ZACHARY BLUMKIN (NPI# 1255576153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255576153 |
| Entity Type | Individual |
| Full Name | ZACHARY BLUMKIN |
| Practice Address |
23 Central Ave Lynn MA 01901-1220 |
| Mailing Address |
269 Union St Lynn MA 01901-1314 |
| Practice Telephone | 7814777222 |
| Practice Fax Number | 7815988137 |
| Mailing Telephone | 7814777222 |
| Mailing Fax Number | 7815988137 |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2019-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
23 CENTRAL AVE |
| City | LYNN |
| State | MA |
| Zip Code | 01901-1220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750595609 | Summer Baidak | Counselor | 23 Central Ave, Lynn, MA 01901-1220 | 2007-05-10 |
| 1124325592 | Jeffrey Downey | Counselor | 23 Central Ave, Lynn, MA 01901-1220 | 2011-02-22 |
| 1053614974 | Robin A Ronchi | Counselor | 23 Central Ave, Suite 301, Lynn, MA 01901-1220 | 2010-12-15 |
| 1912215120 | Lynn Community Health, Inc. | Clinic/Center | 23 Central Ave, Lynn, MA 01901-1220 | 2010-09-22 |
| 1568779932 | Rachel Goldman Dale | Psychologist | 23 Central Ave, Lynn, MA 01901-1220 | 2010-09-08 |
| 1104133750 | Matthew Twomey | Nurse Practitioner | 23 Central Ave, Lynn, MA 01901-1220 | 2010-09-02 |
| 1184958480 | Kate Vitt Fogarty | Clinical Nurse Specialist | 23 Central Ave, Lynn, MA 01901-1220 | 2009-09-21 |
| 1366687782 | Argentina Moreta | Counselor | 23 Central Ave, Lynn, MA 01901-1220 | 2008-12-15 |
| 1912142670 | Jeffrey Waitkus | Student in an Organized Health Care Education/Training Program | 23 Central Ave, Lynn, MA 01901-1220 | 2008-12-10 |
| 1902041833 | Debra Newborg | Psychologist | 23 Central Ave, Lynn, MA 01901-1220 | 2008-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427515923 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 173 Oxford Street, Lowel Level, Suite P, Lynn, MA 01901 | 2019-02-21 |
| 1730680125 | Sarah Sawulski | Registered Nurse | 269 Union Stree01901t, Lynn, MA 01901 | 2018-02-22 |
| 1184142895 | Adrienne Wood | Case Manager/Care Coordinator | 100 Willow Street, Lynn, MA 01901 | 2017-09-01 |
| 1831613199 | Marie Linda Yannaco-grant | Social Worker | 62 Market Street, Lynn, MA 01901 | 2017-07-28 |
| 1942723457 | Michael Xinyu Miao | Physical Therapy Assistant | 1 Market Street, 3rd Floor, Lynn, MA 01901 | 2017-07-18 |
| 1730544743 | Pediatric Dental Professionals LLC | Dentist | 391 Lynn Way, Bldg A, Lynn, MA 01901 | 2015-12-17 |
| 1346667748 | Emily G. Joseph | Social Worker | 112 Market Street, 2nd Floor, Lynn, MA 01901 | 2014-03-24 |
| 1548510621 | Serena M Smith | Counselor | 181 Union Street, Suite J, Lynn, MA 01901 | 2012-09-14 |
| 1043575624 | Timothy J Bossie | Optometrist | 20 Central Avenue, Lynn, MA 01901 | 2012-07-10 |
| 1689946923 | Lynn Dental Center | Dentist | 232 Union Street, Lynn, MA 01901 | 2012-02-02 |
| Find all providers in zip 01901 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982731485 | Diane G Hansen | Psychologist | 12 Chancery Ct, Ph9, Lynn, MA 01902-4248 | 2007-02-28 |
| 1760090476 | Alexandra Lorraine Vlahakes | Psychologist | 60 Granite St, Lynn, MA 01904-2915 | 2020-07-20 |
| 1811405491 | Alberto Luis Hernandez X | Psychologist | 269 Union St, Lynn, MA 01901-1314 | 2018-01-17 |
| 1497124846 | Oren Lee-parritz | Psychologist | 269 Union St, Lynn, MA 01901-1314 | 2015-09-16 |
| 1366847956 | Sejal Mahesh Patel | Psychologist | 20 Central Ave, Lynn, MA 01901-1201 | 2014-10-26 |
| 1144623471 | Sylvia Fitzpatrick | Psychologist | 20 Central Ave, Lynn, MA 01901-1201 | 2014-10-01 |
| 1538419882 | Jennifer Lee Minogue Mastovich | Psychologist | 280 Union St, Lynn, MA 01901-1353 | 2012-09-13 |
| 1568609865 | Stephen K. Valle | Psychologist | 181 N Common St, Lynn, MA 01905-2506 | 2009-01-08 |
| 1700039898 | Kelly F. Trusheim | Psychologist | 269 Union St, Behavioral Health - Blue Team, Lynn, MA 01901-1314 | 2008-11-03 |
| 1508038779 | Angela Forsberg Wilbur | Psychologist | 269 Union Street, Behavioral Health Dept, Lynn, MA 01901 | 2008-03-28 |
| Find all providers in LYNN | ||||
Please comment or provide details below to improve the information on ZACHARY BLUMKIN.
| 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.