MIND AND BODY BEHAVIORAL HEALTH CENTER (NPI# 1245691203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245691203 |
| Entity Type | Organization |
| Organization Name | MIND AND BODY BEHAVIORAL HEALTH CENTER |
| Practice Address |
575 Washington St Unit 2d Canton MA 02021-3011 |
| Practice Telephone | 5084687218 |
| Mailing Telephone | 5084687218 |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-06-07 |
| Authorized Official Name | JENNY T VENTURA (OWNER) |
| Authorized Official Telephone | 5082439331 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 7326 | MA | Managed Care Organizations |
| Street Address |
575 WASHINGTON ST UNIT 2D |
| City | CANTON |
| State | MA |
| Zip Code | 02021-3011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871765214 | Jenny T. Ventura | Counselor | 575 Washington St, Ste 2d, Canton, MA 02021-3011 | 2008-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265931331 | Faith Alpiche Felitto | Registered Nurse | 9 Bay Drive, Apt 113, Canton, MA 02021 | 2018-02-05 |
| 1184122103 | Mind Compass, LLC | Counselor | 45 Dan Road, C/o Workspace@45, Suite 19, Canton, MA 02021 | 2018-01-24 |
| 1861903353 | Daphnis Colin | Registered Nurse | 211 Bay Drive, Canton, MA 02021 | 2017-10-24 |
| 1245772276 | Rebecca Selenow | Counselor | 10 Emerson Rd, Canton, MA 02021 | 2016-11-08 |
| 1407398449 | Brightview Canton LLC | Alzheimer Center (Dementia Center) | 125 Turnpike Street, Canton, MA 02021 | 2016-11-08 |
| 1699144014 | Marguerite Hobbs | Social Worker | 55 Pecunit St, Canton, MA 02021 | 2015-09-15 |
| 1447662234 | Cornerstone At Canton Assisted Living LLC | Assisted Living Facility | 175 Revere Street, Canton, MA 02021 | 2014-05-28 |
| 1508100157 | Greystone Pain Management Inc | Psychiatry & Neurology | 21 Rockland St, Unit M, Canton, MA 02021 | 2012-11-20 |
| 1457678062 | Smile Designs Inc | Dentist | 95 Washington St # 480, Smile Designs Inc, Canton, MA 02021 | 2010-04-23 |
| 1114178803 | Jennifer Diana Marie Woodbury | Specialist/Technologist | 1 Whitman Road, Clarke School East, Canton, MA 02021 | 2008-10-01 |
| Find all providers in zip 02021 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720537780 | Individual | Preferred Provider Organization | 1111 Gonder Avenue Se, Canton, OH 44707 | 2016-09-30 |
| 1023353885 | Prabhu, LLC | Preferred Provider Organization | 43680 Laurelwood Dr, Canton, MI 48187-4916 | 2012-12-05 |
| 1730635400 | Muse Counseling, LLC | Preferred Provider Organization | 113 Mountain Brook Dr, Suite 108, Canton, GA 30115-9057 | 2016-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811435803 | Kimberly Miller | Preferred Provider Organization | 20 Will Palmer Rd, Southwick, MA 01077-9730 | 2017-02-09 |
| 1619351269 | Venusdentalpc | Preferred Provider Organization | 63 Great Rd Ste 105, Maynard, MA 01754-2097 | 2015-07-14 |
| 1780068452 | Keishla Rivera | Preferred Provider Organization | 135 Shawmut St, Chelsea, MA 02150 | 2015-07-13 |
| 1750770764 | Balance Touch Homecare Agency | Preferred Provider Organization | 353 Whiting Ave, Dedham, MA 02026-3234 | 2015-01-14 |
| 1780089755 | Happy Kjc, LLC | Preferred Provider Organization | 29 Harvard St Fl 3, Brookline, MA 02445-7952 | 2014-11-03 |
| 1316369622 | Consolidated Health Plan | Preferred Provider Organization | 2077 Roosevelt Ave, Springfield, MA 01104-1657 | 2014-01-07 |
| 1992131528 | Rockn Kids Dental | Preferred Provider Organization | 51 Galen St, Watertown, MA 02472-4503 | 2013-09-14 |
| 1417399270 | Wahid Mistikawi Dba Greatwoods Family Dentistry | Preferred Provider Organization | 792south Main St, 24, Mansfield, MA 02048-3137 | 2013-07-22 |
| 1114211083 | D. James Thomas Ministries Inc | Preferred Provider Organization | 121 Hazelton St, Mattapan, MA 02126-3135 | 2011-06-07 |
| 1376879197 | Cheri Gaffney | Preferred Provider Organization | 7 Rolling Ridge Rd, Rutland, MA 01543-1782 | 2009-10-29 |
| 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.