AVIVA S. WILCOX (NPI# 1104266154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104266154 |
| Entity Type | Individual |
| Full Name | AVIVA S. WILCOX |
| Credential | PSYD |
| Practice Address |
1250 Hancock St Harvard Vanguard Medical Associates - Behavioral Health Quincy MA 02169-4339 |
| Practice Telephone | 6177740920 |
| Mailing Telephone | 6177740920 |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2015-07-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
9723 | MA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
020137 | NY | Behavioral Health & Social Service Providers |
| Street Address |
1250 HANCOCK ST HARVARD VANGUARD MEDICAL ASSOCIATES - BEHAVIORAL HEALTH |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-4339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780683276 | Mirza Baig | Internal Medicine | 1250 Hancock St, Quincy, MA 02169-4339 | 2005-07-18 |
| 1881241925 | Laura Jarvi | Nurse Practitioner | 1250 Hancock St, Quincy, MA 02169-4339 | 2019-08-22 |
| 1700320686 | Jillian Fiori | Speech-Language Pathologist | 1250 Hancock St, Quincy, MA 02169-4339 | 2016-12-12 |
| 1740734623 | Megan Flicker | Registered Nurse | 1250 Hancock St, Quincy, MA 02169-4339 | 2016-08-09 |
| 1790135556 | Jennie Krasker | Obstetrics & Gynecology | 1250 Hancock St, Quincy, MA 02169-4339 | 2016-06-13 |
| 1104206861 | Juan Qu | Optometrist | 1250 Hancock St, Quincy, MA 02169 | 2015-06-08 |
| 1568877447 | Dermcare Experts LLC | Dermatology | 1250 Hancock St, Suite 505s, Quincy, MA 02169-4339 | 2014-06-30 |
| 1659636496 | William Eugene Fitzgerald | Counselor | 1250 Hancock St, Quincy, MA 02169-4339 | 2012-07-09 |
| 1467713602 | Erica Thrower | Counselor | 1250 Hancock St, Quincy, MA 02169-4339 | 2012-06-05 |
| 1407135577 | Molly L Barrett | Dentist | 1250 Hancock St, Suite 123, Quincy, MA 02169-4339 | 2011-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891344412 | Mari Donita Harness | Psychologist | 6044 Greensboro Hwy, Quincy, FL 32351-9100 | 2019-09-06 |
| 1497244982 | John Nicholas Petrou | Psychologist | 1 Dennis Ryan Pkwy, Quincy, MA 02169-5348 | 2018-05-09 |
| 1427226216 | Angela Marie Johnson | Psychologist | 1354 Hancock St Ste 315, Quincy, MA 02169-5109 | 2008-02-14 |
| 1396872784 | Patricia C. Packard | Psychologist | 1373 Quincy Shore Dr, Quincy, MA 02169-2336 | 2007-02-27 |
| 1972679710 | Paul Kimberley Ling | Psychologist | 59 Coddington St Ste 201, Quincy, MA 02169-4510 | 2006-11-24 |
| 1386734572 | John J Leahy | Psychologist | Nova Psychiatric Services Inc, 1261 Furnace Brook Parkway, Quincy, MA 02169 | 2006-10-16 |
| 1275627515 | Beverly Singer | Psychologist | One Adams Place, 859 Willard St, Suite 430, Quincy, MA 02464 | 2006-10-03 |
| 1013017300 | Paul Giella | Psychologist | 110 West Squantum St, Suite #21, Quincy, MA 02171 | 2006-09-25 |
| 1598870172 | Diana C. Direiter | Psychologist | 36 Weston Ave, Quincy, MA 02170-1833 | 2006-08-21 |
| 1487626123 | Pauline M. Pagliocca | Psychologist | 1266 Furnace Brook Pkwy, Suite 210, Quincy, MA 02169-4758 | 2006-02-06 |
| Find all providers in QUINCY | ||||
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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.