JEFF EAGLE


Address: 42 Natka Dr, Centerville, MA 02632-2710
Phone: 5084201291

JEFF EAGLE (NPI# 1114391745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114391745
Entity Type Individual
Full Name JEFF EAGLE
Credential PH.D.
Practice Address 42 Natka Dr
Centerville
MA 02632-2710
Mailing Address Po Box 539
Centerville
MA 02632-0539
Practice Telephone 5084201291
Mailing Telephone 5084201291
Enumeration Date 2015-11-19
Last Update Date 2015-11-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
1831 MA Behavioral Health & Social Service Providers

Office Location

Street Address 42 NATKA DR
City CENTERVILLE
State MA
Zip Code 02632-2710

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144702937 Samuel Rosier Physical Therapist 1600 Falmouth Rd Ste 34, Centerville, MA 02632 2018-08-29
1326547217 Stephanie Dufresne Counselor 759 Old Strawberry Hill Rd., Centerville, MA 02632 2018-02-06
1790220838 Jessie Lacasse Social Worker 88 West Main Street, Centerville, MA 02632 2016-12-28
1235524323 Allison M. Friberg Physician Assistant 1185b Falmouth Road, Centerville, MA 02632 2015-04-06
1124136361 Dr. Auger D.d.s. Dentist 1480 Falmouth Road, Centetrville, MA 02632 2006-08-28
1457467888 Arthur Logan Bence Social Worker 161 Harbor Hills Road, Centerville, MA 02632 2006-08-21
1700999257 Judith Begelfer Sonner Social Worker 1550 Falmouth Rd, Centerville, MA 02632 2006-08-17
1942299185 Cape Regency Ma Snf LLC Skilled Nursing Facility 120 South Main Street, Centerville, MA 02632 2005-10-20
1831514405 Thomas Jared Butler Counselor 1185 Falmouth Rd, Centerville, MA 02632 2014-02-19
1609212620 James Millard Girard Counselor 183 Shootflying Hill Rd, Centeviller, Centerville, MA 02632-1439 2013-05-16
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568971455 Kirsten Harrell Psychologist 6966 Wembley Cir, Centerville, OH 45459-6209 2017-09-24
1033428859 Jeffrey P Lowery Psychologist PC Psychologist 1645 Falmouth Rd Ste 10f, Centerville, MA 02632-2936 2010-09-28
1154466654 Dene S Berman Psychologist 7061 Corporate Way Ste 106, Centerville, OH 45459 2007-02-21
1376631713 Southwestern Ohio Behavioral Health,llc Psychologist 35 Irongate Park Dr, Centerville, OH 45459-4616 2006-10-11
1154418903 Kimberly Shaffer Tate Psychologist 35 Iron Gate Park Dr., Centerville, OH 45459-0000 2006-10-05
1649386301 David Anthony Lombard Psychologist 2717 Miamisburg-centerville Rd., Suite 218, Centerville, OH 45459 2006-08-22
1447264833 Ruth E Kauffold Psychologist 175 South Main St, Agape Counseling Center, Centerville, OH 45458 2006-07-28
1093756215 Ronald H Nelson Psychologist 1284 Forest Walk Dr, Centerville, OH 45459-4904 2006-06-09
1689626327 Michael Walker Shields Psychologist 1645 Falmouth Rd, Bayberry Square Unit E-3, Centerville, MA 02632-2932 2006-05-17
1003879396 Success Psych Services, Inc. Psychologist 10560 Success Ln, Suite B, Centerville, OH 45458-3697 2006-04-08
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Competitor

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City CENTERVILLE
Zip Code 02632

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Dataset Information

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.

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