| Jonathan Rothman Md | |
|
154 E Main St Westboro MA 01581 | |
| (508) 870-0647 | |
| (508) 799-6325 |
| Full Name | Jonathan Rothman Md |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 154 E Main St, Westboro, Massachusetts |
| Authorized Official Name and Position | Jonathan Stuart Rothman (DIRECTOR) |
| Authorized Official Contact | 5088700647 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Rothman Md Po Box 34 Westboro MA 01581 Ph: (508) 870-0647 | Jonathan Rothman Md 154 E Main St Westboro MA 01581 Ph: (508) 870-0647 |
| NPI Number | 1538126172 |
|---|---|
| Provider Enumeration Date | 04/27/2006 |
| Last Update Date | 04/01/2013 |
| Medicare PECOS PAC ID | 7719936905 |
|---|---|
| Medicare Enrollment ID | O20050114000078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538126172 | NPI | - | NPPES |
| Provider Name | Susan P Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487610168 PECOS PAC ID: 7517932528 Enrollment ID: I20040901000476 |
| Provider Name | Jonathan S Rothman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184680837 PECOS PAC ID: 6507815792 Enrollment ID: I20050407000346 |
| Provider Name | Carol V Rothman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417914920 PECOS PAC ID: 1153350863 Enrollment ID: I20050811000857 |
| Provider Name | Michael E Gutierrez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861576522 PECOS PAC ID: 6800826637 Enrollment ID: I20050822000155 |
| Provider Name | Nathan S Keedy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841245693 PECOS PAC ID: 9537193230 Enrollment ID: I20050922000228 |
| Provider Name | Susan D Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942265913 PECOS PAC ID: 2860418126 Enrollment ID: I20051017000777 |
| Provider Name | Mary A Fierro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962468876 PECOS PAC ID: 4486664216 Enrollment ID: I20060425000086 |
| Provider Name | Shirley J Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801968862 PECOS PAC ID: 5799889838 Enrollment ID: I20070330000042 |
| Provider Name | Susan M William |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780741744 PECOS PAC ID: 7719046457 Enrollment ID: I20081110000407 |
| Provider Name | Majorie Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194122143 PECOS PAC ID: 3779809744 Enrollment ID: I20150310001893 |