| Vendetti Wellness Group, Pc | |
|
1 Clarks Hl Ste 302 Framingham MA 01702-8172 | |
| (508) 589-5333 | |
| (774) 250-2693 |
| Full Name | Vendetti Wellness Group, Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1 Clarks Hl Ste 302, Framingham, Massachusetts |
| Authorized Official Name and Position | Lisa Marie Vendetti (CO-OWNER) |
| Authorized Official Contact | 7744123306 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vendetti Wellness Group, Pc 77 Main St Ste 2 Hopkinton MA 01748-1193 Ph: (774) 509-5059 | Vendetti Wellness Group, Pc 1 Clarks Hl Ste 302 Framingham MA 01702-8172 Ph: (508) 589-5333 |
| NPI Number | 1952836546 |
|---|---|
| Provider Enumeration Date | 04/21/2017 |
| Last Update Date | 03/19/2024 |
| Certification Date | 03/19/2024 |
| Medicare PECOS PAC ID | 7517238959 |
|---|---|
| Medicare Enrollment ID | O20170803002368 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952836546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 114012 (Massachusetts) | Primary |
| Provider Name | Cristin Poirier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164550901 PECOS PAC ID: 1456646330 Enrollment ID: I20160817002502 |
| Provider Name | Olga J Figueroa |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1659416451 PECOS PAC ID: 1456638378 Enrollment ID: I20170502002494 |
| Provider Name | Lisa M Vendetti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699928978 PECOS PAC ID: 8022381193 Enrollment ID: I20171011001406 |
| Provider Name | Elizabeth Carleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952669194 PECOS PAC ID: 4981952348 Enrollment ID: I20180801003746 |
| Provider Name | Julie E Dicicco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679901755 PECOS PAC ID: 9436490653 Enrollment ID: I20190416000864 |
| Provider Name | Domenica Rizza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568024206 PECOS PAC ID: 4981039138 Enrollment ID: I20200115002166 |
| Provider Name | Amber J Roy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235604471 PECOS PAC ID: 8426487182 Enrollment ID: I20200331002098 |
| Provider Name | Deborah Rachel Silver Hurowitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093237067 PECOS PAC ID: 7012347883 Enrollment ID: I20200417002363 |
| Provider Name | Angela Guerrero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336223890 PECOS PAC ID: 7214347996 Enrollment ID: I20201109001398 |
| Provider Name | Emily Denault |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437678471 PECOS PAC ID: 4880005701 Enrollment ID: I20201125002285 |
| Provider Name | Samantha Deglaoui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912505777 PECOS PAC ID: 3971916594 Enrollment ID: I20201228002061 |
| Provider Name | Erin Bell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629196845 PECOS PAC ID: 6204109374 Enrollment ID: I20240312001347 |
| Provider Name | Tyler Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851819346 PECOS PAC ID: 9436595535 Enrollment ID: I20240312001472 |
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