MR. MICHAEL ANTHONY MANDELLA (NPI# 1285272559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285272559 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL ANTHONY MANDELLA |
| Credential | MA LIC 99 |
| Practice Address |
615 Reservoir Rd Lunenburg MA 01462-1540 |
| Practice Telephone | 9787717582 |
| Practice Fax Number | 9785828264 |
| Mailing Telephone | 9787717582 |
| Mailing Fax Number | 9785828264 |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA99 | MA | Other Service Providers |
| Street Address |
615 RESERVOIR RD |
| City | LUNENBURG |
| State | MA |
| Zip Code | 01462-1540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528603958 | Brianna Shea | Behavior Technician | 132 Robbs Hill Rd # Iac, Lunenburg, MA 01462 | 2019-11-08 |
| 1932612801 | Danielle Allain | Behavior Technician | 132 Robbs Hill Road, Lunenberg, MA 01462 | 2017-11-14 |
| 1649799354 | Whalom Dental Pllc | Clinic/Center | 301 Massechusetts Ave, #7, Lunenberg, MA 01462 | 2017-09-13 |
| 1528597150 | Marcia Tate | Behavioral Analyst | 132 Robbd Hill Rd., Lunenburg, MA 01462 | 2017-06-07 |
| 1730492489 | Marcy E Foreman | Dental Hygienist | 9 Fire Road 15a, Lunenburg, MA 01462 | 2010-07-23 |
| 1437332582 | Jill Wittmer | Behavioral Analyst | 132 Robbs Hill Rd, Lunenburg, MA 01462 | 2007-12-12 |
| 1548440472 | Alexander Paul Norskey | Dentist | 20 Massachusetts Ave, Lunenburg, MA 01462 | 2007-11-08 |
| 1770703191 | John H Walker | Dentist | 119 Massachusetts Avenue, Lunenburg, MA 01462 | 2007-04-26 |
| 1083786131 | Brooke Marie Chamberland | Social Worker | 24 Mass Ave Ste 1, Lunenburg, MA 01462 | 2006-11-14 |
| 1417059791 | John James Murphy | Internal Medicine | 125 Lancaster Ave, Lunenburg, MA 01462 | 2006-09-05 |
| Find all providers in zip 01462 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275760 | Heather Audra Wickham | Specialist | 19 Lukes Way, Plymouth, MA 02360-4717 | 2020-11-04 |
| 1811595440 | Elite Upper Extremity and Plastic Surgery, Pllc | Specialist | 123 Summer St Ste 550, Worcester, MA 01608-1216 | 2020-10-15 |
| 1003372996 | Pic A Nit LLC | Specialist | 111 Worcester Street, North Grafton, MA 01536 | 2019-02-15 |
| 1427513738 | Arlene L Casassa | Specialist | 271 Pond St, Hopkinton, MA 01748-1509 | 2019-01-31 |
| 1851881767 | Cheryl Ann Borden | Specialist | 51 Country Club Way, Ipswich, MA 01938-3000 | 2018-05-16 |
| 1518469089 | Kathleen L Golemon | Specialist | 100 Cummings Center Suite 158-d, Beverly, MA 01915 | 2018-03-01 |
| 1114426988 | Louise Berit Homstead | Specialist | 108 N Main St Ste A, Sunderland, MA 01375-9502 | 2018-02-07 |
| 1356859425 | Tanya Elaine Lachowicz | Specialist | 19 Agassiz St Apt 1, Cambridge, MA 02140-2826 | 2018-01-11 |
| 1083126338 | Kailash Nagrath | Specialist | 33 Sequattom Road, Harwich, MA 02645 | 2017-10-26 |
| 1417467507 | Stacy Noel Hartso | Specialist | 478 Winthrop St, Winthrop, MA 02152-1901 | 2017-10-03 |
| 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.