MR. MARK DAGNALL (NPI# 1083930192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083930192 |
| Entity Type | Individual |
| Full Name | MR. MARK DAGNALL |
| Credential | LMHC, LADC 1, CRC |
| Practice Address |
75 Amory St Rear Entrance Boston MA 02119-1051 |
| Practice Telephone | 8573991915 |
| Practice Fax Number | 8573991901 |
| Mailing Telephone | 8573991915 |
| Mailing Fax Number | 8573991901 |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2015-07-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
2411 | MA | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
9039 | MA | Behavioral Health & Social Service Providers |
| Street Address |
75 AMORY ST REAR ENTRANCE |
| City | BOSTON |
| State | MA |
| Zip Code | 02119-1051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356821607 | Edward Yates | Social Worker | 75 Amory St, Boston, MA 02119-1051 | 2018-08-16 |
| 1164932950 | Reyna Jade Castillo | Counselor | 75 Amory St, Boston, MA 02119-1051 | 2017-10-05 |
| 1881122786 | Akane Kominami | Social Worker | 75 Amory St, Boston, MA 02119-1051 | 2017-05-23 |
| 1154879849 | Zachary Kerr | Social Worker | 75 Amory St, Boston, MA 02119-1051 | 2016-09-12 |
| 1295112787 | Damian Lima | Counselor | 75 Amory St, Boston, MA 02119-1051 | 2015-05-04 |
| 1871847137 | Pharmahealth Specialty/longterm Care, Inc. | Pharmacy | 75 Amory St, Boston, MA 02119-1051 | 2012-11-07 |
| 1114290822 | Aids Action Committee | Community/Behavioral Health | 75 Amory St, Boston, MA 02119-1051 | 2012-02-13 |
| 1962774000 | Lena M Asmar | Behavioral Analyst | 75 Amory St, Boston, MA 02119-1051 | 2012-02-06 |
| 1891067872 | Nathan Quinter Brewer | Social Worker | 75 Amory St, Boston, MA 02119-1051 | 2012-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661644 | Christina Kim Hunt | Case Manager/Care Coordinator | 75 Amory St, Garden Level, Boston, MA 02119 | 2020-08-27 |
| 1962021089 | Taha Fathima Khan | Student in an Organized Health Care Education/Training Program | Boston Medical Center, 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-04-09 |
| 1154957132 | Katherine Erin Douglas | Pediatrics | 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-03-21 |
| 1720536568 | Ramy Y Barrett | Counselor | 77 Savin Street, Apartment # 3, Boston, MA 02119 | 2016-09-21 |
| 1083089676 | Natasha Cruz | Counselor | 263 Eustis Street, Roxbury, MA 02119 | 2015-12-08 |
| 1922478486 | Natalie Jones | Counselor | 520 Dudley St., Roxbury, MA 02119 | 2015-09-28 |
| 1922484799 | Dina Ghaly-habib | Student in an Organized Health Care Education/Training Program | 100 East Newton St., G-706, Boston, MA 02119 | 2015-08-04 |
| 1942697248 | Pyramid Builders | Case Management | 11 Roxbury Street, Boston, MA 02119 | 2015-04-24 |
| 1063810984 | Sophia Smalls | Counselor | 250 Walnut Ave, Apt. 10, Boston, MA 02119 | 2014-12-09 |
| 1750705059 | Alasa Hawkins | Counselor | 502 Dudley St, Roxbury, MA 02119 | 2014-02-07 |
| Find all providers in zip 02119 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019800 | Anabel Rohrer | Counselor | 189 Princeton St Apt 1, Boston, MA 02128-3517 | 2020-10-05 |
| 1174138499 | Rachel Theresa Feddor | Counselor | 1970 Commonwealth Ave Apt 48, Boston, MA 02135-5820 | 2020-09-14 |
| 1356953673 | Colleen Murray | Counselor | 45 Montcalm Ave, Boston, MA 02135-2839 | 2020-08-18 |
| 1326657487 | Laqueen Arleen Battle | Counselor | 101 Arch Street, 8th Floor, Ste 869, Boston, MA 02110 | 2020-07-24 |
| 1134737240 | Jeandrilie Font-llorens | Counselor | 440 Mcclellan Hwy Ste 105b, Boston, MA 02128-1101 | 2020-07-15 |
| 1255959524 | Discover Healing Therapy LLC | Counselor | 185 Devonshire St Ste 501, Boston, MA 02110-1415 | 2020-07-13 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1013537992 | James Jeffrey Yelinek Jr. | Counselor | 80 Fenwood Rd Unit 614, Boston, MA 02115-6148 | 2020-04-21 |
| 1952944290 | Chabreah Alston | Counselor | 23 Cameron St Apt 3, Boston, MA 02125-4463 | 2019-10-18 |
| 1720620271 | Cheryl Pamela Lewis | Counselor | 155 Northampton St Apt 408, Boston, MA 02118-1845 | 2019-10-16 |
| 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.