PETER DOUGLAS MANTELL III (NPI# 1235762741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235762741 |
| Entity Type | Individual |
| Full Name | PETER DOUGLAS MANTELL III |
| Practice Address |
130 Millers Falls Rd Turners Falls MA 01376-2250 |
| Practice Telephone | 4138351564 |
| Mailing Telephone | 4138351564 |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | CLINICAL AND SUPPORT OPTIONS | 175T00000X | 01 |
| Street Address |
130 MILLERS FALLS RD |
| City | TURNERS FALLS |
| State | MA |
| Zip Code | 01376-2250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295379287 | Colleen Yvonne Ferris | Technician | 65 4th St, Turners Falls, MA 01376 | 2019-11-01 |
| 1306913413 | Debra Nadine Graham | Massage Therapist | 296 Avenue A, Turners Falls, MA 01376 | 2006-11-30 |
| 1285707125 | David Eric Sandberg | Podiatrist | 1 Burnham Street, Turners Falls, MA 01376 | 2006-11-16 |
| 1518050707 | James A Andreas | Dentist | 7 Burnham Street, Turners Falls, MA 01376 | 2006-10-02 |
| 1144321563 | Saralyn Steingiser | Psychologist | 356 Montague City Road, Turners Falls, MA 01376 | 2006-09-26 |
| 1215044425 | Daniel Cohen | Dentist | 4 Dell St, Turners Falls, MA 01376 | 2006-08-24 |
| 1699785543 | Charles J Streciwilk | Nurse Practitioner | 340 Montague City Road, Farren Care Center, Turners Falls, MA 01376 | 2006-08-09 |
| 1407249386 | New England Wound Care LLC | Internal Medicine | 8 Burnham Street, Turners Falls, MA 01376 | 2015-03-16 |
| 1235356080 | James A Andreas Dmd PC | Dentist | 7 Burnham Street, Turners Falls, MA 01376 | 2007-04-20 |
| 1275603169 | Anissa Holly Newman | Physician Assistant | 340 Montague City Rd, Turners Falls, MA 01376 | 2006-11-08 |
| Find all providers in zip 01376 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010043 | Christopher Solomon | Peer Specialist | 8201 Inwood Dr, Woburn, MA 01801-5161 | 2020-07-14 |
| 1346878725 | Dynamicare Health | Peer Specialist | 288 Norfolk St Ste 4, Cambridge, MA 02139-1430 | 2020-03-31 |
| 1114553989 | Theresa Buccico | Peer Specialist | 284 Union Ave, Framingham, MA 01702-6318 | 2020-03-12 |
| 1083259154 | Darlene Cruz | Peer Specialist | 5121 Crane Brook Way, Peabody, MA 01960-8526 | 2019-11-13 |
| 1700437571 | Edith Silva | Peer Specialist | 131 W Main St Ste 101, Orange, MA 01364-1157 | 2019-09-24 |
| 1225505720 | Stephanie Wamback | Peer Specialist | 20 Green St # 2, Dudley, MA 01571-3210 | 2018-11-01 |
| 1366918724 | Coretta Mcgill | Peer Specialist | 12 Montague St, Worcester, MA 01603-3125 | 2018-10-23 |
| 1902380017 | Choice Recovery Coaching Inc. | Peer Specialist | 155 Maple St., Suite 305, Springfield, MA 01105 | 2018-09-24 |
| 1891219747 | Daniel Robert Proulx | Peer Specialist | 2 Endicott Ave, Marblehead, MA 01945-1617 | 2017-08-02 |
| 1093256133 | Bonnie J Peterson | Peer Specialist | 5 Wakefield Ave, Saugus, MA 01906-2711 | 2017-03-08 |
| Find all providers with the same taxonomy | ||||
| City | TURNERS FALLS |
| Zip Code | 01376 |
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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.