ELENA B NIKOLSKAIA (NPI# 1114057650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114057650 |
| Entity Type | Individual |
| Full Name | ELENA B NIKOLSKAIA |
| Credential | M.D. |
| Practice Address |
940 Belmont Street Brockton Va Medical Center Brockton MA 02401 |
| Mailing Address |
170 Morton St Apt. #702 Jamaica Plain MA 02130-3735 |
| Practice Telephone | 6179713018 |
| Mailing Telephone | 6179713018 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2016-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
230638 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
940 BELMONT STREET BROCKTON VA MEDICAL CENTER |
| City | BROCKTON |
| State | MA |
| Zip Code | 02401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699739284 | Thomas Haines Dickinson | Internal Medicine | 940 Belmont Street, Va Boston Healthcare System Brockton Division, Brockton, MA 02301 | 2006-04-12 |
| 1245869338 | Justine Lazatin | Student in an Organized Health Care Education/Training Program | 940 Belmont Street, Psychiatry 116a7, Brockton, MA 02301 | 2020-04-02 |
| 1952861130 | Shawn Shiyang Jin | Student in an Organized Health Care Education/Training Program | 940 Belmont Street, Psychiatry 116a7, Brockton, MA 02301 | 2019-03-22 |
| 1720582190 | Kevin William Cates | Student in an Organized Health Care Education/Training Program | 940 Belmont Street, Psychiatry 116a7, Brockton, MA 02301 | 2018-03-21 |
| 1902286859 | Abbey Sereno | Social Worker | 940 Belmont Street, Brockton, MA 02301 | 2015-06-05 |
| 1225383961 | Boston Va Hospital | General Acute Care Hospital | 940 Belmont Street, Boston Va Healthcare System, Brockton, MA 02301 | 2012-07-18 |
| 1891938528 | Amy Wisteria Baughman | Internal Medicine | 940 Belmont Street, Veterans Affairs Boston Healthcare System, Brockton, MA 02301 | 2009-04-10 |
| 1891930178 | David Topor | Psychologist | 940 Belmont Street, Buidling 22, Brockton, MA 02301 | 2008-12-15 |
| 1548415524 | Jennie Kathleen Lindsay-kelley | Social Worker | 940 Belmont Street, Brockton, MA 02301 | 2008-11-18 |
| 1215010426 | Joan Kilgarriff Shields | Pharmacist | 940 Belmont Street, Brockton, MA 02301-5596 | 2006-10-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811018922 | Maria Lucia Segura | Dentist | 304 Pleasant St., Brockton, MA 02401 | 2007-04-03 |
| 1154482545 | Franklin Jerome Galvin | Psychologist | 529 Pearl Street, Brockton, MA 02401 | 2006-12-12 |
| 1275628539 | Richard Michael Gray | Dentist | 940 Belmont 160 St, Brockton Va Medical Ctr, Brockton, MA 02401 | 2006-10-04 |
| 1447359849 | Stephen Elliot Litwack | Psychologist | 1342 Belmont Street, Suite 103, Brockton, MA 02401 | 2006-09-22 |
| 1609893197 | Patricia White | Nurse Practitioner | 1351 Main St, Brockton, MA 02401 | 2006-07-17 |
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730444274 | Edwin R Raffi | Psychiatry & Neurology | 940 Belmont St # 116a7, Brockton, MA 02301-5596 | 2012-07-11 |
| 1780816843 | Fawad Taj | Psychiatry & Neurology | 940 Belmont St, Building 5, Rm116a7, Va Boston Healthcare, Brockton, MA 02301 | 2009-08-21 |
| 1922198431 | Ronald J. Gurrera | Psychiatry & Neurology | 940 Belmont St # 116a, Brockton, MA 02301-5596 | 2006-10-13 |
| 1740386689 | Miriam Tankiang Villanueva | Psychiatry & Neurology | 30 Meadowbrook Rd, Brockton, MA 02301-7122 | 2006-09-16 |
| 1124134069 | Dimitris Gerothanassis | Psychiatry & Neurology | 529 Pearl St, Brockton, MA 02301-2825 | 2006-08-22 |
| 1376555276 | Joseph Aaron Shrand | Psychiatry & Neurology | 20 Meadowbrook Rd, Castle, Brockton, MA 02301-7122 | 2006-08-12 |
| 1326086638 | Alejandro Y Mendoza | Psychiatry & Neurology | 235 North Pearl Street, Caritas Good Samaritan Med Ctr, Brockton, MA 02301 | 2006-06-02 |
| 1700873999 | Lyudmila Rakita | Psychiatry & Neurology | 1342 Belmont St, Suite 103, Brockton, MA 02301-4436 | 2005-10-03 |
| 1780181636 | Frank Copeli | Psychiatry & Neurology | 940 Belmont St Bldg 5, Brockton, MA 02301-5596 | 2018-04-08 |
| 1922516053 | Steward Good Samaritan Medical Center, Inc. | Psychiatry & Neurology | 235 N Pearl St, Brockton, MA 02301-1794 | 2018-01-10 |
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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.