| The Commonwealth Of Massachusetts | |
|
309 Belmont St Worcester MA 01604-1695 | |
| (508) 368-4000 | |
| (508) 368-1502 |
| Full Name | The Commonwealth Of Massachusetts |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 309 Belmont St, Worcester, Massachusetts |
| Authorized Official Name and Position | Kathy Wenzel (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5083683727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Commonwealth Of Massachusetts 309 Belmont St Worcester MA 01604-1695 Ph: (508) 368-4000 | The Commonwealth Of Massachusetts 309 Belmont St Worcester MA 01604-1695 Ph: (508) 368-4000 |
| NPI Number | 1275680456 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 04/21/2023 |
| Certification Date | 04/21/2023 |
| Medicare PECOS PAC ID | 8820906860 |
|---|---|
| Medicare Enrollment ID | O20051201000869 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275680456 | NPI | - | NPPES |
| Provider Name | John A Dadah |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962401703 PECOS PAC ID: 5698754976 Enrollment ID: I20040719001510 |
| Provider Name | David Patrick Morin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215910914 PECOS PAC ID: 9739135195 Enrollment ID: I20050329000579 |
| Provider Name | Paul E Noroian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437161296 PECOS PAC ID: 1759320443 Enrollment ID: I20050502001226 |
| Provider Name | John P Terry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881757136 PECOS PAC ID: 2860412095 Enrollment ID: I20051201000845 |
| Provider Name | James D Karadimos |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134200801 PECOS PAC ID: 0749299535 Enrollment ID: I20060405000624 |
| Provider Name | Cathy S Beland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861506750 PECOS PAC ID: 7113929308 Enrollment ID: I20070131000494 |
| Provider Name | Maria A Vidal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497715015 PECOS PAC ID: 9133148414 Enrollment ID: I20070202000161 |
| Provider Name | Francina Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144248030 PECOS PAC ID: 4284721523 Enrollment ID: I20071102000129 |
| Provider Name | Boris Lorberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518980879 PECOS PAC ID: 1355342114 Enrollment ID: I20080211000096 |
| Provider Name | Hung K Do |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013069962 PECOS PAC ID: 2860578846 Enrollment ID: I20080401000279 |
| Provider Name | Rebecca Hanson Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982754438 PECOS PAC ID: 5597836148 Enrollment ID: I20080702000279 |
| Provider Name | Dorota K Poluha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679550743 PECOS PAC ID: 6103991492 Enrollment ID: I20080821000142 |
| Provider Name | Gregory V Plante |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194982033 PECOS PAC ID: 7719046747 Enrollment ID: I20081209000801 |
| Provider Name | David L Mcgarry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407909351 PECOS PAC ID: 2769521269 Enrollment ID: I20091123000143 |
| Provider Name | Syeda S Nuzhat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033307988 PECOS PAC ID: 3476692971 Enrollment ID: I20091123000151 |
| Provider Name | Debika Paul |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962514174 PECOS PAC ID: 6406991363 Enrollment ID: I20100303000156 |
| Provider Name | Lina C Vawter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588704456 PECOS PAC ID: 8426240433 Enrollment ID: I20101008000941 |
| Provider Name | Marianne L Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033156732 PECOS PAC ID: 9436337094 Enrollment ID: I20110629000747 |
| Provider Name | Vivekanand Sharma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528298809 PECOS PAC ID: 2466623491 Enrollment ID: I20110922000305 |
| Provider Name | Gregg Januszewski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982611703 PECOS PAC ID: 9234303264 Enrollment ID: I20111130000889 |
| Provider Name | Donald Misquitta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780825216 PECOS PAC ID: 2062670482 Enrollment ID: I20120214000849 |
| Provider Name | Adeeb Al-quthami |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245483965 PECOS PAC ID: 2567609100 Enrollment ID: I20130520000036 |
| Provider Name | Madhusmita Dhakal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013149343 PECOS PAC ID: 0547494932 Enrollment ID: I20131018001301 |
| Provider Name | Rifat M Sharif |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891030581 PECOS PAC ID: 2860620358 Enrollment ID: I20140108000037 |
| Provider Name | Sarah S Spratt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033156609 PECOS PAC ID: 7719115237 Enrollment ID: I20140108000828 |
| Provider Name | Madelyn J Hicks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184920217 PECOS PAC ID: 3375773013 Enrollment ID: I20140226000074 |
