CIRCLE OF LIFE MD LLC (NPI# 1326368325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326368325 |
| Entity Type | Organization |
| Organization Name | CIRCLE OF LIFE MD LLC |
| Practice Address |
203 Willow St Bldg B South Hamilton MA 01982-2292 |
| Mailing Address |
205 Willow St Bldg B South Hamilton MA 01982-2255 |
| Practice Telephone | 9785356043 |
| Practice Fax Number | 9785356047 |
| Mailing Telephone | 9785356043 |
| Mailing Fax Number | 9785356047 |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2016-02-16 |
| Authorized Official Name | KIRSTEN E WAGNER (OWNER-DIRECTOR) |
| Authorized Official Telephone | 9784682850 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | LICENSE | 223761 | 01 |
| Street Address |
203 WILLOW ST BLDG B |
| City | SOUTH HAMILTON |
| State | MA |
| Zip Code | 01982-2292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187613 | Nancy Schneider-pruett | Clinical Neuropsychologist | The Neuropsychology Service, 100 Cummings Center, Beverly, MA 01982 | 2020-06-04 |
| 1063542686 | Sandra Dunbar Yearley | Social Worker | 5 Elm Street, Suite 6, Danvers, MA 01982 | 2007-03-06 |
| 1477639706 | Hugh M Taylor | Family Medicine | 15 Railroad Avenue, South Hamilton, MA 01982 | 2006-10-30 |
| 1982789764 | Cheryl Ruth Azlin | Psychologist | 203 Willow Street, Ste 1e, South Hamilton, MA 01982 | 2006-10-27 |
| 1952492100 | Nancy L West | Counselor | 205 B Willow Street, South Hamilton, MA 01982 | 2006-09-27 |
| 1306946736 | Cvs Pharmacy Inc | Pharmacy | 15 Walnut Rd Hamilton Plz Sc, South Hamilton, MA 01982 | 2006-09-25 |
| 1386651073 | Michael A Edwards | Family Medicine | 40-42 Asbury St, South Hamilton, MA 01982 | 2006-08-02 |
| 1154343028 | Laura Anne Vorrias | Dentist | 61 Railroad Ave, South Hamilton, MA 01982 | 2006-07-23 |
| 1245351923 | Samuel C Foster | Dentist | 78 Willow St, So Hamilton, MA 01982 | 2007-04-02 |
| 1083786438 | Sarah Anne Braucher | Social Worker | 205 Willow St, Suite 1b, So Hamilton, MA 01982 | 2006-11-14 |
| Find all providers in zip 01982 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881203701 | Hoffman Psychiatric Services | Psychiatry & Neurology | 144a Mount Auburn St Ste 2a, Cambridge, MA 02138-5776 | 2020-07-27 |
| 1639603566 | Chayanin Foongsathaporn | Psychiatry & Neurology | Tufts Medical Center 800 Washington Street #1007, Boston, MA 02111 | 2017-04-18 |
| 1922386887 | Firas Abdussalam Nakshabandi | Psychiatry & Neurology | 940 Belmont St Bldg 5, (116a7) Psychiatry Education Attn: Marie, Brockton, MA 02301-5596 | 2011-07-26 |
| 1548556046 | Barton S Herskovitz Md PC | Psychiatry & Neurology | 460 Hillside Ave, Suite 3e, Needham, MA 02494-1279 | 2011-06-22 |
| 1740505353 | Erica Lisa Greenberg | Psychiatry & Neurology | 185 Cambridge St Ste 2000, Boston, MA 02114 | 2010-04-07 |
| 1245461714 | Ronald Geraty | Psychiatry & Neurology | 295 Ocean Ave, Marblehead, MA 01945-3728 | 2009-08-01 |
| 1023252459 | Kyu Won Lee | Psychiatry & Neurology | 19 Kendall Ter, Newton, MA 02458-2021 | 2009-04-29 |
| 1851534788 | Serena Fernandes | Psychiatry & Neurology | 300 Longwood Ave # Fegan8, Boston, MA 02115-5724 | 2009-04-07 |
| 1114190097 | Dana B Sarvey | Psychiatry & Neurology | 115 Mill St # Ms 129, Belmont, MA 02478-1048 | 2008-04-10 |
| 1770703878 | Brookline Psychiatry, Inc. | Psychiatry & Neurology | 1685 Beacon St, Brookline, MA 02445-4411 | 2007-04-30 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH HAMILTON |
| Zip Code | 01982 |
Please comment or provide details below to improve the information on CIRCLE OF LIFE MD LLC.
| 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.