MR. KEVIN A HALL (NPI# 1376874925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376874925 |
| Entity Type | Individual |
| Full Name | MR. KEVIN A HALL |
| Credential | LICSW |
| Practice Address |
205 Portland St Boston MA 02114-1721 |
| Practice Telephone | 6175232214 |
| Mailing Telephone | 6175232214 |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2010-12-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1021510 | MA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
ISW01293 | RI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386154649 | Kevin R Hall | Counselor | 3885 S Decatur Blvd Ste 3010, Las Vegas, NV 89103-6814 | 2017-10-01 |
| 1467708271 | Kevin Arthur Hall | General Practice | 25 Jefferson Way, Suite 102, Ketchikan, AK 99901-5953 | 2012-07-30 |
| 1356623938 | Kevin Russell Hall | Pharmacist | 1111 Flotilla Club Dr, Indian Harbour Beach, FL 32937-4212 | 2011-09-09 |
| 1114232212 | Kevin Farrier Hall | Counselor | 33 Arthur Pl, Red Bank, NJ 07701-1707 | 2010-08-12 |
| 1700044542 | Kevin Allan Hall | Dentist | 1841 Broad St, Hartford, CT 06114-1780 | 2008-05-29 |
| 1740359314 | Kevin Hall | Physician Assistant | 660 South Main Street, Florence, AZ 85232 | 2006-11-07 |
| 1710596168 | Kevin Hall | Student in an Organized Health Care Education/Training Program | 33 W 60th St Fl 4, New York, NY 10023-7905 | 2020-07-30 |
| 1790306884 | Kevin Willis Hall | Physical Medicine & Rehabilitation | 1400 N 500 E, Logan, UT 84341-2455 | 2020-04-30 |
| 1336652007 | Kevin M Hall | Physical Therapy Assistant | 10000 Columbia Ave, Munster, IN 46321-4041 | 2017-11-15 |
| 1366996027 | Kevin Hall | Physical Therapist | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2016-08-11 |
| Street Address |
205 PORTLAND ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-1721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467796839 | Fernando Gonterman | Counselor | 205 Portland St, Boston, MA 02114-1721 | 2012-11-24 |
| 1568753457 | Justin Stephen Somers | Counselor | 205 Portland St, Boston, MA 02114-1721 | 2011-04-26 |
| 1073743548 | Jamie Lin Lyons | Counselor | 205 Portland St, Boston, MA 02114-1721 | 2009-07-19 |
| 1568636769 | Luis O Barbosa | Counselor | 205 Portland St, Boston, MA 02114-1721 | 2008-04-17 |
| 1790735470 | Habit Management Incorporated | Clinic/Center | 205 Portland St, Boston, MA 02114-1721 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1821635921 | Michael David Meyers | Counselor | 9 Notre Dame St, Boston, MA 02119-1230 | 2019-12-08 |
| 1831667260 | Melinda Baker | Counselor | 50 Congress St Ste 430, Boston, MA 02109-4055 | 2018-11-03 |
| 1992292361 | Stacey K. Borden | Counselor | 22 Drydock Ave Fl 3, Boston, MA 02210-2386 | 2018-04-20 |
| 1487163432 | Melinda Mcgahan | Counselor | 23 Bradston St Fl 1, Boston, MA 02118-2703 | 2017-09-21 |
| 1821515370 | Focal Points Healthcare, LLC | Counselor | 541 Sumner St # B, Boston, MA 02128-2258 | 2017-08-25 |
| 1881110005 | Robert Kenneth Turner | Counselor | 97 Hemenway Street, 11, Boston, MA 02115 | 2017-08-18 |
| 1548791189 | Ludy Young | Counselor | 247 Columbia Rd, Boston, MA 02121-3427 | 2017-03-24 |
| 1407390123 | Cheri L Epps | Counselor | 112 South Hampton Street, Boston, MA 02118 | 2016-12-14 |
| 1912440181 | Mark David Fralick | Counselor | 675 E 4th St, Boston, MA 02127-3063 | 2016-11-21 |
| Find all providers in BOSTON | ||||
Please comment or provide details below to improve the information on MR. KEVIN A HALL.
| 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.