BELMONT CAMBRIDGE HEALTH CARE (NPI# 1003039041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003039041 |
| Entity Type | Organization |
| Organization Name | BELMONT CAMBRIDGE HEALTH CARE |
| Practice Address |
24 Stony Brook Rd Belmont MA 02478-1724 |
| Mailing Address |
799 Concord Ave Cambridge MA 02138-1048 |
| Practice Telephone | 6174840929 |
| Practice Fax Number | 6174840929 |
| Mailing Telephone | 6174915111 |
| Mailing Fax Number | 6174915222 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. GOPAL KRISHNA GUPTA (DIRECTOR) |
| Authorized Official Telephone | 6174915111 |
| Authorized Official Credential | MBBS, MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
152950 | MA | Allopathic & Osteopathic Physicians |
| X | 208000000X | Pediatrics | 152950 | MA | Allopathic & Osteopathic Physicians |
| X | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
152950 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3203395 | 05 |
| Street Address |
24 STONY BROOK RD |
| City | BELMONT |
| State | MA |
| Zip Code | 02478-1724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089924 | Emily Boyko | Physical Therapist | 413 Trapelo Rd, 2, Belmont, MA 02478 | 2020-10-01 |
| 1326695636 | Kristen Perrelli | Social Worker | 115 Mill Street Mail Stop 207, Belmont, MA 02478 | 2019-08-21 |
| 1265905210 | Deborah J Fenn | Social Worker | 88 Palfrey Rd, Belmont, MA 02478 | 2019-01-02 |
| 1922578855 | The Psych Garden LLC | Counselor | 25 Flanders Road, Belmont, MA 02478 | 2018-12-04 |
| 1083199855 | Wendi Goldberg | Social Worker | 1 15 Mill Street, Belmont, MA 02478 | 2018-09-27 |
| 1124514146 | Ann Polcari | Clinical Nurse Specialist | Service Building Mc Lean Hospital, 115 Mill Street, Belmont, MA 02478 | 2018-07-02 |
| 1245722701 | Jeremy Stewart | Psychologist | Mclean Hospital, 115 Mill Street, Mailstop 331, Belmont, MA 02478 | 2018-05-31 |
| 1295257848 | Stephanie Boyer | Psychologist | Mclean Hospital, 115 Mill St., Mail Stop 131, Belmont, MA 02478 | 2017-07-14 |
| 1497281893 | The Meraki Center for Therapeutic Arts | Community/Behavioral Health | 431 Trapelo Rd, Belmont, MA 02478 | 2017-05-04 |
| 1275908063 | Alex Jordan | Psychologist | 115 Mill Street, Mail Stop 217, Mclean Hospital, Belmont, MA 02478 | 2015-12-05 |
| Find all providers in zip 02478 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104395656 | Walla Al-hertani | Medical Genetics | 300 Longwood Ave, Boston Children's Hospital., 5th Floor, Hunnewell Building, Boston, MA 02115 | 2018-11-14 |
| 1578962478 | Michele Roberts | Medical Genetics | 44 Howard St, Paxton, MA 01612-1569 | 2014-08-15 |
| 1962819516 | Almundher Al Maawali | Medical Genetics | 300 Longwood Ave # Cls15064, Boston, MA 02115-5724 | 2014-07-15 |
| 1912162835 | Ashadeep Chandrareddy | Medical Genetics | 800 Washington St # 340, Division of Clinical Genetics, Tufts Nemc, Boston, MA 02111 | 2008-07-21 |
| 1013182500 | Brian Gary Skotko | Medical Genetics | 185 Cambridge St Rm 2222, Boston, MA 02114-2790 | 2008-04-25 |
| 1063687630 | Tracy Lynn Mcgregor | Medical Genetics | 300 Third St, Cambridge, MA 02142-1103 | 2008-04-24 |
| 1316119209 | Stephen B Dowton | Medical Genetics | 1135 Tremont St Ste 900, Roxbury Crossing, MA 02120-2140 | 2008-03-31 |
| 1558456392 | Aubrey Milunsky | Medical Genetics | 700 Albany Street, 4th Floor Suite 408 Center for Human Genetics, Boston, MA 02118-2526 | 2006-10-04 |
| 1689698375 | Jane E. O'brien | Medical Genetics | Franciscan Hospital for Children, 30 Warren St., Brighton, MA 02135 | 2006-07-26 |
| 1558320762 | David Alan Sweetser | Medical Genetics | 55 Fruit St Yaw 8b, Pediatric Hematology Oncology, Boston, MA 02114-2696 | 2006-03-17 |
| Find all providers with the same taxonomy | ||||
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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.