MATTHEW BLYTHE GRADIN (NPI# 1053834788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053834788 |
| Entity Type | Individual |
| Full Name | MATTHEW BLYTHE GRADIN |
| Practice Address |
14 Fordham Road Allston MA 02134 |
| Mailing Address |
14 Fordham Rd Allston MA 02134-3006 |
| Practice Telephone | 6177826460 |
| Mailing Telephone | 6177826460 |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2017-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
14 FORDHAM ROAD |
| City | ALLSTON |
| State | MA |
| Zip Code | 02134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164070165 | Regina Levkovich | Social Worker | Spaulding Nursing and Therapy Center-brighton, 100 North Beacon Street, Brighton, MA 02134 | 2019-09-03 |
| 1851951487 | Bridget Rene Hunt | Specialist/Technologist | 47 N Harvard St, Allson, MA 02134 | 2019-06-17 |
| 1710457577 | Karla Lizbet Rivas | Psychologist | 44 Mansfield St, Allston, MA 02134 | 2018-12-04 |
| 1730698549 | Samantha Krevalin | Counselor | 52 Brainerd Rd, Allston, MA 02134 | 2017-09-25 |
| 1962877498 | Julia Gearing | Skilled Nursing Facility | 36 Quint Ave Apt 16, Allston, MA 02134 | 2015-12-09 |
| 1518367101 | Laura Domanico | Counselor | 250 Lincoln St, Allston, MA 02134 | 2014-09-02 |
| 1194153403 | Misato Nishijima | Social Worker | 14 Fordham Rd., Arbour Counseling Services of Allston, Allston, MA 02134 | 2013-10-23 |
| 1760732218 | Chester Fred Bowen IIi | Counselor | 40 N. Beacon St, Allston, MA 02134 | 2012-09-12 |
| 1023329414 | Mab Community Services, Inc | Day Training, Developmentally Disabled Services | 29 Denby Rd, Allston, MA 02134 | 2010-06-30 |
| 1164758348 | Agape Visiting Nurses, Inc | Home Health | 15 North Beacon St Cnr 2a, Alston, MA 02134 | 2009-10-23 |
| Find all providers in zip 02134 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700416583 | Cathryn Fernandes | Counselor | 56 Brighton Ave, Allston, MA 02134-2346 | 2020-01-22 |
| 1952946840 | Vincere Health Inc. | Counselor | 125 Western Ave, Allston, MA 02134-1008 | 2019-11-14 |
| 1275059628 | Matthew A Sablan | Counselor | 14 Fordham Rd Fl 2, Allston, MA 02134-3006 | 2017-08-17 |
| 1154938355 | Brittney Kil | Counselor | 14 Fordham Rd, Allston, MA 02134-3000 | 2020-09-30 |
| 1558975839 | Sumana Madura Shankar | Counselor | 14 Fordham Rd, Allston, MA 02134-3000 | 2020-09-03 |
| 1083228571 | Nga Ying Chan | Counselor | 14 Fordham Rd, Allston, MA 02134-3000 | 2020-09-02 |
| 1780297309 | Lauren Elizabeth Reiss | Counselor | 14 Fordham Rd, Allston, MA 02134-3000 | 2020-08-24 |
| 1093327165 | Molly Parent | Counselor | 14 Fordham Rd, Allston, MA 02134-3000 | 2020-08-20 |
| 1326659616 | Emily Rose Eichholtz | Counselor | 14 Fordham Rd, Allston, MA 02134-3000 | 2020-08-11 |
| 1396356689 | Jelena Kostadinovic | Counselor | 14 Fordham Rd, Allston, MA 02134-3000 | 2020-08-11 |
| Find all providers in ALLSTON | ||||
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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.