EDWARD MATOVU (NPI# 1306356522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306356522 |
Entity Type | Individual |
Full Name | EDWARD MATOVU |
Credential | MCPC |
Practice Address |
500 Victory Rd Quincy MA 02171-3139 |
Mailing Address |
54 Westland St Apt 5 Brockton MA 02301-1757 |
Mailing Telephone | 7813087619 |
Enumeration Date | 2017-10-02 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
54 Westland St Apt 5, Brockton, MA 023011757 | 7813087619 |
Street Address |
500 VICTORY RD |
City | QUINCY |
State | MA |
Zip Code | 02171-3139 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265462477 | Ajita Purohit | Social Worker | 500 Victory Rd, Bayview Associates, Quincy, MA 02171-3139 | 2006-07-04 |
1265030191 | Benjamin Miele | Counselor | 500 Victory Rd, Quincy, MA 02171-3139 | 2020-10-13 |
1447861364 | Juliana Lee Willey | Counselor | 500 Victory Rd, Quincy, MA 02171-3139 | 2020-08-13 |
1437760725 | John Francis Mannion | Registered Nurse | 500 Victory Rd, Quincy, MA 02171-3139 | 2020-08-11 |
1306456488 | Abigail R Hennigan | Music Therapist | 500 Victory Rd, Quincy, MA 02171-3139 | 2020-08-04 |
1225647191 | Delaney Elaine Hauck | Social Worker | 500 Victory Rd, Quincy, MA 02171-3139 | 2020-07-27 |
1760007090 | Lorain Clair Baeumler | Registered Nurse | 500 Victory Rd, Quincy, MA 02171-3139 | 2020-06-12 |
1346865052 | Kyle Christopher Leonard | Counselor | 500 Victory Rd, Quincy, MA 02171-3139 | 2020-06-09 |
1649895400 | Jessica Anderson | Counselor | 500 Victory Rd, Quincy, MA 02171-3139 | 2020-06-08 |
1669094884 | Lisa Lopes | Counselor | 500 Victory Rd, Quincy, MA 02171-3139 | 2020-05-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730661190 | Yvonne Ann Roth | Social Worker | 1 Enterprise Drive, Quincy, MA 02171 | 2018-09-03 |
1902397631 | Kristen Spain | Registered Nurse | 110 West Squantum St., North Quincy, MA 02171 | 2018-05-29 |
1760984777 | Oumaima Mansouri | Counselor | 110 West Squantum Street, Quincy, MA 02171 | 2018-03-06 |
1386163699 | Sophonie Belizaire | Assistant Behavior Analyst | South Shore Mental Health, 500 Victory Rd., Quincy, MA 02171 | 2017-09-18 |
1306209168 | Katherine R Standish | Family Medicine | 110 W Squantum St Ste 8, North Quincy, MA 02171 | 2016-03-30 |
1669852778 | Joseph Odom | Counselor | 43 Old Colony Road, Quincy, MA 02171 | 2015-06-03 |
1578825436 | Hoi Yuk Pang | Counselor | 1 Billings Rd, Quincy, MA 02171 | 2012-06-15 |
1275862526 | Naeemah Tahira Smith | Counselor | 210a Quincy Shore Dr, Quincy, MA 02171 | 2009-12-16 |
1386876779 | Mark Everds | Counselor | 97 Holmes Street, 2nd Floor, North Quincy, MA 02171 | 2009-08-18 |
1306014741 | Ping-chiu Chan | Acupuncturist | Chinese Medical Center, 38 Billings Road, Quincy, MA 02171 | 2008-02-20 |
Find all providers in zip 02171 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114496031 | Melanie Cadet | Psychologist | 440 Hancock St Ste 8-248, Quincy, MA 02171-2442 | 2018-11-20 |
1861412504 | Stanley Jay Gross | Psychologist | 110 W Squantum St Ste 17, Quincy, MA 02171-2122 | 2006-07-19 |
1972145605 | David Crespin | Psychologist | 859 Willard St, Quincy, MA 02169-7482 | 2019-10-15 |
1760710099 | William Defranc | Psychologist | 234 Copeland St, Suite 320, Quincy, MA 02169-4005 | 2009-11-24 |
1588811541 | Isaac Lowenthal | Psychologist | 460 Quincy Ave, Quincy, MA 02169-8130 | 2008-08-21 |
1669525309 | Anne H Cavanaugh-sawan | Psychologist | 859 Willard St, Quincy, MA 02169-7482 | 2007-01-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043817489 | Trevor Allan Cote | Psychologist | 137 Newbury St # 6b, Boston, MA 02116-2912 | 2020-10-08 |
1942840244 | Joshua Michael Edwards | Psychologist | 200 Southwick Rd Apt 12, Westfield, MA 01085-4797 | 2020-01-14 |
1235787045 | Joy Victoria Albiani | Psychologist | 500 Amory St Ste 300, Jamaica Plain, MA 02130-2775 | 2019-08-27 |
1144882234 | Barbara Fritts Phd Licensed Psychologist | Psychologist | 23 Water St # 105, Holliston, MA 01746-2364 | 2019-06-28 |
1710466685 | Denise A Green | Psychologist | 21 Matoon St, Amherst, MA 01002-2107 | 2018-08-10 |
1639663065 | Martha Hardy Lamb | Psychologist | 7 Commonwealth Ave, Dedham, MA 02026-1403 | 2018-06-19 |
1740773977 | Jennifer Grossman | Psychologist | 192 Carlton Rd, Waban, MA 02468-1836 | 2018-06-12 |
1467945022 | Carmen M Torres | Psychologist | 21 Fenwood Rd Apt 2, Boston, MA 02115-6101 | 2018-06-08 |
1144712936 | Jacqueline Bearce | Psychologist | 132 Pondview Dr, Amherst, MA 01002-3258 | 2018-06-06 |
1851883839 | Jerrold George Simon | Psychologist | 13 Newtonville Ave, Newton, MA 02458-1938 | 2018-06-05 |
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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.