| Provider Name | Robert F Clyman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962515775 PECOS PAC ID: 7416942610 Enrollment ID: I20140320001255 |
| Provider Name | Mili Priyanka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194039305 PECOS PAC ID: 5294968772 Enrollment ID: I20140508000027 |
| Provider Name | Hamza H Barmada |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366733115 PECOS PAC ID: 6002049137 Enrollment ID: I20140818001482 |
| Provider Name | Eileen Penny Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750790671 PECOS PAC ID: 5496077554 Enrollment ID: I20141201001917 |
| Provider Name | Amam Z Saleh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144396896 PECOS PAC ID: 2264743624 Enrollment ID: I20150625002368 |
| Provider Name | Laura A. Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679971295 PECOS PAC ID: 5395051700 Enrollment ID: I20150831002573 |
| Provider Name | Pauline Temu Eteng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487026399 PECOS PAC ID: 3779880570 Enrollment ID: I20160322001724 |
| Provider Name | Meredith B Ronan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881097343 PECOS PAC ID: 8527357904 Enrollment ID: I20160525002268 |
| Provider Name | Catharine Mary Armentrout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275834061 PECOS PAC ID: 7113238916 Enrollment ID: I20161020001869 |
| Provider Name | Eduardo J Caussade-rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851551105 PECOS PAC ID: 1850670613 Enrollment ID: I20161118000085 |
| Provider Name | Monica L O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639459498 PECOS PAC ID: 9638467483 Enrollment ID: I20161206000511 |
| Provider Name | Elizabeth R Degrush |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669767539 PECOS PAC ID: 6709153091 Enrollment ID: I20170516001769 |
| Provider Name | Margarita Abi Zeid Daou |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194167981 PECOS PAC ID: 8729378690 Enrollment ID: I20171226001383 |
| Provider Name | Omar A Mazher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558755777 PECOS PAC ID: 1557676822 Enrollment ID: I20180103002463 |
| Provider Name | James Quaicoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215447131 PECOS PAC ID: 0345500229 Enrollment ID: I20180214002681 |
| Provider Name | Shagufta Jabeen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962790725 PECOS PAC ID: 8123246253 Enrollment ID: I20180312001990 |
| Provider Name | Amber R Thompson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538555289 PECOS PAC ID: 3870892201 Enrollment ID: I20180427000651 |
| Provider Name | Ashley J Maclean |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750723615 PECOS PAC ID: 1355691262 Enrollment ID: I20180913001082 |
| Provider Name | Christina M Boulet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801365663 PECOS PAC ID: 7618213125 Enrollment ID: I20190103002472 |
| Provider Name | Colin D Whitworth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760844831 PECOS PAC ID: 7214228048 Enrollment ID: I20190906000336 |
| Provider Name | Erin Meagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275188534 PECOS PAC ID: 5193158376 Enrollment ID: I20191202000642 |
| Provider Name | David C Freeman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124480355 PECOS PAC ID: 2163713082 Enrollment ID: I20200526003089 |
| Provider Name | Sarah A Mcnulty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356969497 PECOS PAC ID: 6305264011 Enrollment ID: I20200911002481 |
| Provider Name | Ademola Solomon Obele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134755028 PECOS PAC ID: 0345660775 Enrollment ID: I20201023000091 |
| Provider Name | Prerna P Moorjani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548622608 PECOS PAC ID: 4789920844 Enrollment ID: I20201028000731 |
| Provider Name | Jennifer Anne Benger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346729514 PECOS PAC ID: 0042648008 Enrollment ID: I20220503002581 |
| Provider Name | Margaret Oluwabamike Akintan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639829880 PECOS PAC ID: 1456738103 Enrollment ID: I20220518000970 |
| Provider Name | Miriam Stoll |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255737060 PECOS PAC ID: 1850779471 Enrollment ID: I20220609001214 |
| Provider Name | Erich Berantuo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013517341 PECOS PAC ID: 5092194282 Enrollment ID: I20220617001549 |
| Provider Name | Ariel Rebecca Ingber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386164549 PECOS PAC ID: 9032591730 Enrollment ID: I20220727003024 |
| Provider Name | Derek L Luzim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215433123 PECOS PAC ID: 0244589208 Enrollment ID: I20220915001446 |
