MONIQUE MITCHELL (NPI# 1316497191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316497191 |
| Entity Type | Individual |
| Full Name | MONIQUE MITCHELL |
| Credential | PMHCNS |
| Practice Address |
22 Christy Dr Brockton MA 02301-1839 |
| Practice Telephone | 5085804611 |
| Mailing Telephone | 5085804611 |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
RN178113 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952767360 | Monique Mitchell | Social Worker | 12910 Ashland Dr, New Orleans, LA 70128 | 2016-01-14 |
| 1225359706 | Monique Mitchell | Physical Therapist | 3452 Lake Lynda Dr, Ste 200, Orlando, FL 32817-1430 | 2010-06-18 |
| 1255990263 | Monique Mitchell | Case Manager/Care Coordinator | 1102 Commercial Dr, Hammond, LA 70403-5954 | 2019-06-12 |
| 1487122214 | Monique Mitchell | Behavior Technician | 11925 Southwest Fwy Unit 3b, Stafford, TX 77477-2300 | 2018-11-09 |
| 1033668546 | Monique Mitchell | Counselor | 1040 Waltham St, Lexington, MA 02421-8033 | 2016-09-26 |
| 1679832877 | Monique Mitchell | Case Manager/Care Coordinator | 290 Ioof Ave, Gilroy, CA 95020-5204 | 2012-05-08 |
| Street Address |
22 CHRISTY DR |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-1839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538286703 | Neurocare, Inc. | Clinic/Center | 22 Christy Dr, Brockton, MA 02301-1839 | 2007-03-23 |
| 1831427632 | Leslie Ann Delisle | Clinical Nurse Specialist | 22 Christy Dr, Brockton, MA 02301-1839 | 2009-12-07 |
| 1841527603 | Linda M. Palmer | Registered Nurse | 22 Christy Dr, Brockton, MA 02301-1839 | 2009-11-14 |
| 1508010034 | Sarah White Darling | Psychologist | 22 Christy Dr, Brockton, MA 02301 | 2008-11-11 |
| 1629294020 | J W Podiatry PC | Podiatrist | 22 Christy Dr, 5, Brockton, MA 02301-1839 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497376909 | Sharon A Chatterton Pmhcns Bc LLC | Clinical Nurse Specialist | 175 Walpole St Unit 2, Norwood, MA 02062-3230 | 2020-05-06 |
| 1336787498 | Frieda Albertini Duffy | Clinical Nurse Specialist | 906d Ridgefield Cir, Clinton, MA 01510-1448 | 2019-12-19 |
| 1184269201 | David John Becker | Clinical Nurse Specialist | 110 Stuart St Unit 18h, Boston, MA 02116-5668 | 2019-11-13 |
| 1770131252 | Advanced Psychiatric Services LLC | Clinical Nurse Specialist | 1 Union Pl Ste 101, Dedham, MA 02026-4437 | 2019-08-28 |
| 1235691304 | Laurie Zelas Private Practice LLC | Clinical Nurse Specialist | 2 Summer St Ste 16, Natick, MA 01760-4529 | 2019-04-05 |
| 1184199630 | Rose Paolini, LLC | Clinical Nurse Specialist | 100 Laurel St, East Bridgewater, MA 02333-1846 | 2018-10-11 |
| 1124514146 | Ann Polcari | Clinical Nurse Specialist | Service Building Mc Lean Hospital, 115 Mill Street, Belmont, MA 02478 | 2018-07-02 |
| 1548706831 | Mary Foley | Clinical Nurse Specialist | 5 Bristol Dr Ste 1b, South Easton, MA 02375-1917 | 2017-01-11 |
| 1407172588 | Kjersten Johnsen | Clinical Nurse Specialist | 290 Pleasant St, 102, Watertown, MA 02472-2427 | 2010-04-14 |
| 1366691446 | Beverley Scannell | Clinical Nurse Specialist | 139 Mechanic St, Suite 2, Bellingham, MA 02019-1690 | 2008-09-15 |
| 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.