NEUROSPORTELITE NORTH BOSTON, LLC (NPI# 1043757115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043757115 |
| Entity Type | Organization |
| Organization Name | NEUROSPORTELITE NORTH BOSTON, LLC |
| Practice Address |
78 Olympia Ave Woburn MA 01801-2057 |
| Practice Telephone | 6089888088 |
| Practice Fax Number | 8884562475 |
| Mailing Telephone | 6039888088 |
| Mailing Fax Number | 8884562475 |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |
| Authorized Official Name | DR. SPENCER HOWARD BARON (PRESIDENT) |
| Authorized Official Telephone | 9548005017 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
3375 | MA | Ambulatory Health Care Facilities |
| Street Address |
78 OLYMPIA AVE |
| City | WOBURN |
| State | MA |
| Zip Code | 01801-2057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267684 | Leticia Siqueiros | Counselor | Health Care Resource Center Woburn, 9 Forbes Rd, Woburn, MA 01801 | 2019-10-28 |
| 1144882739 | Sarah Martino | Registered Nurse | 7 Alfred Street, Baldwin Park II, Woburn, MA 01801 | 2019-07-03 |
| 1780154005 | Julie Paster-kinnicutt | Social Worker | Lahey Accountable Care Unit, 12 Alfred Street, Suite 207, Woburn, MA 01801 | 2018-11-29 |
| 1164906418 | Amanda Chryslan Scippa | Dietitian, Registered | 2 Oak Knoll Drive, Woburn, MA 01801 | 2018-09-22 |
| 1902383276 | Winchester Physician Associates, Inc. | Occupational Therapist | 100 Unicorn Park, Suite 102, Woburn, MA 01801 | 2018-07-19 |
| 1104317494 | Pauline P Reilly | Dentist | 90 Pleasant Street, Dental Health Care of Woburn, P. C., Woburn, MA 01801 | 2018-05-23 |
| 1134628027 | Caroline Rose Scheck | Behavior Technician | 331 Montvale Ave 5th Floor, Woburn, MA 01801 | 2018-02-06 |
| 1396252425 | Sabrina Voegelin | Social Worker | 410 Russell St, Woburn, MA 01801 | 2018-01-10 |
| 1467975730 | Francine Forbes | Behavior Technician | 10 Gill St., J, Woburn, MA 01801 | 2017-07-19 |
| 1568985851 | Lukasiewicz and Bellavance LLC | Dentist | 3 Baldwin Green Common Suite 101, Woburn, MA 01801 | 2017-07-19 |
| Find all providers in zip 01801 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760883631 | Whole-istic Living LLC | Clinic/Center | 10 Cedar St, Suite 24, Woburn, MA 01801-6364 | 2014-09-10 |
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| 1811509490 | Inner Source Family Chiropractic Inc | Clinic/Center | 138 Dodge St, Beverly, MA 01915-1866 | 2020-08-17 |
| 1730797226 | Integra Wellness Health. PC | Clinic/Center | 1077 Lexington St Ste 203, Waltham, MA 02452-7233 | 2020-07-21 |
| 1821626763 | Renewal Integrative Psychotherapies LLC | Clinic/Center | 90 Madison St Ste 502, Worcester, MA 01608-2058 | 2020-03-27 |
| 1477184216 | Wellpoint Healing Center, Inc | Clinic/Center | 175 Derby St Ste 18a, Hingham, MA 02043-4051 | 2020-01-30 |
| 1073078531 | Body Dynamics Nutrition | Clinic/Center | 11 Apex Dr, Marlborough, MA 01752-1858 | 2019-02-08 |
| 1194214742 | Norwood Dental Sleep Medicine LLC | Clinic/Center | 100 Day St, Norwood, MA 02062-2125 | 2018-05-08 |
| 1356843890 | Family Eyecare Solutions LLC | Clinic/Center | 51 Mill St Bldg E, Hanover, MA 02339-1641 | 2018-03-01 |
| 1326587288 | Nicole Marie Kantor | Clinic/Center | 182 Church St Apt 3, Newton, MA 02458-1962 | 2017-02-13 |
| 1184168825 | Sunrise Healthcare LLC | Clinic/Center | 37 Minuteman Way, Shrewsbury, MA 01545-2229 | 2016-12-15 |
| 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.