| Provider Name | Kai Dacosta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578711016 PECOS PAC ID: 7719283944 Enrollment ID: I20221012003696 |
| Provider Name | Marc Gagnier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265960470 PECOS PAC ID: 4385970458 Enrollment ID: I20221116001611 |
| Provider Name | Sylvia Sodekuu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962149849 PECOS PAC ID: 4183095359 Enrollment ID: I20230126000299 |
| Provider Name | Emily Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316413081 PECOS PAC ID: 7618341736 Enrollment ID: I20230313001131 |
| Provider Name | Piotr Karwowski |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1124409164 PECOS PAC ID: 3971813528 Enrollment ID: I20230315001450 |
| Provider Name | Edward Nana Twum-barimah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871235036 PECOS PAC ID: 4082089800 Enrollment ID: I20230410001883 |
| Provider Name | Chidi A Wamuo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487151569 PECOS PAC ID: 7618228305 Enrollment ID: I20230510001633 |
| Provider Name | Aakash Sathappan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366903882 PECOS PAC ID: 7810354206 Enrollment ID: I20230530001919 |
| Provider Name | Marygoretti W Kibe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780049734 PECOS PAC ID: 0547628067 Enrollment ID: I20230615000980 |
| Provider Name | Sanya Virani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548623093 PECOS PAC ID: 3971840497 Enrollment ID: I20231030002668 |
| Provider Name | Louis J Irwin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346327749 PECOS PAC ID: 9032133186 Enrollment ID: I20231113002040 |
| Provider Name | Nicholas G. Muraguri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760154157 PECOS PAC ID: 9931556941 Enrollment ID: I20231114000369 |
| Provider Name | Faith L Therrien |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891120051 PECOS PAC ID: 6002259660 Enrollment ID: I20240210000250 |
| Provider Name | Martha M Duah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417533282 PECOS PAC ID: 7517362890 Enrollment ID: I20240520003183 |
| Provider Name | George L Stalcup |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184241937 PECOS PAC ID: 8729490529 Enrollment ID: I20240718001182 |
| Provider Name | Brandon U Ilechukwu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568048668 PECOS PAC ID: 5698170793 Enrollment ID: I20240829001307 |
| Provider Name | Ben Robbins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720652639 PECOS PAC ID: 4082081336 Enrollment ID: I20240920003257 |
| Provider Name | Cheyne M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508621608 PECOS PAC ID: 4385176833 Enrollment ID: I20241022002459 |
| Provider Name | Benita Atupem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992047989 PECOS PAC ID: 7810420510 Enrollment ID: I20241104000644 |
| Provider Name | Emily Elana Crain |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245903632 PECOS PAC ID: 7416481627 Enrollment ID: I20241111003412 |
| Provider Name | Monika Pietrzak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225591456 PECOS PAC ID: 8628303526 Enrollment ID: I20250311001264 |
| Provider Name | Taline Nevart Aydinian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174273874 PECOS PAC ID: 7416478094 Enrollment ID: I20250312000247 |
| Provider Name | Zakariya Irfanullah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144964677 PECOS PAC ID: 0143605899 Enrollment ID: I20250312000491 |
| Provider Name | Breeona C Namukowa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972189884 PECOS PAC ID: 0042609406 Enrollment ID: I20250326000324 |
| Provider Name | Vivian Shie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386271195 PECOS PAC ID: 9032577481 Enrollment ID: I20250328002030 |
Olivia Homan, Licsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Cedar St, Worcester, MA 01609 Phone: 617-581-2267 | |
Autism Behavioral Health Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 Sterling St, Worcester, MA 01610 Phone: 508-321-3055 Fax: 508-321-3055 | |
James P. Bresnahan, P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 55 Cedar St, Worcester, MA 01609 Phone: 508-752-1170 Fax: 508-752-1800 | |
Community Health Link Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 72 Jaques Ave, Worcester, MA 01610 Phone: 508-438-5578 Fax: 508-860-1023 | |
Guided Growth Therapy Collective Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Falcon St, Worcester, MA 01603 Phone: 508-769-2766 | |
Ld Psych Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Allston Ave, Worcester, MA 01604 Phone: 508-356-4495 | |
Lamacchia Autism Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 31 Granville Ave, Worcester, MA 01606 Phone: 617-974-4908 Fax: 617-974-4908 |