KELLY PETERSON (NPI# 1366923963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366923963 |
| Entity Type | Individual |
| Full Name | KELLY PETERSON |
| Practice Address |
205 Burlington Rd Bedford MA 01730-1406 |
| Practice Telephone | 7818623600 |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BMC | 0000023532 | 01 |
| MA | TAX ID | 042611055 | 01 |
| MA | NHP | 1004745 | 01 |
| MA | BCBS | M18633 | 01 |
| MA | FALLON | 1004745 | 01 |
| MA | MBHP | 1303287 | 01 |
| MA | NETWORK HEALTH | 99618201 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013450907 | Kelly Rose Peterson | Physical Therapist | 1190 Baker St Ste 105, Costa Mesa, CA 92626-4105 | 2016-11-23 |
| 1326437120 | Kelly Leigh Peterson | Nurse Practitioner | 2200 Childrens Way Monroe Carell Jr, Doctor's Office Tower, 7th Floor, Suite 7100, Nashville, TN 37232-0001 | 2015-01-16 |
| 1336424027 | Kelly Rae Peterson | Nurse Anesthetist, Certified Registered | 9803 Vagabond Ln N, Maple Grove, MN 55311-1364 | 2011-10-13 |
| 1235413758 | Kelly Suzanne Peterson | Naturopath | 638 Fulton St W Suite B, Grand Rapids, MI 49504 | 2011-10-03 |
| 1710016563 | Kelly Peterson | Counselor | 5240 Ne Elam Young Pkwy Ste 100, Hillsboro, OR 97124 | 2007-03-05 |
| 1558399261 | Kelly B Peterson | Dentist | 5100 Grove St, Ste B, Marysville, WA 98270-4492 | 2006-06-29 |
| 1639787872 | Kelly Peterson | Military Health Care Provider | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-07-14 |
| 1255965208 | Kelly A Peterson | Nurse Practitioner | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2020-02-28 |
| 1639720014 | Kelly Ann Peterson | Counselor | 20288 Highway 15 N Ste 100, Hutchinson, MN 55350-5685 | 2019-09-26 |
| 1164087730 | Kelly Peterson | Registered Nurse | 410 W 10th Ave, Columbus, OH 43210-1240 | 2019-05-08 |
| Street Address |
205 BURLINGTON RD |
| City | BEDFORD |
| State | MA |
| Zip Code | 01730-1406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871530071 | Daniel M Teplin | Psychiatry & Neurology | 205 Burlington Rd, Bedford, MA 01730-1406 | 2006-05-31 |
| 1740881317 | Adam Mayhew | Behavioral Analyst | 205 Burlington Rd, Bedford, MA 01730-1406 | 2020-11-02 |
| 1457968125 | Daphne Jean Thompson | Behavior Technician | 205 Burlington Rd, Bedford, MA 01730-1406 | 2020-09-28 |
| 1689280877 | Jane M Marshall | Counselor | 205 Burlington Rd, Bedford, MA 01730-1406 | 2020-09-22 |
| 1609482900 | Julia Burke | Behavior Technician | 205 Burlington Rd, Bedford, MA 01730-1406 | 2020-09-22 |
| 1851907273 | Julie Morris | Counselor | 205 Burlington Rd, Bedford, MA 01730-1406 | 2020-09-21 |
| 1427661206 | Nicole Racamato | Behavioral Analyst | 205 Burlington Rd, Bedford, MA 01730-1406 | 2020-08-31 |
| 1346853066 | Neha Penmetsa | Counselor | 205 Burlington Rd, Bedford, MA 01730-1406 | 2020-08-24 |
| 1184237893 | Courtney Phillips | Counselor | 205 Burlington Rd, Bedford, MA 01730-1406 | 2020-08-24 |
| 1922611631 | Kelley Marie Mcnary | Counselor | 205 Burlington Rd, Bedford, MA 01730-1406 | 2020-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134779614 | Access Physical Therapy, LLC | Physical Therapist | 158 Great Rd Unit J, #661, Bedford, MA 01730 | 2019-09-16 |
| 1578113478 | Holly Babineau | Counselor | Building 7, Springs Rd, Bedford, MA 01730 | 2019-09-13 |
| 1205318656 | Ella Bitman | Social Worker | 9 Mudge Way, Bedford, MA 01730 | 2018-09-02 |
| 1578045928 | Abaigeal Doherty | Counselor | 205 Burlington Road, Bedford, MA 01730 | 2018-09-02 |
| 1669950853 | Patriot Urgent Care Professionals, PC | General Practice | 154 Great Road, Bedford, MA 01730 | 2018-07-31 |
| 1609369701 | Katharine Smidt | Psychologist | 61 Springs Rd, Bedford, MA 01730 | 2018-06-13 |
| 1043702053 | Bethel Care International Inc | Home Health Aide | 114 Page Rd, Bedford, MA 01730 | 2018-06-05 |
| 1689187064 | Lori Merlo | Physical Therapist | 6 Paul Revere Road, Bedford, MA 01730 | 2017-11-08 |
| 1093268260 | Patriot Urgent Care Professionals, PC | Clinic/Center | 160 Great Road, Unit 4a, Bedford, MA 01730 | 2016-07-25 |
| 1568839991 | Amy Bonneau | Social Worker | 59 Grenier St, Bldg 1509, Hanscom Afb, MA 01730 | 2015-09-02 |
| Find all providers in zip 01730 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006819 | Karen Crispo | Counselor | 8 Commerce Dr Ste 305, Bedford, NH 03110-6946 | 2020-09-06 |
| 1578113478 | Holly Babineau | Counselor | Building 7, Springs Rd, Bedford, MA 01730 | 2019-09-13 |
| 1053874032 | Anchor Point Counseling, Pllc | Counselor | 10 Chestnut Dr Unit M, Bedford, NH 03110-5555 | 2019-04-08 |
| 1982168092 | Ebony Womick | Counselor | 21 Oakwood Ave, Bedford, OH 44146-3540 | 2019-01-23 |
| 1578045928 | Abaigeal Doherty | Counselor | 205 Burlington Road, Bedford, MA 01730 | 2018-09-02 |
| 1740779818 | Alphathrive Counseling Pllc | Counselor | 1901 Central Dr Ste 603, Bedford, TX 76021-5826 | 2018-05-04 |
| 1013430941 | Aaron Peters | Counselor | 9485 Lincoln Hwy, Bedford, PA 15522-3765 | 2017-07-23 |
| 1801246673 | Tamara Allen-wolf, LLC | Counselor | 2217 Martin Dr., Ste 200, Bedford, TX 76021 | 2016-06-13 |
| 1083069058 | Thomas F Collura | Counselor | 195 Willis St, Bedford, OH 44146-3508 | 2016-04-27 |
| 1568863132 | Brittany Schlothauer | Counselor | 6109 Taylor Pond Ln, Bedford, MA 01730-4402 | 2014-09-14 |
| Find all providers in BEDFORD | ||||
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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.