste 4b, Concord, MA 01742 Phone: 781-879-7802 | |
Gary L. Stanton, Md Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 131 Ornac John Cummings Bld., Concord, MA 01742 Phone: 508-772-5954 | |
Minuteman Arc Early Intervention Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1269 Main St, Concord, MA 01742 Phone: 978-287-7800 |