THEODORE PETER WASIK (NPI# 1003025776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003025776 |
| Entity Type | Individual |
| Full Name | THEODORE PETER WASIK |
| Credential | MD |
| Practice Address |
61 Roseland St Ste 8 Somerville MA 02143-3536 |
| Mailing Address |
29 Albion Pl Boston MA 02129-1701 |
| Practice Telephone | 6174701805 |
| Practice Fax Number | 6177145383 |
| Mailing Telephone | 6174701805 |
| Mailing Fax Number | 6177145383 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2019-09-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
243789 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
61 ROSELAND ST STE 8 |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02143-3536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245843598 | Sidney Marie Joines | Counselor | New Washington St, Somerville, MA 02143 | 2020-08-26 |
| 1487295887 | Tejasvini Goud Jangam | Dentist | 14 Mcgrath Highway Twin City Plaza, Somerville, MA 02143 | 2019-10-07 |
| 1265900658 | Latoya Lewis | Massage Therapist | 343 Medford Street Suite 4b, Somerville, MA 02143 | 2018-11-05 |
| 1982181053 | Robert Lafollette | Social Worker | 61 Inner Belt Rd, Somerville, MA 02143 | 2018-07-23 |
| 1013405471 | Roseli De Fatima Schimanski | Acupuncturist | 10 Clark St #3, Somerville, MA 02143 | 2018-05-01 |
| 1255840070 | Maggie Kinser | Counselor | 366 Somerville Avenue, Somerville, MA 02143 | 2017-09-25 |
| 1497273742 | Isabelle Hackett | Social Worker | 17 Inner Belt Rd, Somerville, MA 02143 | 2017-09-07 |
| 1952824666 | Manuel Cantu | Counselor | 17 Inner Belt Road, Somerville, MA 02143 | 2017-07-25 |
| 1649710963 | Shakemia Shaw | Licensed Practical Nurse | 230 Highland Avenue, Somerville, MA 02143 | 2017-03-06 |
| 1245600501 | Libby Vilner | Social Worker | 12 Tyler St., Somerville, MA 02143 | 2015-09-30 |
| Find all providers in zip 02143 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093881575 | Susan M Peet Rowley | Psychiatry & Neurology | 73 West End Avenue, Somerville, NJ 08876-1828 | 2006-11-28 |
| 1235218504 | Amanda J Gruber | Psychiatry & Neurology | 41 Russell St, Somerville, MA 02144-3023 | 2006-11-06 |
| 1245204932 | John H Lloyd | Psychiatry & Neurology | 175 Elm St, Suite C4, Somerville, MA 02144-3150 | 2006-02-17 |
| 1376517052 | Steven Budoff | Psychiatry & Neurology | 135 W End Ave, Somerville, NJ 08876-1809 | 2006-02-17 |
| 1588635163 | Leslie R Fenn | Psychiatry & Neurology | 78 College Ave, Somerville, MA 02144-1916 | 2006-01-31 |
| 1720060155 | Miriam Cohen Tepper | Psychiatry & Neurology | 26 Central St, Cambridge Health Alliance, Somerville, MA 02143-2827 | 2005-11-21 |
| 1013999093 | Stanley M Cole | Psychiatry & Neurology | 402a Highland Ave Ste J, Somerville, MA 02144-2511 | 2005-11-16 |
| 1154784098 | Eileen Huttlin Kirtane | Psychiatry & Neurology | 26 Central Street, Somerville, MA 02143 | 2016-03-29 |
| 1316283708 | Dale Rosin | Psychiatry & Neurology | 129 Grove St, Somerville, NJ 08876-1922 | 2012-12-12 |
| 1497004469 | Psychiatric and Behavirol Health Solutions, LLC | Psychiatry & Neurology | 135 W End Ave, Somerville, NJ 08876-1809 | 2012-09-05 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 02143 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.