MISS NICOLE DIASIO BURK (NPI# 1164707030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164707030 |
| Entity Type | Individual |
| Full Name | MISS NICOLE DIASIO BURK |
| Practice Address |
1115 West Chestnut Street Brockton MA 02301 |
| Practice Telephone | 5085804691 |
| Practice Fax Number | 5085885751 |
| Mailing Telephone | 5085804691 |
| Mailing Fax Number | 5085885751 |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2011-10-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1115 WEST CHESTNUT STREET |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023096864 | South Bay Mental Health Center, Inc. | Clinic/Center | 1115 West Chestnut Street, Suite 202, Brockton, MA 02301 | 2006-01-03 |
| 1629440813 | Sara M Ryan | Student in an Organized Health Care Education/Training Program | 1115 West Chestnut Street, South Bay Mental Health, Brockton, MA 02301 | 2015-10-27 |
| 1063837540 | Jessica Connearney | Social Worker | 1115 West Chestnut Street, Brockton, MA 02301 | 2014-02-20 |
| 1750703062 | South Bay Mental Health Center, Inc. | Early Intervention Provider Agency | 1115 West Chestnut Street, Suite 202, Brockton, MA 02301 | 2014-01-07 |
| 1225478498 | Barbara Ann Cleary-simons | Behavioral Analyst | 1115 West Chestnut Street, South Bay Mental Health, Brockton, MA 02301 | 2013-07-02 |
| 1083964423 | Alicia King | Counselor | 1115 West Chestnut Street, Brockton, MA 02301 | 2012-09-13 |
| 1609125079 | Talitha Anne Collins | Counselor | 1115 West Chestnut Street, Brockton, MA 02301 | 2012-08-31 |
| 1538417118 | Ann Mary Grell | Counselor | 1115 West Chestnut Street, Brockton, MA 02301 | 2012-08-29 |
| 1437424397 | Juli Ann Sullivan | Student in an Organized Health Care Education/Training Program | 1115 West Chestnut Street, Brockton, MA 02301 | 2012-03-12 |
| 1205104064 | Alex J Weinstock | Counselor | 1115 West Chestnut Street, Brockton, NY 02301 | 2011-12-08 |
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222531 | Antoinett Gomes | Counselor | 11 Battles St Apt 3, Brockton, MA 02301-2236 | 2020-10-16 |
| 1316545510 | Leonard Paul Dagesse | Counselor | 51 Gladstone St, Brockton, MA 02302-3338 | 2020-10-12 |
| 1962014936 | Tjocelyne Counseling & Consulting Clinic LLC | Counselor | 425 Pleasant St Ste 102, Brockton, MA 02301-2533 | 2020-08-20 |
| 1841801461 | Peaceful Healing Soul Counseling Center, LLC | Counselor | 130 Spring St Apt 2, Brockton, MA 02301-4371 | 2020-08-17 |
| 1487271573 | Ruth Abraham Mentor | Counselor | 114 Sinclair Rd, Brockton, MA 02302-4451 | 2020-07-06 |
| 1508492661 | Carlos G Semedo | Counselor | 93 Myrtle St, Brockton, MA 02301-6139 | 2020-03-20 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1730724931 | Izaiah Dimanche-silva | Counselor | 5 Addison St, Brockton, MA 02301-1401 | 2019-11-12 |
| 1700427804 | Jessica Roberts | Counselor | 117 Colonel Bell Dr Apt 6, Brockton, MA 02301-1965 | 2019-10-01 |
| 1003460031 | Krista Hojlo | Counselor | 67 Brian Dr, Brockton, MA 02301-4601 | 2019-07-29 |
| 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.