CARITAS MEDICAL GROUP INC (NPI# 1174765200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174765200 |
| Entity Type | Organization |
| Organization Name | CARITAS MEDICAL GROUP INC |
| Other Organization Name | CARITAS BEHAVIORAL HEALTH GROUP |
| Practice Address |
77 Warren St Suite 339 Brighton MA 02135-3601 |
| Practice Telephone | 6175195355 |
| Mailing Telephone | 6175195355 |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2009-04-06 |
| Authorized Official Name | MS. CINDY J MORAN (DIRECTOR OF PHYSICIAN REVENUE CYCLE) |
| Authorized Official Telephone | 6175625338 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0015X |
Psychiatry & Neurology Specialization: Psychosomatic Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Caritas Behavioral Health Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528007846 | Caritas Medical Group Inc | Emergency Medicine | 235 N Pearl St, Emergency Physician Group, Brockton, MA 02301-1794 | 2006-06-05 |
| Street Address |
77 WARREN ST SUITE 339 |
| City | BRIGHTON |
| State | MA |
| Zip Code | 02135-3601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235131194 | Roger F Cohen | Clinical Neuropsychologist | 77 Warren St, Suite 453, Brighton, MA 02135-3601 | 2005-08-11 |
| 1699383489 | Rhianna Candido | Registered Nurse | 77 Warren St, Brighton, MA 02135-3601 | 2020-07-17 |
| 1770101586 | Jennie Vaughan Hollyday | Peer Specialist | 77 Warren St, Brighton, MA 02135-3601 | 2020-07-08 |
| 1922620863 | Jonathan Kolodziej | Social Worker | 77 Warren St, Brighton, MA 02135-3601 | 2020-05-14 |
| 1114401098 | Hayley Youngstrom | Social Worker | 77 Warren St, Brighton, MA 02135-3601 | 2018-09-18 |
| 1548744436 | Kelsey Elizabeth Connolly | Social Worker | 77 Warren St, Brighton, MA 02135-3601 | 2018-09-18 |
| 1629551585 | Caitlyn Burns | Counselor | 77 Warren St, Brighton, MA 02135-3601 | 2018-09-07 |
| 1790294981 | Evan Moran Queenan | Counselor | 77 Warren St, Brighton, MA 02135 | 2017-09-20 |
| 1609395615 | Hannah Goehner | Student in an Organized Health Care Education/Training Program | 77 Warren St, Brighton, MA 02135-3601 | 2017-09-12 |
| 1669990727 | Yasmin A Santos | Registered Nurse | 77 Warren St, Brighton, MA 02135 | 2017-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699392944 | Nur Zeynep Ay | Student in an Organized Health Care Education/Training Program | 736 Cambridge Street St Elizabeths Medical Center, Graduate Medical Education (diane Giacalone), Boston, MA 02135 | 2020-07-02 |
| 1104470673 | Domenique Delucia | Counselor | 77f Warren Street, Brighton, MA 02135 | 2019-08-01 |
| 1831751684 | Meredith Mcghee | Audiologist | 736 Cambridge Street Smc-8, Brighton, MA 02135 | 2019-07-02 |
| 1730645847 | Delphine Alignol | Family Medicine | 330 Mount St, Cambridge, MA 02135 | 2019-02-13 |
| 1124501960 | Ellen Elizabeth Miller | Social Worker | 44 Mt Vernon St, Brighton, MA 02135 | 2018-09-07 |
| 1710466180 | Sharon Pae | Acupuncturist | 135 Chiswick Rd Bsmt, Brighton, MA 02135 | 2018-08-07 |
| 1750877155 | Leonid Sigal | Counselor | 9 South St Apt 2, Brighton, MA 02135 | 2018-07-09 |
| 1689165425 | Brian George Mcguire | Dentist | 24 Sidlaw Rd, Brighton, MA 02135 | 2018-05-29 |
| 1619467214 | Ashley Marie Arbuckle | Counselor | 77 Waren Street, Building 9, Brighton, MA 02135 | 2018-05-18 |
| 1871098962 | Arina Sorokina | Dentist | Charles River Community Health Center, 495 Western Avenue, Allston, MA 02135 | 2018-03-29 |
| Find all providers in zip 02135 | ||||
| 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 |
|---|---|---|---|---|
| 1487890323 | Huda Yahya Alyahyawi | Psychiatry & Neurology | 736 Cambridge St, Boston, Ma 02135-2907, Caritas St Elizabeth's Medical Center of Boston, Brighton, MA 02135 | 2008-12-24 |
| 1538359138 | Janet Ei-hua Shu | Psychiatry & Neurology | 1872 Commonwealth Ave, Apt. 6, Brighton, MA 02135-6016 | 2007-07-30 |
| 1134258585 | David Edward Creasey | Psychiatry & Neurology | 41 S Crescent Circuit, Brighton, MA 02135-3045 | 2007-03-03 |
| 1720181175 | Denise Lynn Handelsman | Psychiatry & Neurology | 780 W Grand River Ave, Brighton Psychiatric Consultants, Pllc, Brighton, MI 48116-2392 | 2006-09-07 |
| 1346354222 | Michael Henry | Psychiatry & Neurology | 736 Cambridge St # Qn-3p, Brighton, MA 02135-2907 | 2006-08-18 |
| 1215948625 | Warnie L Webster | Psychiatry & Neurology | 30 Warren St., Franciscan Hospital for Children, Brighton, MA 02135-3602 | 2006-08-10 |
| 1770599367 | Jennifer Meuse | Psychiatry & Neurology | St. Elizabeth's Medical Center, 736 Cambridge St/quinn 3, Brighton, MA 02135 | 2006-08-01 |
| 1154341568 | Brent Bolyard | Psychiatry & Neurology | 1620 W State Highway Cc, Brighton, MO 65617-9427 | 2006-07-20 |
| 1225056617 | Kenneth Ernest Pitts | Psychiatry & Neurology | 4522 Oak Pointe Dr, Brighton, MI 48116-9184 | 2006-07-17 |
| 1467491456 | Martha H Mcfadden | Psychiatry & Neurology | 1853 Commonwealth Ave, Brighton, MA 02135-5498 | 2006-06-05 |
| Find all providers in BRIGHTON | ||||
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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.