LIFE HEALTH CENTER (NPI# 1154569317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154569317 |
| Entity Type | Organization |
| Organization Name | LIFE HEALTH CENTER |
| Practice Address |
348 Lunenburg St # Ma #301 Fitchburg MA 01420-4566 |
| Mailing Address |
348 Lunenburg Ma #301 Fitchburg MA 01420 |
| Practice Telephone | 9783450953 |
| Practice Fax Number | 9783450585 |
| Mailing Telephone | 9783450953 |
| Mailing Fax Number | 9783450585 |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2009-01-27 |
| Authorized Official Name | DR. ROLAND H UNGERER (DIRECTOR) |
| Authorized Official Telephone | 9783450953 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
33670 | MA | Behavioral Health & Social Service Providers |
| Street Address |
348 LUNENBURG ST # MA #301 |
| City | FITCHBURG |
| State | MA |
| Zip Code | 01420-4566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063039121 | Maria A Neizvestnaya | Student in an Organized Health Care Education/Training Program | Primary Care Behavioral Health, Fitchburg Family Medicine, Fitchburg, MA 01420 | 2020-07-06 |
| 1780177014 | Chenell B Morris | Developmental Therapist | 161 Summer St, Fitchburg, MA 01420 | 2018-06-12 |
| 1831699578 | Karen Kazanjian-silvia | Social Worker | 275 Nichols Rd., Healthalliance Hospital Cancer Center, Fitchburg, MA 01420 | 2018-02-20 |
| 1932615499 | Simply Orthodontics and Pediatrics Fitchburg Pllc | Dentist | 50 Whalon St Ste 1, Fitchburg, MA 01420 | 2017-12-20 |
| 1811410517 | Roger Nichele | Dentist | 326 Nichols St, Fitchburg, MA 01420 | 2017-07-25 |
| 1659893220 | Fresh Start Home Care LLC | Home Health | 293 Arnhow Farm Road, Fitchburg, MA 01420 | 2017-07-14 |
| 1154864668 | Kimatra Maxwell | Social Worker | 344 Main St Ste 9, Fitchburg, MA 01420 | 2016-12-01 |
| 1740635283 | Henry Ntoro Sr. | Nurse Practitioner | 33 Electric Ave B3, Fitchburg, MA 01420 | 2016-05-03 |
| 1740643345 | Mary Wooten | Counselor | 143 Highland Ave Apt 1, Fitchburg, MA 01420 | 2016-03-31 |
| 1013393206 | Brooke Chamberland, Licsw | Social Worker | 982b South St, Fitchburg, MA 01420 | 2015-08-11 |
| Find all providers in zip 01420 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154637486 | Psychiatric Consultants LLC | Psychologist | 18 Independence Ln, Shrewsbury, MA 01545-6242 | 2010-08-24 |
| 1780884676 | John Sos | Psychologist | 8 Clifton St, Belmont, MA 02478-3363 | 2007-07-19 |
| 1992921282 | John T. Chirban | Psychologist | 479 West St, Carlisle, MA 01741-1439 | 2007-04-17 |
| 1689890972 | Cambridge Counseling Associates | Psychologist | 1105 Massachusetts Ave Apt 3e, Cambridge, MA 02138-5221 | 2007-04-17 |
| 1184014011 | Kthryn P. Rapperport, Md, PC | Psychologist | 8 Wallis Ct, Lexington, MA 02421-5417 | 2015-01-30 |
| 1114231065 | Miriam Lundy | Psychologist | 301 Broadway, Chelsea, MA 02150-2807 | 2010-08-03 |
| 1831329523 | Polonsky-ragovin PC | Psychologist | 185 Newton St, Weston, MA 02493-2338 | 2009-07-16 |
| 1336341502 | Daniel Rutrick, Md, PC | Psychologist | 617 Broadway, Everett, MA 02149-3712 | 2007-06-01 |
| 1790991966 | Caroline Jc Hellman | Psychologist | 25 Mount Auburn St, Suite 306, Cambridge, MA 02138-6028 | 2007-05-15 |
| 1689892077 | Trustees of Noble Hospital | Psychologist | 115 W Silver St, Westfield, MA 01085-3628 | 2007-04-23 |
| Find all providers with the same taxonomy | ||||
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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.