DEBORAH A CLARK (NPI# 1396729331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396729331 |
| Entity Type | Individual |
| Full Name | DEBORAH A CLARK |
| Credential | RN, CS, NP |
| Practice Address |
3 Essex Green Dr Peabody MA 01960-2913 |
| Mailing Address |
21 Bishops Ln Lynnfield MA 01940-1340 |
| Practice Telephone | 7813076094 |
| Practice Fax Number | 7813344196 |
| Mailing Telephone | 7813343173 |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
153934 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679034789 | Deborah Faye Clark | Social Worker | 3006 E Cherry St, Seattle, WA 98122-5036 | 2019-03-29 |
| 1952612459 | Deborah J Clark | Midwife | 132 Edgewood Dr, New Holland, PA 17557-9355 | 2010-06-29 |
| 1245552579 | Deborah D Clark | Counselor | 66 Preston St, Unit 10, Hillsboro, NH 03244-5340 | 2010-03-01 |
| 1801935424 | Deborah Wilson Clark | Audiologist-Hearing Aid Fitter | 3555 Alameda De Las Pulgas, Ste 1, Menlo Park, CA 94025-6509 | 2007-02-06 |
| 1952457616 | Deborah Clark | Counselor | 501 Mammoth Rd, Unit1, Londonderry, NH 03053-2309 | 2007-01-26 |
| 1013535194 | Deborah Neir Clark | Pharmacist | 2200 Sparkman Dr Nw, Huntsville, AL 35810-3820 | 2020-07-06 |
| 1093279523 | Deborah Clark | Pharmacist | 1055 Hamburg Tpke, Wayne, NJ 07470-3235 | 2019-01-29 |
| 1033536792 | Deborah Clark | Counselor | 410 S Angle St, Mount Joy, PA 17552-2031 | 2014-03-19 |
| 1558703538 | Deborah Jean Clark | Specialist | 3 Elmwood Rd, Hancock, NH 03449-5629 | 2013-07-19 |
| 1790077295 | Deborah Lee Clark | Social Worker | 377 Keahole St, E-210, Honolulu, HI 96825-3405 | 2011-05-03 |
| Street Address |
3 ESSEX GREEN DR |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-2913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407120793 | Karen M Nielsen | Social Worker | 3 Essex Green Dr, Suite 5r, Peabody, MA 01960-2927 | 2012-03-03 |
| 1669740320 | Marianne Shrewsberry | Counselor | 3 Essex Green Dr, Suite 5r, Peabody, MA 01960-2927 | 2011-12-09 |
| 1891017430 | Gross Young Enterprises, Inc | Counselor | 3 Essex Green Dr, Suite #1, Peabody, MA 01960-2927 | 2010-02-24 |
| 1033329461 | Rebecca Ann Snow | Counselor | 3 Essex Green Dr, Suite6, Peabody, MA 01960-2927 | 2007-05-23 |
| 1861513392 | Susan Swatling | Social Worker | 3 Essex Green Dr, Suite 1, Peabody, MA 01960-2927 | 2007-04-02 |
| 1083731814 | Ruth Krigbaum Rich | Psychologist | 3 Essex Green Dr, Peabody, MA 01960-2927 | 2007-03-25 |
| 1215079488 | Rosanne Phillips | Social Worker | 3 Essex Green Dr, Suite One, Peabody, MA 01960-2927 | 2007-02-13 |
| 1568528511 | John Edward Szatkowski | Counselor | 3 Essex Green Dr, Ste. One, Peabody, MA 01960-2927 | 2006-12-27 |
| 1336230044 | Stephanie M. Kriesberg | Counselor | 3 Essex Green Dr, Suite 1, Peabody, MA 01960-2927 | 2006-09-27 |
| 1851303754 | Ellen Jane Gawlocki | Nurse Practitioner | 3 Essex Green Dr, Suite 2, Peabody, MA 01960-2927 | 2006-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
| 1801398102 | Janis Melanson | Counselor | Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 | 2018-03-02 |
| 1679082036 | Kelsey Ann Lima | Social Worker | 9 Centennial Drive, Suite 202, Peabody, MA 01960 | 2017-09-28 |
| 1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
| 1841715711 | Alexandra Lee Chasse | Counselor | 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 | 2017-08-11 |
| 1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
| 1528412061 | Kabamedicalcorporation | Durable Medical Equipment & Medical Supplies | 484lowell Street, Peabody, MA 01960 | 2016-04-21 |
| 1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
| 1225496474 | Ashley Motta | Counselor | 24 Jennifer Lane, Peabody, MA 01960 | 2016-02-03 |
| 1578942645 | Cerebral Palsy of Eastern Mass Incorporated | Early Intervention Provider Agency | 6 Stratis Way, Peabody, MA 01960 | 2015-05-22 |
| Find all providers in zip 01960 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538413216 | Veronica Margaret Lazzara | Nurse Practitioner | 2 Corporation Way Ste 260, Peabody, MA 01960-7932 | 2012-11-02 |
| 1710532478 | Lea Pires | Nurse Practitioner | 2 Corporation Way Ste 260, Peabody, MA 01960-7932 | 2019-08-08 |
| 1902385008 | Darina Carcerano | Nurse Practitioner | 2 Essex Center Dr, Peabody, MA 01960 | 2018-08-09 |
| 1568861987 | Kristina Putnam | Nurse Practitioner | 10 Centennial Dr, Suite 104, Peabody, MA 01960-7938 | 2014-08-21 |
| 1851303754 | Ellen Jane Gawlocki | Nurse Practitioner | 3 Essex Green Dr, Suite 2, Peabody, MA 01960-2927 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639552 | Kelly Ann Hancock | Nurse Practitioner | 6 Margot Ln, East Bridgewater, MA 02333-1689 | 2020-11-03 |
| 1366042715 | Jacqueline Ann Owens | Nurse Practitioner | 32 Hammond Ave, Cohasset, MA 02025-1928 | 2020-10-27 |
| 1144829177 | Amiee N Caruso | Nurse Practitioner | 26 Queen St Ste 4, Worcester, MA 01610-2473 | 2020-10-21 |
| 1629676234 | Sandpiper Wellness, LLC | Nurse Practitioner | 345 Union St Unit 5, New Bedford, MA 02740-3679 | 2020-10-15 |
| 1912505777 | Samantha Deglaoui | Nurse Practitioner | 1 Clarks Hl Ste 302, Framingham, MA 01702-8172 | 2020-10-14 |
| 1699372235 | Square Behavioral Health, LLC | Nurse Practitioner | 733 Turnpike St # 162, North Andover, MA 01845-6137 | 2020-10-06 |
| 1184221046 | Abdonne Ngo Nyele Mbouadeu | Nurse Practitioner | 34 Tannery Rd, Sturbridge, MA 01518-1171 | 2020-10-05 |
| 1013524164 | Atlee Quarrier | Nurse Practitioner | 29 Birch Meadow Rd, Merrimac, MA 01860-1826 | 2020-09-23 |
| 1669086997 | Unique Psych Services LLC | Nurse Practitioner | 10 Mazzeo Dr Ste 201f, Randolph, MA 02368-3433 | 2020-09-03 |
| 1457961138 | Savina Nicole Setze | Nurse Practitioner | 15 N Beacon St Apt 914, Allston, MA 02134-1941 | 2020-08-06 |
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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.