CENTER FOR COGNITIVE WELLNESS PC (NPI# 1174823074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174823074 |
| Entity Type | Organization |
| Organization Name | CENTER FOR COGNITIVE WELLNESS PC |
| Practice Address |
15 New England Executive Park Burlington MA 01803-5202 |
| Mailing Address |
37 Stacey Cir Windham NH 03087-1648 |
| Practice Telephone | 6179139030 |
| Mailing Telephone | 6179139030 |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2010-10-25 |
| Authorized Official Name | DR. MALISSA L KRAFT (PRESIDENT) |
| Authorized Official Telephone | 6179139030 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 8932 | MA | Behavioral Health & Social Service Providers |
| Street Address |
15 NEW ENGLAND EXECUTIVE PARK |
| City | BURLINGTON |
| State | MA |
| Zip Code | 01803-5202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821288614 | Malissa L. Kraft | Psychologist | 15 New England Executive Park, Burlington, MA 01803-5202 | 2007-07-27 |
| 1477006682 | Epitome Healthcare Services | Home Health | 15 New England Executive Park, Burlington, MA 01803-5202 | 2016-07-25 |
| 1225312036 | Edge Life Healthcare Inc. | Home Health | 15 New England Executive Park, Burlington, MA 01803-5202 | 2011-09-29 |
| 1972802536 | Jufang Shi | Internal Medicine | 15 New England Executive Park, Burlington, MA 01803-5202 | 2011-03-22 |
| 1104053933 | Stella Bitran | Psychologist | 15 New England Executive Park, Burlington, MA 01803-5202 | 2009-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219089 | Mallika Tara Iyer | Behavior Technician | 64 S Bedford Street, Burlington, MA 01803 | 2020-03-06 |
| 1518445709 | Patriot Urgent Care Professionals, PC | General Practice | 90 Middlesex Turnpike, Burlington, MA 01803 | 2018-07-31 |
| 1932608122 | Danielle Berkowitz | Registered Nurse | 90 Middlesex Tpke Ste G, Burlington, MA 01803 | 2018-02-02 |
| 1255861860 | David William Mahnken | Social Worker | 11a Cypress Drive, Burlington, MA 01803 | 2017-06-15 |
| 1770030710 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1300 Middlesex Turnpike, Burlington, MA 01803 | 2016-09-07 |
| 1083091557 | Burlington Eye Group, Inc | Optometrist | 74 Burlington Mall Road, Burlington, MA 01803 | 2015-05-04 |
| 1720485535 | Db2 Practice Management | Clinic/Center | 11 Cambridge St, Burlington, MA 01803 | 2014-11-21 |
| 1689081812 | Jasmit Minhas | Internal Medicine | 9 Kimball Court, Apt 112, Burlington, MA 01803 | 2014-07-21 |
| 1528404993 | Alexander David Neusner | Surgery | 40 Mall Rd, Burlington, MA 01803 | 2013-05-13 |
| 1730421389 | First Choice Dental Group | Dentist | 11 Camridge Street, Burlington, MA 01803 | 2013-03-21 |
| Find all providers in zip 01803 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972047504 | Emily S. Necrason | Clinical Neuropsychologist | 1 S Prospect St., Rehab 3, C/o Uvm Medical Center, Psychiatry/psych Svcs., Burlington, VT 05401 | 2016-12-16 |
| 1720205552 | Therese Eileen Harris | Clinical Neuropsychologist | 211 Fox Hill Rd, Burlington, MA 01803-1514 | 2007-04-20 |
| 1932204377 | Seth Alexandre Doolin | Clinical Neuropsychologist | 101 Cambridge St Ste 300, Burlington, MA 01803-3768 | 2006-09-13 |
| 1407467137 | Alex Marshall Torstrick | Clinical Neuropsychologist | 2 Church St Ste 3g, Burlington, VT 05401-4457 | 2020-08-14 |
| 1821245713 | Kathryn Workman-daniels | Clinical Neuropsychologist | 108 Cherry St, Cshn, Burlington, VT 05401-4295 | 2008-08-21 |
| 1437256492 | Caitlin E Macaulay | Clinical Neuropsychologist | Lahey Clinic, 41 Mall Road, Burlington, MA 01805-0001 | 2006-09-20 |
| 1245226075 | Thomas Peter Reilly | Clinical Neuropsychologist | 92 Adams St, Burlington, VT 05401-4525 | 2005-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949873 | Erica Rose Appleman | Clinical Neuropsychologist | 134 Horace St, Boston, MA 02128-1581 | 2020-07-09 |
| 1578187613 | Nancy Schneider-pruett | Clinical Neuropsychologist | The Neuropsychology Service, 100 Cummings Center, Beverly, MA 01982 | 2020-06-04 |
| 1194365312 | Erin Grace Kitchener | Clinical Neuropsychologist | 1 Wells Ave Fl 4, Newton, MA 02459-3211 | 2020-01-15 |
| 1407330509 | Coastal Psychological Center, LLC. | Clinical Neuropsychologist | 36 Woburn St Ste 6, Reading, MA 01867-2903 | 2018-09-24 |
| 1881102515 | Matthew S Conway | Clinical Neuropsychologist | 26 Chestnut St Ste 2e, Andover, MA 01810-3600 | 2018-01-16 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1346792637 | Margaret Alice Mcphee | Clinical Neuropsychologist | 29 Regina Dr, Chelmsford, MA 01824-4540 | 2016-11-02 |
| 1154870814 | Jessica Pan | Clinical Neuropsychologist | 1 Bowdoin St, 7th Floor, Boston, MA 02114-4201 | 2016-09-22 |
| 1508217506 | Donald Bearden | Clinical Neuropsychologist | 30 Iroquois St, Unit 33, Roxbury Crossing, MA 02120-2848 | 2016-06-30 |
| 1497115612 | Susan Magocsi | Clinical Neuropsychologist | 13 Meetinghouse Ln, Milton, MA 02186-2415 | 2016-03-01 |
| Find all providers with the same taxonomy | ||||
| City | BURLINGTON |
| Zip Code | 01803 |
Please comment or provide details below to improve the information on CENTER FOR COGNITIVE WELLNESS PC.
| 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.