STEPHANIE JEANNE KENDALL (NPI# 1093956690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093956690 |
| Entity Type | Individual |
| Full Name | STEPHANIE JEANNE KENDALL |
| Credential | PH.D. |
| Practice Address |
175 Forest St Lacava 166 Waltham MA 02452-4713 |
| Mailing Address |
111 Alder St Waltham MA 02453-0526 |
| Practice Telephone | 6174552585 |
| Mailing Telephone | 6174552585 |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2009-03-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
8879 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215902788 | Stephanie Michele Kendall | Nurse Anesthetist, Certified Registered | 601 W Maple Ave Ste 503, Springdale, AR 72764-5376 | 2006-02-20 |
| Street Address |
175 FOREST ST LACAVA 166 |
| City | WALTHAM |
| State | MA |
| Zip Code | 02452-4713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588704522 | Kimberly Allen Kerrigan | Nurse Practitioner | 175 Forest St, Waltham, MA 02452-4713 | 2007-02-07 |
| 1588106868 | Christina Hollis | Specialist/Technologist | 175 Forest St, Waltham, MA 02452-4713 | 2016-11-17 |
| 1336564806 | Susannah Hanson Flaherty | Psychologist | 175 Forest St, Michael A. Callahan Building, 2nd Floor, Waltham, MA 02452-4713 | 2014-02-20 |
| 1447408737 | Mary E Hackel | Nurse Practitioner | 175 Forest St, Waltham, MA 02452-4713 | 2008-08-29 |
| 1205036902 | Heatha Cushman Schena | Nurse Practitioner | 175 Forest St, Rhodes Hall, Waltham, MA 02452-4713 | 2007-07-20 |
| 1629282041 | Veronica Ann Mcdonough | Nurse Practitioner | 175 Forest St, Rhodes Hall-student Health Services, Waltham, MA 02452-4713 | 2007-05-09 |
| 1770609463 | Martha Claire Reuman Pieper | Nurse Practitioner | 175 Forest St, Student Health Service, Bentley College, Waltham, MA 02452-4713 | 2007-03-22 |
| 1083743470 | Anne Herzog | Nurse Practitioner | 175 Forest St, Bentley College Student Health Services- Rhodes Hall, Waltham, MA 02452-4713 | 2007-03-03 |
| 1295863298 | Margaret Elizabeth Fitzgerald | Nurse Practitioner | 175 Forest St, Waltham, MA 02452-4705 | 2007-03-01 |
| 1962539742 | Deborah Ruth Forman | Nurse Practitioner | 175 Forest St, Waltham, MA 02452-4713 | 2007-02-27 |
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| 1346894896 | Nsea Macipa LLC | Ophthalmology | 135 Beaver Street Ste 309, Waltham, MA 02452 | 2019-08-01 |
| 1750879383 | Rosemary Klein | Psychologist | Waltham Court Clinic, 38 Linden St., Waltham, MA 02452 | 2018-04-30 |
| 1497256374 | Chithra Susan Kuriakose | Nurse Practitioner | Waltham Medical Group, 6 Lexington St., 2nd Floor, Waltham, MA 02452 | 2018-02-26 |
| 1861883001 | Melanie H Deveikas | Physical Therapist | 425 Waverley Oaks Rd, Waltham, MA 02452 | 2015-02-10 |
| 1770992059 | Hope Elisabeth Forbes | Psychologist | 175 Forest St., Bentley University Counseling Center, Waltham, MA 02452 | 2014-08-12 |
| 1326462557 | Ann M Fletcher | Social Worker | 100 Church St., Waltham, MA 02452 | 2014-02-07 |
| 1801239397 | Rainbow Adhc of Waltham | Clinic/Center | 411 Waverly Oak Rd # 2, Suite 214, Waltham, MA 02452 | 2013-04-15 |
| 1356689335 | Jessica M Liberty | Physical Therapist | 425 Waverley Oaks Rd., Waltham, MA 02452 | 2013-01-25 |
| 1386946960 | Janyce M Gately | Dietitian, Registered | 425 Waverley Oaks Rd Ste 200, Waltham, MA 02452 | 2010-12-02 |
| 1265618839 | Anita Lynn Hurd | Registered Nurse | 411 Waverely Oaks Road, Building #3, Suite 305, Waltham, MA 02452 | 2008-01-14 |
| Find all providers in zip 02452 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558850479 | Laurie Horowitz Humbert | Psychologist | 60 Clements Rd, Waltham, MA 02453-8208 | 2018-05-07 |
| 1467978569 | Rachel Margaret Kantor | Psychologist | 860 Winter St, Waltham, MA 02451-1449 | 2017-08-21 |
| 1750779005 | Katherine L E Craigen | Psychologist | 69 Hickory Dr Ste 2000, Waltham, MA 02451-1011 | 2015-01-08 |
| 1972903250 | Emily Brooke Hotz | Psychologist | 40 Crescent St Ste 201, Waltham, MA 02453-4313 | 2014-08-24 |
| 1770992059 | Hope Elisabeth Forbes | Psychologist | 175 Forest St., Bentley University Counseling Center, Waltham, MA 02452 | 2014-08-12 |
| 1992015275 | Julia Fomicheva | Psychologist | 411 Waverley Oaks Rd., #104, Waltham, MA 02452-8449 | 2010-10-20 |
| 1477792679 | Ronald Howard Evans | Psychologist | 415 South St., Brandeis University, Psychological Counseling, Mailman, Waltham, MA 02454-9110 | 2009-02-11 |
| 1871768762 | Vicky Lyn Anderson | Psychologist | 45 South Street Mailmun House, Brandeis University Psychological Counseling Center, Waltham, MA 02453 | 2008-04-23 |
| 1902023591 | Jane L. Forsyth | Psychologist | 30 Curve Street, Waltham, MA 02451 | 2007-04-18 |
| 1982752168 | Aurelie Jones Goodwin | Psychologist | 159 Virginia Rd, Waltham, MA 02453-7615 | 2007-01-06 |
| Find all providers in WALTHAM | ||||
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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.