DR. KAREN HETZEL (NPI# 1013054998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013054998 |
| Entity Type | Individual |
| Full Name | DR. KAREN HETZEL |
| Credential | PHD, APRN, BC |
| Practice Address |
1342 Belmont St Suite 101 Brockton MA 02301-4437 |
| Mailing Address |
1342 Belmont St Suite 101 Brockton MA 02301-4436 |
| Practice Telephone | 5085831600 |
| Mailing Telephone | 5082386956 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0807X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Adolescent |
144649 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | FALLON-BEACON HEALTH STRA | 1028770 | 01 |
| MA | TUFTS | 790700 | 01 |
| MA | VALUE OPTIONS | 005176 | 01 |
| MA | MAGELLAN | 306175 | 01 |
| MA | BCBS | PN0031 | 01 |
| Street Address |
1342 BELMONT ST SUITE 101 |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-4437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700873999 | Lyudmila Rakita | Psychiatry & Neurology | 1342 Belmont St, Suite 103, Brockton, MA 02301-4436 | 2005-10-03 |
| 1437666799 | Maureen E. Dimilla | Counselor | 1342 Belmont St, Brockton, MA 02301-4436 | 2018-01-08 |
| 1336692870 | Kayla Pavao | Nurse Practitioner | 1342 Belmont St, Brockton, MA 02301-4436 | 2016-08-02 |
| 1225409253 | Amy Goffredo LLC | Social Worker | 1342 Belmont St, Suite 103, Brockton, MA 02301-4436 | 2015-10-16 |
| 1639515968 | Jennifer Lynn Ulicny | Nurse Anesthetist, Certified Registered | 1342 Belmont St, Brockton, MA 02301-4436 | 2013-05-14 |
| 1588837553 | Lyudmila Rakita M.d.,p.c. | Psychiatry & Neurology | 1342 Belmont St, Suite 103, Brockton, MA 02301-4436 | 2008-04-10 |
| 1154498764 | June Louise Chin | Social Worker | 1342 Belmont St, Suite 103, Brockton, MA 02301-4436 | 2006-11-29 |
| 1609962976 | Stephen Gerald Rudin | Psychologist | 1342 Belmont St, Suite 204, Brockton, MA 02301-4436 | 2006-10-05 |
| 1003902958 | Aubrey Lieberman Md PC | Psychiatry & Neurology | 1342 Belmont St, Suite 105, Brockton, MA 02301-4436 | 2006-10-05 |
| 1750477618 | Aubrey Lieberman | Psychiatry & Neurology | 1342 Belmont St, Suite 105, Brockton, MA 02301-4436 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 364SP0807X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881203263 | Linda I Roedder | Clinical Nurse Specialist | 275 Princess Kate Cir, Taunton, MA 02780-2885 | 2020-07-30 |
| 1003118852 | Sharon Lynne Curtin | Clinical Nurse Specialist | 220 Reservoir St Ste 21, Needham, MA 02494-3133 | 2010-11-30 |
| 1013090430 | Kerri Ryder | Clinical Nurse Specialist | 411 Chandler St, Worcester, MA 01602 | 2006-10-21 |
| 1821179730 | Marilyn Litman | Clinical Nurse Specialist | 102 Grasmere St, Newton, MA 02458 | 2006-10-18 |
| 1952498354 | Anita D Freeman | Clinical Nurse Specialist | 28 Green Street, Newbury, MA 01951 | 2006-10-06 |
| 1295833028 | Gretchen Ann Berkowitch | Clinical Nurse Specialist | 100 Cummings Ctr Ste 365d, Beverly, MA 01915 | 2006-09-20 |
| 1881604635 | Patrice C Creighton | Clinical Nurse Specialist | 251 Fenn Street, Pittsfield, MA 01201 | 2006-08-08 |
| 1336169549 | Susan C. Broughton | Clinical Nurse Specialist | 50 North Second St, New Bedford, MA 02740 | 2006-07-20 |
| 1700815040 | Catherine L Lacoste-hamel | Clinical Nurse Specialist | 1082 Davol St, Arbour Counseling Services, Fall River, MA 02720 | 2006-06-30 |
| 1922073600 | Terese C Chipman | Clinical Nurse Specialist | 14 Fordham Rd, The Boston Center 2nd Floor, Allston, MA 02134-3006 | 2006-02-17 |
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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.