THERESA GRACE BULAN (NPI# 1083266936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083266936 |
| Entity Type | Individual |
| Full Name | THERESA GRACE BULAN |
| Credential | MSW |
| Practice Address |
170 Morton St Boston MA 02130-3735 |
| Practice Telephone | 6178927938 |
| Mailing Telephone | 6178927938 |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
170 MORTON ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02130-3735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669989778 | Carmen Celeste Thurston | Counselor | 170 Morton St, Boston, MA 02130-3735 | 2018-01-10 |
| 1649780008 | Jennifer Smith | Social Worker | 170 Morton St, Boston, MA 02130-3735 | 2017-10-11 |
| 1679002158 | Sophia Lin | Student in an Organized Health Care Education/Training Program | 170 Morton St, Boston, MA 02130-3735 | 2017-06-08 |
| 1841728631 | Michael Ivan Yuille | Counselor | 170 Morton St, Boston, MA 02130 | 2017-05-24 |
| 1043761588 | Melissa Lee Nilles | Counselor | 170 Morton St, Boston, MA 02130-3735 | 2016-10-19 |
| 1629529342 | Hannah Campbell | Counselor | 170 Morton St, 11n, Boston, MA 02130-3735 | 2016-10-18 |
| 1386197119 | Victoria Wong | Counselor | 170 Morton St, Boston, MA 02130-3735 | 2016-07-28 |
| 1649658741 | Pine Street Inn | Rehabilitation, Substance Use Disorder Unit | 170 Morton St, Boston, MA 02130-3735 | 2015-05-11 |
| 1013269638 | Paul G Brewer | Social Worker | 170 Morton St, Boston, MA 02130-3735 | 2012-10-05 |
| 1467763623 | Melbeth Marlang | Physician Assistant | 170 Morton St, Boston, MA 02130-3735 | 2010-06-23 |
| 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 | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1821635921 | Michael David Meyers | Counselor | 9 Notre Dame St, Boston, MA 02119-1230 | 2019-12-08 |
| 1831667260 | Melinda Baker | Counselor | 50 Congress St Ste 430, Boston, MA 02109-4055 | 2018-11-03 |
| 1992292361 | Stacey K. Borden | Counselor | 22 Drydock Ave Fl 3, Boston, MA 02210-2386 | 2018-04-20 |
| 1487163432 | Melinda Mcgahan | Counselor | 23 Bradston St Fl 1, Boston, MA 02118-2703 | 2017-09-21 |
| 1821515370 | Focal Points Healthcare, LLC | Counselor | 541 Sumner St # B, Boston, MA 02128-2258 | 2017-08-25 |
| 1881110005 | Robert Kenneth Turner | Counselor | 97 Hemenway Street, 11, Boston, MA 02115 | 2017-08-18 |
| 1548791189 | Ludy Young | Counselor | 247 Columbia Rd, Boston, MA 02121-3427 | 2017-03-24 |
| 1407390123 | Cheri L Epps | Counselor | 112 South Hampton Street, Boston, MA 02118 | 2016-12-14 |
| 1912440181 | Mark David Fralick | Counselor | 675 E 4th St, Boston, MA 02127-3063 | 2016-11-21 |
| 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.