THEODORE PAUL CROSS (NPI# 1104062942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104062942 |
Entity Type | Individual |
Full Name | THEODORE PAUL CROSS |
Credential | PH.D. |
Practice Address |
4 Militia Dr Lexington MA 02421-4737 |
Mailing Address |
60 Maynard St Arlington MA 02474-2318 |
Practice Telephone | 7816404521 |
Mailing Telephone | 7816404532 |
Enumeration Date | 2008-12-29 |
Last Update Date | 2008-12-29 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
4645 | MA | Behavioral Health & Social Service Providers |
N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
4645 | MA | Behavioral Health & Social Service Providers |
Street Address |
4 MILITIA DR |
City | LEXINGTON |
State | MA |
Zip Code | 02421-4737 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346200193 | Susan M Brefach | Psychologist | 4 Militia Dr, Suite 23, Lexington, MA 02421-4737 | 2006-03-24 |
1760042675 | Maria Lee Busa | Occupational Therapist | 4 Militia Dr, Lexington, MA 02421-4737 | 2019-06-13 |
1730649708 | Lysa L. Pirone | Counselor | 4 Militia Dr, #23, Lexington, MA 02421 | 2019-03-25 |
1285093633 | Bria Mcnulty | Speech-Language Pathologist | 4 Militia Dr, Lexington, MA 02421-4737 | 2016-02-14 |
1316336720 | Nancy A Santoro Psyd LLC | Psychologist | 4 Militia Dr, Suite 23, Lexington, MA 02421-4737 | 2015-01-22 |
1255720900 | Healing Smile Pediatric Physical Therapy, LLC | Clinic/Center | 4 Militia Dr, Lexington, MA 02421-4737 | 2015-01-19 |
1629474366 | Growing Minds, LLC | Psychologist | 4 Militia Dr, Suite 17, Lexington, MA 02421-4737 | 2014-11-07 |
1427453067 | Meredith M Cohen | Psychologist | 4 Militia Dr, Lexington, MA 02421-4737 | 2014-10-24 |
1255734083 | Mary Poblete | Physical Therapist | 4 Militia Dr, Suite 17, Lexington, MA 02421-4737 | 2014-10-07 |
1841594272 | Victoria Begley | Speech-Language Pathologist | 4 Militia Dr, Lexington, MA 02421-4737 | 2010-12-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972149300 | Streettherapy,llc | Counselor | Triad Adolescent Services, 363 Mass. Ave., Suite204, Lexington, MA 02421 | 2019-11-20 |
1598249922 | Kelly Sexton | Social Worker | Labbb Collaborative Lexington High School, 251 Waltham St, MA 02421 | 2018-09-21 |
1538641956 | Jill Or Planeta | Social Worker | 40 Taft Ave, Lexington, MA 02421 | 2018-09-01 |
1902390388 | Erika Yaneth Valek | Counselor | 125 Hartwell Avenue, Lexington, MA 02421 | 2018-06-19 |
1366743668 | Elizabeth Ann Murphy | Social Worker | 17 Stedman Rd, Lexington, MA 02421 | 2010-11-03 |
1003045063 | Nils Becker | Pathology | 1 Cranberry Hill Ste 303, Lexington, MA 02421 | 2009-07-10 |
1780829556 | Lynn Joan Meltzer | Psychologist | Institute for Learning and Development, 4 Militia Drive, Lexington, MA 02421 | 2008-12-09 |
1962666511 | Kristin Stanley Rullo | Optometrist | 21 Worthen Road, Lexington, MA 02421 | 2008-07-14 |
1861660201 | Jillian S Imagire | Radiology | Concert Pharmaceuticals, 99 Hayden Ave, Suite 100, Lexington, MA 02421 | 2008-02-20 |
1144498049 | Lexington Dental Associates | Dentist | 271 Lincoln Street, Suite 2, Lexington, MA 02421 | 2008-02-13 |
Find all providers in zip 02421 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
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1801412424 | Melinda Moore | Psychologist | 144 E Lowry Ln, Lexington, KY 40503-2403 | 2020-06-19 |
1760948939 | True North Counseling & Development, Pllc | Psychologist | 2220 Executive Dr Ste 202, Lexington, KY 40505-4872 | 2019-02-13 |
1740765569 | Marlene Major LLC | Psychologist | 76 Bedford St Ste 2, Lexington, MA 02420-4640 | 2018-09-27 |
1447740774 | Isabel Teresa Szabo | Psychologist | 28 Cottage St, Lexington, MA 02420-2202 | 2018-05-11 |
1336638246 | Betty G. Doo I | Psychologist | 26 Cary Ave, Lexington, MA 02421-7710 | 2018-05-07 |
1639675200 | Amy Frazier | Psychologist | 120 N Eagle Creek Dr Ste 103, Lexington, KY 40509-1827 | 2018-04-03 |
1629590443 | Jeffrey Phillip Winer | Psychologist | 57 Bedford St Ste 230, Lexington, MA 02420 | 2017-07-13 |
1184172298 | Meghan L Marsac | Psychologist | 800 Rose St # Ha398, Lexington, KY 40536-7001 | 2016-09-18 |
Find all providers in LEXINGTON |
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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.