GEORGE STAVROS (NPI# 1073626164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073626164 |
| Entity Type | Individual |
| Full Name | GEORGE STAVROS |
| Credential | PH.D. |
| Practice Address |
305 Newbury St Suite 41 Boston MA 02115-2833 |
| Mailing Address |
63 Bellevue Hill Rd West Roxbury MA 02132-2120 |
| Practice Telephone | 6173125667 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 7536 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255496469 | George Stavros | Family Medicine | 3825 N 24th St, Phoenix, AZ 85016-6512 | 2006-12-27 |
| Street Address |
305 NEWBURY ST SUITE 41 |
| City | BOSTON |
| State | MA |
| Zip Code | 02115-2833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417497546 | Steven Louis Procopio | Social Worker | 305 Newbury St, Suite 42, Boston, MA 02115-2833 | 2017-03-08 |
| 1417126483 | Christopher Lockwood Hobbs | Psychologist | 305 Newbury St, Boston, MA 02115 | 2008-02-25 |
| 1417175142 | Holley Heyert | Chiropractor | 305 Newbury St, Suite 31, Boston, MA 02115-2833 | 2007-04-20 |
| 1225182587 | George Luis Soto | Social Worker | 305 Newbury St, Suite 42, Boston, MA 02115-2833 | 2007-01-23 |
| 1700944774 | Melvin Barton | Psychologist | 305 Newbury St, Boston, MA 02115-2833 | 2006-12-04 |
| 1548356363 | Theresa Elaine Gilmore | Psychologist | 305 Newbury St, Suite 41, Boston, MA 02115-2833 | 2006-10-05 |
| 1922199157 | Lois M Glass | Social Worker | 305 Newbury St, Suite 41, Boston, MA 02115-2833 | 2006-09-26 |
| 1780786921 | Mark A. Pooler | Social Worker | 305 Newbury St, Suite 42, Boston, MA 02115-2833 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
| 1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
| 1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
| 1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
| 1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
| 1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| 1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| Find all providers in zip 02115 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841897345 | Sade Callwood | Psychologist | 185 Devonshire St Ste 800, Boston, MA 02110-1414 | 2020-10-07 |
| 1184239808 | Morgan Eleanor Smigielski | Psychologist | 65 Park Dr Apt 18, Boston, MA 02215-5238 | 2020-09-10 |
| 1679183230 | Holly Muller | Psychologist | 225 Friend St, Boston, MA 02114-1800 | 2020-08-07 |
| 1942826813 | David Leo Pendergast | Psychologist | 36 A St Unit 6c, Boston, MA 02127-1870 | 2020-06-17 |
| 1063035566 | Hermine Muskat | Psychologist | 1313 Washington St Apt 521, Boston, MA 02118-2170 | 2020-05-19 |
| 1750914503 | Stephanie Petit Jean Louis | Psychologist | 80 Fenwood Rd Unit 405, Boston, MA 02115-6138 | 2020-02-20 |
| 1164078754 | Alexandria Miller | Psychologist | 801 Massachusetts Ave # 2067, Boston, MA 02118-2605 | 2019-08-10 |
| 1356824288 | Mira Mooreville Nurko | Psychologist | 71 Rockview St, Boston, MA 02130-2147 | 2018-09-06 |
| 1083195416 | Lawrence Pilkington Stifler | Psychologist | 99 Summer St Fl 12, Boston, MA 02110-1213 | 2018-08-23 |
| 1952896326 | Amy R. Pettit | Psychologist | 11 Deerfield St, Boston, MA 02215-5600 | 2018-06-27 |
| Find all providers in BOSTON | ||||
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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.