CHOATE HEALTH MANAGEMENT (NPI# 1073674420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073674420 |
Entity Type | Organization |
Organization Name | CHOATE HEALTH MANAGEMENT |
Practice Address |
391 Varnum Ave Lowell MA 01854-2119 |
Practice Telephone | 9783225120 |
Mailing Telephone | 9783225120 |
Enumeration Date | 2006-12-12 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MS. CAROL A. PORDER (DIRECTOR) |
Authorized Official Telephone | 9783225120 |
Authorized Official Credential | M.A. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 1307126 | 05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Vermont Business Registrations | CHOATE HEALTH MANAGEMENT, INC. | 92 Montvale Ave, Stoneham, MA 02180 |
Massachusetts Corporations | CHOATE HEALTH MANAGEMENT, INC. | 367 S. Gulph Road, King of Prussia, PA 19406 |
Street Address |
391 VARNUM AVE |
City | LOWELL |
State | MA |
Zip Code | 01854-2119 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326005836 | Timaree Catherine Brown | Psychologist | 391 Varnum Ave, Lowell, MA 01854-2119 | 2006-04-27 |
1235785601 | Claudia Smith | Counselor | 391 Varnum Ave, Lowell, MA 01854-2119 | 2019-08-12 |
1043874753 | Shantel Sinclair | Behavior Technician | 391 Varnum Ave, Lowell, MA 01854-2119 | 2019-04-28 |
1689147316 | Chheub Bun Heng | Social Worker | 391 Varnum Ave, Lowell, MA 01854-2119 | 2019-01-04 |
1720555410 | Iniobong Francis Udounwa | Social Worker | 391 Varnum Ave, Lowell, MA 01854-2119 | 2018-10-31 |
1780166355 | Luciana Echavarria | Social Worker | 391 Varnum Ave, Lowell, MA 01854-2119 | 2018-08-30 |
1437636974 | Brent T Rourke | Student in an Organized Health Care Education/Training Program | 391 Varnum Ave, Lowell, MA 01854-2119 | 2018-07-27 |
1104315969 | Paula Alexandra Pereira Reis | Counselor | 391 Varnum Ave, Lowell, MA 01854-2119 | 2018-05-08 |
1992201776 | Krystal Peirce | Registered Nurse | 391 Varnum Ave, Lowell, MA 01854-2119 | 2018-04-02 |
1154820637 | Nolisha Trinices Greer | Counselor | 391 Varnum Ave, Lowell, MA 01854-2119 | 2018-02-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780224246 | Alexander C Mellin | Specialist/Technologist | Costello Athletic Center, 275 Riverside Street, Lowell, MA 01854 | 2020-01-13 |
1831656131 | Shaquilla U Terry | Behavior Technician | 810 Broadway St, Apt 5, Lowell, MA 01854 | 2019-02-23 |
1073010187 | John R Dunn | Counselor | Lowell House Inc, 555 Merrimack Street, Lowell, MA 01854 | 2018-04-06 |
1730604661 | Grecia Aybar | Counselor | 11 White Street, Lowell, MA 01854 | 2017-08-11 |
1659812550 | Krystal Demmons | Counselor | 371 Varnum Ave, Lowell, MA 01854 | 2017-03-13 |
1891115366 | Stacey Bourbeau | Counselor | 391 Varnum Avenue Lower Level, Lowell, MA 01854 | 2014-04-23 |
1013270446 | Alexandra Miniati | Internal Medicine | 275 Varnum Ave Riverside Medical Group, Ste 201, Lowell, MA 01854 | 2012-06-20 |
1750608923 | Elisha S Bartlett | Social Worker | 391 Varnum Avenue, Lowell, MA 01854 | 2010-04-28 |
1871820399 | Sandy Ann Thongkhamsouk | Counselor | 391 Varnum St., Lowell, MA 01854 | 2009-11-04 |
1427299007 | Kristin A. Larson | Nurse Practitioner | 220 Pawtucket St Suite 300, University Crossing, Lowell, MA 01854 | 2009-03-12 |
Find all providers in zip 01854 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710463922 | Deborah Edelman-blank | Psychologist | 220 Pawtucket Street, Suite 300, Lowell, MA 01854-5144 | 2018-07-11 |
1689166852 | Alice Andrea Frye | Psychologist | 113 Wilder St Ste 300, Lowell, MA 01854-3057 | 2018-06-04 |
1063585826 | Belinda Lewis Hubert Phd, Fppr, Inc | Psychologist | 17317 White Oak Ave, Lowell, IN 46356-9411 | 2006-11-17 |
1659365146 | Le My Doan II | Psychologist | 77 E Merrimack St, 23, Lowell, MA 01852-1251 | 2005-09-12 |
1700368578 | Danielle Umland Randall | Psychologist | 519 Latham Dr, Lowell, AR 72745-8360 | 2018-08-29 |
1275886806 | Elisabeth Anne Parrott | Psychologist | 10 George St, Lowell, MA 01852-2241 | 2012-10-19 |
1215183280 | Tara M Cole | Psychologist | 515 Enterprise Dr Ste 300, Lowell, AR 72745 | 2008-08-11 |
1316116742 | Belinda Lewis Hubert | Psychologist | 17317 White Oak Ave, Lowell, IN 46356-9411 | 2008-02-29 |
1689709032 | Gary Brett Gastman | Psychologist | 35 Market St, 2nd Floor, Lowell, MA 01852-1805 | 2007-02-23 |
1780741561 | Marlene J Davis | Psychologist | 45 Merrimack St, Suite 200, Lowell, MA 01852-1729 | 2007-01-02 |
Find all providers in LOWELL |
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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.