MS. KARA JILLIAN SHERIDAN


Address: 58 Dorset St, Boston, MA 02125
Phone: 5082548881

MS. KARA JILLIAN SHERIDAN (NPI# 1386969335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386969335
Entity Type Individual
Full Name MS. KARA JILLIAN SHERIDAN
Credential LMHC
Practice Address 58 Dorset St
Boston
MA 02125
Mailing Address 20 Central Ave
Lynn
MA 01901-1201
Practice Telephone 5082548881
Mailing Telephone 7817156291
Enumeration Date 2010-04-02
Last Update Date 2016-01-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
000009498 MA Behavioral Health & Social Service Providers
N 222Q00000X Developmental Therapist S44440734 MA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 58 DORSET ST
City BOSTON
State MA
Zip Code 02125

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City BOSTON
Zip Code 02125

Improve Information

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Dataset Information

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.

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