DR. CLAIRE MICHELLE BURGESS (NPI# 1144706201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144706201 |
Entity Type | Individual |
Full Name | DR. CLAIRE MICHELLE BURGESS |
Credential | PH.D. |
Practice Address |
940 Belmont St Brockton MA 02301-5596 |
Mailing Address |
39 Hewlett St # 1 Roslindale MA 02131-1509 |
Practice Telephone | 7748261109 |
Practice Fax Number | 7748262815 |
Mailing Telephone | 5027777630 |
Enumeration Date | 2018-07-12 |
Last Update Date | 2020-07-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
11064 | MA | Behavioral Health & Social Service Providers |
N | 103TC0700X |
Psychologist Specialization: Clinical |
PS01711 | RI | Behavioral Health & Social Service Providers |
Street Address |
940 BELMONT ST |
City | BROCKTON |
State | MA |
Zip Code | 02301-5596 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992779011 | Paul Moitoso | Social Worker | 940 Belmont St, 122 - Bldg 3, A-504a, Brockton, MA 02301-5596 | 2006-02-15 |
1255938262 | Matthew Janson | Recreation Therapist | 940 Belmont St, Brockton, MA 02301-5596 | 2020-10-02 |
1861099020 | Erin A Lawrence | Recreation Therapist | 940 Belmont St, Brockton, MA 02301-5596 | 2020-10-01 |
1720698442 | Ifeoma Laurietta Ugbo | Registered Nurse | 940 Belmont St, Brockton, MA 02301-5596 | 2020-08-06 |
1255959961 | Abigail Lauraine Munroe | Registered Nurse | 940 Belmont St, Brockton, MA 02301-5568 | 2020-07-09 |
1225653173 | Bryanna Morgan Caron | Optometrist | 940 Belmont St, Brockton, MA 02301-5596 | 2020-06-16 |
1134744675 | Marie Eva Dely | Registered Nurse | 940 Belmont St, Brockton, MA 02301-5596 | 2020-06-10 |
1255955142 | Daniel Salazar | Registered Nurse | 940 Belmont St, Brockton, MA 02301-5596 | 2020-06-05 |
1982227146 | Amelia Colby Rohan | Student in an Organized Health Care Education/Training Program | 940 Belmont St, Brockton, MA 02301-5596 | 2020-05-22 |
1952923526 | Amy Felicia Jones | Student in an Organized Health Care Education/Training Program | 940 Belmont St, Brockton, MA 02301-5596 | 2020-05-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
Find all providers in zip 02301 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154482545 | Franklin Jerome Galvin | Psychologist | 529 Pearl Street, Brockton, MA 02401 | 2006-12-12 |
1912922998 | David V Stringham | Psychologist | 209 Quincy St, Brockton, MA 02302-2926 | 2006-07-12 |
1609496652 | Kylee Hagler | Psychologist | 940 Belmont St, Brockton, MA 02301-5596 | 2020-04-20 |
1912551276 | Kelly O'malley | Psychologist | 940 Belmont St, Brockton, MA 02301-5596 | 2019-07-25 |
1992274914 | Sebastian James Bliss | Psychologist | 940 Belmont St Bldg 5, Brockton, MA 02301-5596 | 2018-11-20 |
1043733413 | Michelle Kovacs | Psychologist | 940 Belmont St, Brockton, MA 02301 | 2017-07-18 |
1225406606 | Leslie Wright | Psychologist | 940 Belmont St, Brockton, MA 02301-5596 | 2015-09-02 |
1467856906 | Shannon Mcneill | Psychologist | 940 Belmont St, Brockton Vamc (116a), Brockton, MA 02301-5596 | 2014-10-13 |
1750722096 | Julie Weismoore | Psychologist | 940 Belmont St, Brockton, MA 02301-5596 | 2013-07-16 |
1669819876 | Donna Lofgren | Psychologist | 529 Pearl St, Brockton, MA 02301-2825 | 2013-05-29 |
Find all providers in BROCKTON |
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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.