DR. JOAN M. KELLERMAN (NPI# 1255410411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255410411 |
| Entity Type | Individual |
| Full Name | DR. JOAN M. KELLERMAN |
| Credential | PH.D. |
| Practice Address |
80 Upland Rd Sharon MA 02067-1748 |
| Practice Telephone | 7817848372 |
| Mailing Telephone | 7817848372 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
2963 | MA | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
2963 | MA | Behavioral Health & Social Service Providers |
| Street Address |
80 UPLAND RD |
| City | SHARON |
| State | MA |
| Zip Code | 02067-1748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154409209 | Jack Demick | Psychologist | 80 Upland Rd, Sharon, MA 02067 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770034498 | Michelene Ward | Massage Therapist | 201 North Main St, Sharon, MA 02067 | 2016-10-18 |
| 1164886636 | Carol Miranda Straker | Registered Nurse | 14 Wilshire Drive, Sharon, MA 02067 | 2016-04-11 |
| 1598170672 | Hope Renewed Counseling Center, LLC | Community/Behavioral Health | 631 South Main Street, Sharon, MA 02067 | 2014-06-26 |
| 1467870949 | Elizabeth Maloney Juliand | Registered Nurse | 450 N Main St Ste 2, Sharon, MA 02067 | 2014-04-02 |
| 1558664714 | Meaghan J Paliotta | Massage Therapist | 1600 Boston-providence Highway, Suite 112, Sharon, MA 02067 | 2010-12-09 |
| 1730480500 | Marsha Loshin Schaffel | Social Worker | 126 Billings St, Sharon, MA 02067 | 2010-11-10 |
| 1215266127 | Sheri L Epstein | Doula | 59 Spring Lane, Sharon, MA 02067 | 2009-12-24 |
| 1407063670 | Norman Charles Gross | Social Worker | 5 Seminole Circle, Sharon, MA 02067 | 2007-05-17 |
| 1780706655 | Alla Agamov Dmd | Dentist | 47 Pond Street, Sharon, MA 02067 | 2007-04-04 |
| 1336200849 | Joshua P Golden | Psychiatry & Neurology | 62 S Main St, Sharon, MA 02067 | 2006-12-12 |
| Find all providers in zip 02067 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807528 | Centi Psychological Services Pllc | Psychologist | 35 Renwick Rd, Melrose, MA 02176-1218 | 2020-06-29 |
| 1760008072 | Louise Ross | Psychologist | 223 Bishops Forest Dr, Waltham, MA 02452-8804 | 2020-06-23 |
| 1417419060 | John Benjamin Barnes | Psychologist | 76 Davidson Rd, Framingham, MA 01701-3292 | 2019-04-03 |
| 1508351107 | Breanna Wardwell | Psychologist | 110 Maple St Ste 110, Springfield, MA 01105 | 2018-06-26 |
| 1376038372 | Ellen Leigh | Psychologist | 8 Summer St Apt 105, Arlington, MA 02474-3059 | 2018-06-22 |
| 1538650601 | Leonard Anthony Doerfler | Psychologist | 26 Pinedale Rd, Shrewsbury, MA 01545-3502 | 2018-05-24 |
| 1700389749 | Arden Sugeily Lake | Psychologist | 50 Annafran St, Roslindale, MA 02131-4705 | 2018-03-15 |
| 1780183277 | Laurence James Stybel | Psychologist | 27 Bayfield Rd, Wayland, MA 01778-4205 | 2018-02-09 |
| 1114449931 | Stephanie M Ribeiro | Psychologist | 27 Stratfield Ave, Westfield, MA 01085-2222 | 2017-07-13 |
| 1033650908 | Jean Curtis Loud | Psychologist | 17 East Chop Drive, Oak Bluffs, MA 02557 | 2017-03-13 |
| 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.