AUDREY GRUBB (NPI# 1053934323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053934323 |
| Entity Type | Individual |
| Full Name | AUDREY GRUBB |
| Credential | MA |
| Practice Address |
30 Taunton Grn Ste 5 Taunton MA 02780-3243 |
| Mailing Address |
51 Park Dr Apt 25 Boston MA 02215-5200 |
| Practice Telephone | 8028398382 |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
30 TAUNTON GRN STE 5 |
| City | TAUNTON |
| State | MA |
| Zip Code | 02780-3243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922144880 | Donna Karl Brennan | Social Worker | 30 Taunton Grn Ste 5, Taunton, MA 02780-3243 | 2007-01-29 |
| 1053929216 | Sean Paul | Student in an Organized Health Care Education/Training Program | 30 Taunton Grn Ste 5, Taunton, MA 02780-3243 | 2020-07-14 |
| 1760022123 | Laura Brittany De Guzman | Counselor | 30 Taunton Grn Ste 5, Taunton, MA 02780-3243 | 2020-01-13 |
| 1114587268 | Howard Bean | Counselor | 30 Taunton Grn Ste 5, Taunton, MA 02780-3243 | 2019-06-19 |
| 1902460082 | Alicia Rodrigues | Social Worker | 30 Taunton Grn Ste 5, Taunton, MA 02780-3243 | 2019-04-24 |
| 1457874943 | Michelle Ouvry | Counselor | 30 Taunton Grn Ste 5, Taunton, MA 02780-3243 | 2017-07-17 |
| 1225311517 | Amy E Runge | Counselor | 30 Taunton Grn Ste 5, Taunton, MA 02780-3243 | 2011-09-22 |
| 1366699175 | Susan A Martin | Counselor | 30 Taunton Grn Ste 5, Taunton, MA 02780-3243 | 2008-08-22 |
| 1518142892 | Shaunna Mazza | Counselor | 30 Taunton Grn Ste 5, Taunton, MA 02780-3243 | 2008-01-04 |
| 1518097088 | Robert Smith | Social Worker | 30 Taunton Grn Ste 5, Taunton, MA 02780-3243 | 2007-03-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235766338 | Peter A. Bertelli | Registered Nurse | Attn: Peter A. Bertelli, Rn, 70 Main Street, Taunton, MA 02780 | 2020-03-26 |
| 1790321388 | Daniel Bettencourt | Counselor | 1 Washington St. Taunton, Ma 02780, Taunton, MA 02780 | 2019-11-19 |
| 1629620067 | Lauren Mulkern | Behavior Technician | 36 Saints Way, Taunton, MA 02780 | 2019-07-16 |
| 1154891737 | Sara Keller | Physical Therapist | 68 Dean Street, Taunton, MA 02780 | 2018-11-27 |
| 1366931594 | Alicia Marie Donahue | Optometrist | 2005 Bay Street Suite 206, Taunton, MA 02780 | 2018-05-03 |
| 1922522879 | Kathryn Louise Drapeau | Registered Nurse | 17 Patriot Road, Taunton, MA 02780 | 2017-08-02 |
| 1174057913 | Marie Lorquet | Registered Nurse | 111 Bay St, Taunton, MA 02780 | 2017-04-19 |
| 1912351693 | Samantha Hollis | Social Worker | 126 Dighton Avenue, Taunton, MA 02780 | 2016-04-19 |
| 1689030843 | Alexandra Rhae Lynn | Counselor | 1 Washington St., Taunton, MA 02780 | 2016-01-04 |
| 1386058261 | Carmen Iris Rivera | Registered Nurse | 111 Worcester St, Taunton, MA 02780 | 2014-06-18 |
| Find all providers in zip 02780 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528549789 | Angelique Martinez | Counselor | 729 Somerset Ave, Taunton, MA 02780-5089 | 2018-08-27 |
| 1780195073 | Katherine Nicole Odom | Counselor | 287 Bay St Apt 1, Taunton, MA 02780-1835 | 2017-10-13 |
| 1295250504 | Emily O'brien | Counselor | 425 Tremont St, Taunton, MA 02780-5135 | 2017-08-08 |
| 1861840266 | Aubrey Baptista | Counselor | 254 Winthrop St, Taunton, MA 02780-4340 | 2016-05-26 |
| 1689030843 | Alexandra Rhae Lynn | Counselor | 1 Washington St., Taunton, MA 02780 | 2016-01-04 |
| 1033534888 | Eneida M Anjos | Counselor | 167 Appaloosa Way, Taunton, MA 02780-7196 | 2014-03-03 |
| 1861764573 | Jill Courtney Rich | Counselor | 2 4th Ave, Taunton, MA 02780-1366 | 2012-01-27 |
| 1184813586 | Jaime Jean Santos | Counselor | 275 Harvey St, Taunton, MA 02780-1217 | 2007-10-22 |
| 1790972164 | Jill Ann Heroux | Counselor | 35 Summer St Ste 202, Taunton, MA 02780-3469 | 2007-10-01 |
| 1356554950 | Zoi Tsolias | Counselor | 1 Taunton Grn, Taunton, MA 02780-3225 | 2007-05-08 |
| Find all providers in TAUNTON | ||||
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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.