SALLY GUY (NPI# 1073668190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073668190 |
| Entity Type | Individual |
| Full Name | SALLY GUY |
| Credential | APRN, BC |
| Practice Address |
170 Morton St Jamaica Plain MA 02130-3735 |
| Mailing Address |
1079 Beacon St Apt 6 Brookline MA 02446-5639 |
| Practice Telephone | 6179713733 |
| Practice Fax Number | 6179713853 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
161055 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
170 MORTON ST |
| City | JAMAICA PLAIN |
| State | MA |
| Zip Code | 02130-3735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598745630 | Daniella Floru | Internal Medicine | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2006-01-17 |
| 1790390466 | Caz Novak | Social Worker | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2020-09-10 |
| 1215566849 | James William Assif | Student in an Organized Health Care Education/Training Program | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2020-04-06 |
| 1982233045 | Ramy Rashad | Student in an Organized Health Care Education/Training Program | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2020-04-02 |
| 1154958205 | Yu Sakai | Student in an Organized Health Care Education/Training Program | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2020-03-26 |
| 1447890785 | Joseph Philip Rearick | Counselor | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2020-01-15 |
| 1093359580 | Samuel Paul Newman | Counselor | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2019-10-29 |
| 1760044739 | Nicole Jean Dell'erario | Social Worker | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2019-07-01 |
| 1154986784 | Saliha Fatima Abdal-khabir | Registered Nurse | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2019-05-09 |
| 1659935351 | Johnny Jarnagin | Student in an Organized Health Care Education/Training Program | 170 Morton St, Jamaica Plain, MA 02130-3735 | 2019-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913121 | Virginia Dawn Pratt | Social Worker | Ethos, 555 Amory Street, Jamaica Plain, MA 02130 | 2020-08-19 |
| 1689139917 | Lina Skiba | Speech-Language Pathologist | Thom Child & Family Services, 555 Armory St, Jamaica Plain, MA 02130 | 2019-01-31 |
| 1841775442 | Melissa Rocklen | Social Worker | 30 Germania St Bldg C, Jamaica Plain, MA 02130 | 2018-09-28 |
| 1902389281 | Susan N. Berkman | Social Worker | 111 Perkins St., Apt.120, Jamaica Plain, MA 02130 | 2018-09-12 |
| 1326551912 | Cindy Tromp | Counselor | Arbour Hospital, 49 Robinwood Ave, Jamaica Plain, MA 02130 | 2017-11-06 |
| 1811415128 | Jesse Myles Carmen | Social Worker | 555 Armory Street, Jamaica Plain, MA 02130 | 2017-09-07 |
| 1881119410 | Melanie Suzanne Witman | Counselor | 1125 Centre Street, Boston, MA 02130 | 2017-08-04 |
| 1740702125 | Farah Clermont | Counselor | 3815 Washington St., Jamaica Plain, MA 02130 | 2017-07-07 |
| 1346777554 | Anjalie L Pieres | Counselor | 157 Green Streey, Jamaica Plain, MA 02130 | 2017-05-18 |
| 1316480098 | Caroline Amina Shaw-moss | Counselor | 7 Burr St., Boston, MA 02130 | 2016-11-29 |
| Find all providers in zip 02130 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104069400 | Jaime Jeanette Eckert | Clinical Nurse Specialist | 170 Morton St, Michael J. Gill Mental Health & Wellness Clinic, Jamaica Plain, MA 02130-3735 | 2009-04-16 |
| 1447479985 | Ekaterini Poulakos | Clinical Nurse Specialist | 180 Morton St, Jamaica Plain, MA 02130-3735 | 2007-04-24 |
| 1457578205 | Wendy Silverman | Clinical Nurse Specialist | 180 Morton St, Jamaica Plain, MA 02130-3735 | 2007-04-20 |
| 1467472522 | Debra A Romano | Clinical Nurse Specialist | 150 S Huntington Ave, Jamaica Plain, MA 02130-4817 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935809 | Anne-marie Barron | Clinical Nurse Specialist | 9 Kahler Ave, Milton, MA 02186-1519 | 2020-06-07 |
| 1306467139 | Kathleen Mary Daly | Clinical Nurse Specialist | 22 Priscilla Ln, Duxbury, MA 02332-5101 | 2020-05-04 |
| 1407325541 | New Directions Behavioral Health LLC | Clinical Nurse Specialist | 10 Ash St, Danvers, MA 01923-2749 | 2018-11-19 |
| 1457894628 | Psyche1001 Learn Grow Change LLC | Clinical Nurse Specialist | 638 Adamsville Rd, Suite 1001, Westport, MA 02790-5031 | 2016-11-21 |
| 1841642725 | Joyce Daqnal Shields | Clinical Nurse Specialist | 132 Oakley Rd, Belmont, MA 02478-2734 | 2016-07-05 |
| 1386004075 | Jane Bloom | Clinical Nurse Specialist | 95 Golden Hill, Lee, MA 01238-9132 | 2016-02-24 |
| 1255722716 | Carol Vivori | Clinical Nurse Specialist | 132 Mass Moca Way, North Adams, MA 01247-2446 | 2015-02-05 |
| 1982995262 | Linda Louise Darbyshire | Clinical Nurse Specialist | 60 Munson Meeting Way Ste I, Psychiatric Collaborative, Chatham, MA 02633-1992 | 2011-04-21 |
| 1093020091 | Suzanne Elizabeth Bergeron | Clinical Nurse Specialist | 2 Administration Rd, Bridgewater, MA 02324-3230 | 2010-08-13 |
| 1467774356 | Mindful Wellbeing, LLC | Clinical Nurse Specialist | 11 Jillson Way, East Sandwich, MA 02537-1265 | 2010-02-19 |
| Find all providers with the same taxonomy | ||||
| City | JAMAICA PLAIN |
| Zip Code | 02130 |
Please comment or provide details below to improve the information on SALLY GUY.
| 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.