PRUDENCE BAXTER (NPI# 1205953049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205953049 |
| Entity Type | Individual |
| Full Name | PRUDENCE BAXTER |
| Credential | MD |
| Practice Address |
40 Thorndike St Cambridge MA 02141-1715 |
| Mailing Address |
25 Brewster St Cambridge MA 02138-2203 |
| Practice Telephone | 6175473407 |
| Practice Fax Number | 6172520099 |
| Mailing Telephone | 6175473407 |
| Mailing Fax Number | 6172520099 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
47174 | MA | Allopathic & Osteopathic Physicians |
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
47174 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
40 THORNDIKE ST |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02141-1715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841514544 | Correctional Psychiatric Services | Clinic/Center | 40 Thorndike St, Cambridge, MA 02141-1715 | 2010-03-24 |
| 1801080809 | John M Benedetti | Counselor | 40 Thorndike St, Middlesex Community Counseling Center, Cambridge, MA 02141-1715 | 2007-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477025088 | Teresa M Valerio | Community Health Worker | East Cambridge Health Center, 163 Gore St, Cambridge, MA 02141 | 2018-12-20 |
| 1356828586 | Occupational Medicine of Massachusetts, PC | Family Medicine | 8 Museum Way #1306, Cambridge, MA 02141 | 2018-07-20 |
| 1255609608 | Kristen Elizabeth Cascio | Counselor | 1 Lakeshore Center, Senior Whole Health- 3rd Floor, Bridgewater, MA 02141 | 2011-12-13 |
| 1669788253 | Lux Dental Care P.C. | Clinic/Center | 122 First Street, Cambridge, MA 02141 | 2010-08-20 |
| 1043479579 | Cambridge Physical Therapy and Sports Medicine | Clinic/Center | 1000a Cambridge St, Cambridge, MA 02141 | 2008-06-09 |
| 1790997013 | Roozbeh Kashefi | Dentist | 122 First St, Cambridge, MA 02141 | 2007-05-07 |
| 1336271212 | Cynthia A Sirard | Internal Medicine | 500 Kendall Street, Genzyme Corporation, Cambridge, MA 02141 | 2007-03-09 |
| 1225172919 | Kenneth Scott Duckworth | Psychiatry & Neurology | Vinfen Corp., 950 Cambridge Street, Cambridge, MA 02141 | 2007-02-16 |
| 1689722332 | Kimberly Stasny | Social Worker | 60 Gore St, Cambridge, MA 02141 | 2007-01-08 |
| 1548325178 | Naomi Leavitt | Psychologist | Cambridge Court Clinic, 40 Thorndike St., Cambridge, MA 02141 | 2006-12-26 |
| Find all providers in zip 02141 | ||||
| Taxonomy Code | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356308126 | Jeffrey Robert Friedman | Psychiatry & Neurology | 875 Massachusetts Ave, Suite 51, Cambridge, MA 02139-3067 | 2006-04-27 |
| 1043294093 | Sarah Ilana Iacobovici | Psychiatry & Neurology | 5262 Woods Rd, Cambridge, MD 21613-3796 | 2005-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639436918 | Oasis Behavioral Health Institute LLC | Psychiatry & Neurology | 1502 Providence Hwy, Suite 6a, Norwood, MA 02062-4643 | 2012-04-11 |
| 1972653913 | David Rosmarin | Psychiatry & Neurology | Mclean Hosptial Legal Office, 115 Mill Street, Belmont, MA 02478 | 2007-01-11 |
| 1205985116 | Michael Craig Miller | Psychiatry & Neurology | 137 Lake Ave, Newton Center, MA 02459-2137 | 2007-01-09 |
| 1235288671 | Lloyd Franklin Price | Psychiatry & Neurology | 152 Holdenwood Rd, Concord, MA 01742-4911 | 2007-01-08 |
| 1316002884 | Robert A Karr | Psychiatry & Neurology | North East Area Office, Tewksbury, MA 01876 | 2006-12-26 |
| 1801984349 | Anne Ellsworth Dantzler | Psychiatry & Neurology | 940 Belmont St, Bldg 2, 3rd Floor, Ward 2-3-b Or A310, Va Boston Healthcare System, Brockton Division, Brockton, MA 02301-5596 | 2006-10-10 |
| 1023022639 | Marcus Jacob Goldman | Psychiatry & Neurology | 138 Peakham Rd, Sudbury, MA 01776-2916 | 2006-07-28 |
| 1649231879 | Mark Jeffrey Hauser | Psychiatry & Neurology | 16 Converse Ave, Newton, MA 02458-2504 | 2006-03-29 |
| 1154397289 | Brian M Keefe | Psychiatry & Neurology | 25 Stanford St, Plaza Level Erich Lindemann Mental Health Center, Boston, MA 02114-2696 | 2006-02-28 |
| 1861470213 | Ronald Schouten | Psychiatry & Neurology | 15 Parkman Street Wac 805, Psychiatry Outpatient Referral Service, Boston, MA 02114 | 2006-01-05 |
| 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.