TIMOTHY HERNANDEZ (NPI# 1336501691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336501691 |
| Entity Type | Individual |
| Full Name | TIMOTHY HERNANDEZ |
| Credential | LADC I |
| Practice Address |
295 Sconticut Neck Rd Fairhaven MA 02719-1506 |
| Practice Telephone | 5088636733 |
| Mailing Telephone | 5088636733 |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2016-03-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
11680 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851495584 | Timothy A Hernandez | Internal Medicine | 1139 E Sonterra Blvd, Suite 405, San Antonio, TX 78258-4347 | 2006-09-12 |
| 1932110079 | Timothy J Hernandez | Family Medicine | 234 Wentworth Ave E, West Saint Paul, MN 55118-3525 | 2006-08-11 |
| Street Address |
295 SCONTICUT NECK RD |
| City | FAIRHAVEN |
| State | MA |
| Zip Code | 02719-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457589772 | David Paul Patterson | Nurse Practitioner | 271 Alden Rd, Fairhaven, MA 02719 | 2009-06-25 |
| 1245415983 | Carol Ann Reeve | Social Worker | 21 Nelson Ave, Fairhaven, MA 02719 | 2007-12-31 |
| 1194842716 | Cathleen Lacy | Physical Therapist | 333 Bridge St, Fairhaven, MA 02719 | 2007-03-26 |
| 1700903978 | Barbara Ann Acksen | Psychologist | 91 Green Street, Fairhaven, MA 02719 | 2007-03-23 |
| 1811023260 | Merolla Chiropractic Inc | Chiropractor | 73 Alden Rd, Fairhaven, MA 02719 | 2007-02-27 |
| 1982746442 | Michele E Merolla | Chiropractor | 73 Aiden Rd, Fairhaven, MA 02719 | 2007-02-13 |
| 1417016338 | Brian K Bowcock | Chiropractor | 84 Huttleston Avenue, Fairhaven, MA 02719 | 2006-12-06 |
| 1104937697 | Southcoast Visiting Nurse Association. Inc | Home Health | 200 Mill Road, Suite 120, Fairhaven, MA 02719 | 2006-08-31 |
| 1902817299 | 184 Main LLC | Skilled Nursing Facility | 184 Main Street, Fairhaven, MA 02719 | 2006-08-11 |
| 1821584103 | Smiley Dental Care Pllc | Clinic/Center | 17 Berdon Way, Fairheaven, MA 02719 | 2018-07-10 |
| Find all providers in zip 02719 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992920094 | Rebecca J Carney | Counselor | 200 Mill Rd Ste 180, Fairhaven, MA 02719-5255 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366042996 | Lisa Mcmanus | Counselor | 365 East St # C-2, Tewksbury, MA 01876-1950 | 2020-11-01 |
| 1770183634 | Lilian Emefiele | Counselor | 34 Gilfford St., New Bedford, MA 02744 | 2020-10-29 |
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1649879834 | Charles Skoler | Counselor | 15 Colborne Rd Apt 8, Brighton, MA 02135-4843 | 2020-10-20 |
| 1669070553 | Tayla Legrand | Counselor | 100 Autumn Ln, Tewksbury, MA 01876-5500 | 2020-10-13 |
| 1467050534 | Veronica Grace Lebeau-bushee | Counselor | 34 Salem End Rd Apt 19b, Framingham, MA 01702-2490 | 2020-10-12 |
| 1558969840 | Revive Counseling and Wellness Center | Counselor | 388 Pleasant St Ste 201a, Malden, MA 02148-8143 | 2020-10-09 |
| 1215544507 | James Piantedosi | Counselor | 273 Middle St, Braintree, MA 02184-4822 | 2020-09-30 |
| 1447867916 | Christopher Jones | Counselor | 82 Graham St, Gardner, MA 01440-3858 | 2020-09-28 |
| 1104433804 | Charles C Anderson | Counselor | 171 Graham St., Gardner, MA 01440 | 2020-09-26 |
| 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.