NORTH CHARLES MENTAL HEALTH RESEARCH & TRAINING FOUNDATION, INC (NPI# 1356411862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356411862 |
| Entity Type | Organization |
| Organization Name | NORTH CHARLES MENTAL HEALTH RESEARCH & TRAINING FOUNDATION, INC |
| Other Organization Name | NORTH CHARLES, INC. |
| Practice Address |
54 Washburn Ave Cambridge MA 02140-1128 |
| Practice Telephone | 6178640941 |
| Practice Fax Number | 6178769760 |
| Mailing Telephone | 6178640941 |
| Mailing Fax Number | 6178769760 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-01-24 |
| Authorized Official Name | MR. GARY R HOULE (CEO) |
| Authorized Official Telephone | 6178640941 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | DEPT LABOR OWCP | 119333300 | 01 |
| MA | BLUE CROSS BLUE SHIELD | NHC222300091 41 | 01 |
| MA | 1005250 | 05 | |
| MA | 1303902 | 05 | |
| MA | 1303929 | 05 | |
| MA | 99420501 | 05 | |
| MA | BLUE CROSS BLUE SHIELD | 222301740 | 01 |
| MA | BLUE CROSS BLUE SHIELD | NHC222300091 40 | 01 |
| MA | 1306405 | 05 | |
| MA | BOSTON HEALTHNET | 37052 | 01 |
| MA | BLUE CROSS BLUE SHIELD | NHC222300091 42 | 01 |
| Other Name | Type Code |
|---|---|
| NORTH CHARLES, INC. | Other Name - Individual/Organization |
| Street Address |
54 WASHBURN AVE |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02140-1128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457965907 | Chloe Deloughery | Counselor | 54 Washburn Ave, Cambridge, MA 02140-1128 | 2020-09-02 |
| 1538773080 | Jillian Tsacoyeanes | Counselor | 54 Washburn Ave, Cambridge, MA 02140-1128 | 2020-09-02 |
| 1295347920 | Leah K Rose | Counselor | 54 Washburn Ave, Cambridge, MA 02140-1128 | 2020-08-24 |
| 1639793128 | Angel Haydn Reed | Social Worker | 54 Washburn Ave, Cambridge, MA 02140-1128 | 2020-06-01 |
| 1760030787 | Max Roberts | Social Worker | 54 Washburn Ave, Cambridge, MA 02140-1128 | 2019-09-03 |
| 1275181208 | Michelle Harra Goldberg | Counselor | 54 Washburn Ave, Cambridge, MA 02140-1128 | 2019-09-03 |
| 1881253565 | Alma Pietri | Counselor | 54 Washburn Ave, Cambridge, MA 02140-1128 | 2019-06-06 |
| 1851873830 | Katelyn Mohen | Counselor | 54 Washburn Ave, Cambridge, MA 02140-1128 | 2018-09-05 |
| 1407338296 | Stefanie Tova Lakin | Counselor | 54 Washburn Ave, Cambridge, MA 02140-1128 | 2018-08-29 |
| 1437677044 | Justin Spears | Social Worker | 54 Washburn Ave, Cambridge, MA 02140-1128 | 2017-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819784 | Bluesky Telepsych, Inc. | Psychiatry & Neurology | 125 Cambridge Park Drive, Suite 306, Cambridge, MA 02140 | 2020-07-28 |
| 1043837990 | Nancy Villa | Community/Behavioral Health | 10 Concord Tpke, Cambridge, MA 02140 | 2020-06-26 |
| 1356976625 | Jennifer Ahonen | Nurse Practitioner | 36 White Street, Cambridge, MA 02140 | 2020-03-07 |
| 1366961120 | Boston Eye Care Center, LLC | Ophthalmology | 2464 Massachusetts Ave Ste 200, Cambridge, MA 02140 | 2017-09-13 |
| 1992225015 | Figen Esen | Student in an Organized Health Care Education/Training Program | 160 Cabridgepark Drive, Apt 295, Cambridge, MA 02140 | 2017-06-20 |
| 1063870038 | Kelli Swensen | Dietitian, Registered | 160 Cambridge Park Dr, 168, Cambridge, MA 02140 | 2016-02-05 |
| 1851731822 | Gabriella Maree Pugliese | Pharmacist | 822 Somerville Ave, Cambridge, MA 02140 | 2013-07-04 |
| 1609211531 | Hyuna Lee | Dentist | 160 Cambridgepark Drive, Suite 390, Cambridge, MA 02140 | 2013-05-06 |
| 1740555366 | Aesook Kwon | Registered Nurse | 1493 Cambrige St, Cambridge Hospital, Cambrige, MA 02140 | 2012-03-14 |
| 1740557743 | In Sync Physical Therapy, LLC | Clinic/Center | 1798a Massachusetts Avenue, Suite 2, Cambridge, MA 02140 | 2011-11-19 |
| Find all providers in zip 02140 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043793722 | Lucy Curell | Psychologist | 278 Washington St Apt 2, Cambridge, MA 02139-3506 | 2018-09-10 |
| 1023504156 | Robert Graham Kegan | Psychologist | 71 Larch Rd, Cambridge, MA 02138-3316 | 2018-07-01 |
| 1063907590 | Meg Alison Bond | Psychologist | 61 Dudley St, Cambridge, MA 02140-2419 | 2018-06-27 |
| 1982199816 | Lisa A Cosgrove | Psychologist | 415 Broadway, Cambridge, MA 02138-4278 | 2018-06-23 |
| 1811480924 | Nancy Clare Kehoe | Psychologist | 100 Cushing St, Cambridge, MA 02138-4584 | 2018-06-13 |
| 1033601547 | Arlene Miller | Psychologist | 75 Richdale Ave Ste 10, Cambridge, MA 02140-2608 | 2018-05-31 |
| 1568952810 | Janet Amphlett | Psychologist | 47 Thorndike St, Cambridge, MA 02141-1799 | 2018-05-12 |
| 1871082834 | William Mcmullen | Psychologist | 109 Antrim St, Cambridge, MA 02139-1133 | 2018-05-05 |
| 1912496183 | Katherine Ann Coleman | Psychologist | 44 Concord Ave, Cambridge, MA 02138-2380 | 2018-05-03 |
| 1811485709 | Craig Rodgers | Psychologist | 872 Mass Ave Apt 908, Cambridge, MA 02139-3018 | 2018-04-25 |
| Find all providers in CAMBRIDGE | ||||
Please comment or provide details below to improve the information on NORTH CHARLES MENTAL HEALTH RESEARCH & TRAINING FOUNDATION, INC.
| 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.