TATIANA MARIE BALISTRERI (NPI# 1194293415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194293415 |
| Entity Type | Individual |
| Full Name | TATIANA MARIE BALISTRERI |
| Practice Address |
176 Franklin St Lynn MA 01904-3230 |
| Practice Telephone | 7815932727 |
| Mailing Telephone | 7815932727 |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2018-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | 1922174226 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
176 FRANKLIN ST |
| City | LYNN |
| State | MA |
| Zip Code | 01904-3230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083149348 | Cynthia Cifrino | Speech-Language Pathologist | 176 Franklin St, Lynn, MA 01904-3230 | 2017-04-25 |
| 1346856150 | Lina P Martinez Amador | Developmental Therapist | 176 Franklin St, Lynn, MA 01904-3230 | 2020-09-17 |
| 1336774587 | Jamie Baker | Developmental Therapist | 176 Franklin St, Lynn, MA 01904-3230 | 2020-03-09 |
| 1487289500 | Jennifer Jackson | Developmental Therapist | 176 Franklin St, Lynn, MA 01904-3230 | 2020-03-09 |
| 1699300186 | Kimberly Rogers | Developmental Therapist | 176 Franklin St, Lynn, MA 01904-3230 | 2020-03-05 |
| 1235779133 | Georgia Flessas-cowan | Developmental Therapist | 176 Franklin St, Lynn, MA 01904-3230 | 2020-01-09 |
| 1518435205 | Brija Lorraine Ruggiero | Developmental Therapist | 176 Franklin St, Lynn, MA 01904-3230 | 2018-11-11 |
| 1275001596 | Joelle Moriconi | Developmental Therapist | 176 Franklin St, Lynn, MA 01904-3230 | 2018-11-05 |
| 1679040380 | Angela Esposito | Developmental Therapist | 176 Franklin St, Lynn, MA 01904-3230 | 2018-10-31 |
| 1184120271 | Kimberly A Lepke | Speech-Language Pathologist | 176 Franklin St, Lynn, MA 01904-3230 | 2018-04-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528546991 | Dorothy Perry | Social Worker | Bayridge Hospital 60 Granite St, Lynn, MA 01904 | 2018-07-30 |
| 1700301876 | Chris-ann Dawkins | Behavioral Analyst | 169 Den Quarry Road, Lynn, MA 01904 | 2017-08-09 |
| 1063953594 | Juli M Knight | Specialist/Technologist, Other | 9 Boston St, 2nd Floor, Lynn, MA 01904 | 2017-03-16 |
| 1396972832 | Ryan Gosselin | Internal Medicine | 496 Lynnfield St., Lynn, MA 01904 | 2009-06-11 |
| 1366645665 | Robert E Sloane Md PC | Surgery | 480 Lynnfield Street, Lynn East Medical Bldg, Lynn, MA 01904 | 2007-06-06 |
| 1881895290 | Joseph T. Pinho | Counselor | Children's Friends, 30 Boston St., Lynn, MA 01904 | 2007-05-31 |
| 1033271010 | Prabakar Thyagarajan | Psychiatry & Neurology | 60 Granite Street, Bayridge Hospital, Lynn, MA 01904 | 2006-12-15 |
| 1376616029 | Walter J Nalesnik Jr. | Internal Medicine | 225 Boston Street, 204, Lynn, MA 01904 | 2006-11-17 |
| 1568531515 | Kerry Ann Washburn | Counselor | 30 Boston Street, Children's Friend, Lynn, MA 01904 | 2006-11-06 |
| 1033121033 | Joseph A Wescott | Dentist | 341 Western Avenue, Lynn, MA 01904 | 2006-08-12 |
| Find all providers in zip 01904 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407343726 | Patricia De Leon | Developmental Therapist | 176 Franklin St., Lynn, MA 01902 | 2018-04-23 |
| 1346856150 | Lina P Martinez Amador | Developmental Therapist | 176 Franklin St, Lynn, MA 01904-3230 | 2020-09-17 |
| 1336774587 | Jamie Baker | Developmental Therapist | 176 Franklin St, Lynn, MA 01904-3230 | 2020-03-09 |
| 1487289500 | Jennifer Jackson | Developmental Therapist | 176 Franklin St, Lynn, MA 01904-3230 | 2020-03-09 |
| 1699300186 | Kimberly Rogers | Developmental Therapist | 176 Franklin St, Lynn, MA 01904-3230 | 2020-03-05 |
| 1235779133 | Georgia Flessas-cowan | Developmental Therapist | 176 Franklin St, Lynn, MA 01904-3230 | 2020-01-09 |
| 1518435205 | Brija Lorraine Ruggiero | Developmental Therapist | 176 Franklin St, Lynn, MA 01904-3230 | 2018-11-11 |
| 1275001596 | Joelle Moriconi | Developmental Therapist | 176 Franklin St, Lynn, MA 01904-3230 | 2018-11-05 |
| 1679040380 | Angela Esposito | Developmental Therapist | 176 Franklin St, Lynn, MA 01904-3230 | 2018-10-31 |
| 1003312471 | Kimberly Rae Ryan | Developmental Therapist | 176 Franklin St, Lynn, MA 01904-3230 | 2018-04-03 |
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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.