KATHLEEN ERCOLINI LLC (NPI# 1093221509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093221509 |
| Entity Type | Organization |
| Organization Name | KATHLEEN ERCOLINI LLC |
| Other Organization Name | KATHLEEN ERCOLINI, LICSW |
| Practice Address |
60 Mount Vernon St Reading MA 01867-2540 |
| Practice Telephone | 9782764260 |
| Mailing Telephone | 9782764260 |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2017-12-19 |
| Authorized Official Name | MRS. KATHLEEN MARIE ERCOLINI (OWNER) |
| Authorized Official Telephone | 9782764260 |
| Authorized Official Credential | LICSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Kathleen Ercolini, LICSW | Doing Business As Name - Organization |
| Street Address |
60 MOUNT VERNON ST |
| City | READING |
| State | MA |
| Zip Code | 01867-2540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972120749 | Rebecca Cann | Speech-Language Pathologist | 274 Main Street, Suite 312, Reading, MA 01867 | 2020-06-28 |
| 1225670839 | Abc Medical, LLC | Psychiatry & Neurology | 36 Woburn St., Reading, MA 01867 | 2019-10-15 |
| 1922572296 | Perfect Motion Sports Therapy, LLC | Physical Therapist | 61 Endicott Street Building 33, Floor 2, Norwood, MA 01867 | 2019-01-18 |
| 1144791278 | Erica M. Sanchez | Specialist/Technologist | Reading Memorial High School, 62 Oakland Rd, Reading, MA 01867 | 2018-12-16 |
| 1215488937 | Brian D Tedesco, Dpm & George A Abboud, Dpm PC | Podiatrist | 30 Newcrossing Road, Suite 311, Reading, MA 01867 | 2016-10-18 |
| 1215484761 | Kimberly Angelini | Nurse Practitioner | 2 Haven St., Suite 309, Reading, MA 01867 | 2016-09-01 |
| 1790186138 | Mary Hughes | Specialist | 23 Chestnut Road, Reading, MA 01867 | 2014-09-04 |
| 1578807830 | Linda Jane Martin | Physical Therapist | 99 Spruce Rd, Reading, MA 01867 | 2012-11-26 |
| 1639427578 | Keely Oates | Counselor | 127 County Road, Reading, MA 01867 | 2012-08-27 |
| 1295019586 | Arlene Genova | Pharmacist | 45 Harnden St, Reading, MA 01867 | 2011-10-05 |
| Find all providers in zip 01867 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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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.