DOUGLAS A. THOM CLINIC, INC. (NPI# 1396771820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396771820 |
| Entity Type | Organization |
| Organization Name | DOUGLAS A. THOM CLINIC, INC. |
| Other Organization Name | THOM CHILD & FAMILY SERVICES |
| Practice Address |
126 Phoenix Ave Building #2 Lowell MA 01852-4931 |
| Mailing Address |
251 W Central St Suite 22 Natick MA 01760-3758 |
| Practice Telephone | 9784538331 |
| Practice Fax Number | 9784539254 |
| Mailing Telephone | 5086555222 |
| Mailing Fax Number | 5086559737 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2017-05-01 |
| Authorized Official Name | GRETCHEN ROWE OWENS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5086555222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
008838 | MA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1800574 | 05 | |
| MA | 1887271 | 05 | |
| MA | 1802097 | 05 | |
| MA | 1803131 | 05 | |
| MA | 1800353 | 05 | |
| MA | 1887289 | 05 | |
| MA | 1802976 | 05 | |
| MA | 1803301 | 05 |
| Other Name | Type Code |
|---|---|
| Thom Child & Family Services | Doing Business As Name - Organization |
| Street Address |
126 PHOENIX AVE BUILDING #2 |
| City | LOWELL |
| State | MA |
| Zip Code | 01852-4931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750921300 | Anneke Marie Ball | Occupational Therapist | 126 Phoenix Ave, Lowell, MA 01852-4991 | 2020-01-12 |
| 1629618202 | Mary Cassidy Conway | Physical Therapist | 126 Phoenix Ave, Lowell, MA 01852-4991 | 2020-01-10 |
| 1326687146 | Molly Ann Tibbetts | Occupational Therapist | 126 Phoenix Ave, Lowell, MA 01852-4991 | 2019-12-26 |
| 1194363267 | Elizabeth C Conner | Registered Nurse | 126 Phoenix Ave, Lowell, MA 01852-4991 | 2019-12-19 |
| 1548815426 | Amy Troutt | Occupational Therapist | 126 Phoenix Ave, Lowell, MA 01852-4931 | 2019-08-07 |
| 1386115467 | Sara Quartochi-stanwood | Occupational Therapist | 126 Phoenix Ave, Lowell, MA 01852-4931 | 2018-12-16 |
| 1245705730 | Laura Ellen Schlueter | Developmental Therapist | 126 Phoenix Ave, Lowell, MA 01852-4931 | 2018-10-10 |
| 1598249732 | Michaela Fahey | Speech-Language Pathologist | 126 Phoenix Ave, Lowell, MA 01852-4931 | 2018-09-24 |
| 1518446855 | Magdalena Skon | Registered Nurse | 126 Phoenix Ave, Lowell, MA 01852-4931 | 2018-08-08 |
| 1457848061 | Kerri Mulrenan | Registered Nurse | 126 Phoenix Ave, Lowell, MA 01852-4931 | 2018-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881244747 | Erin Elisabeth Burke | Specialist/Technologist | 424 Douglas Rd, Lowell, MA 01852 | 2019-09-12 |
| 1235799602 | Osvaldo Rivera | Social Worker | 77 East Merrimack Street Loweell Ma 01852, Lowell, MA 01852 | 2019-06-18 |
| 1003393620 | Erin Maureen Hurley | Social Worker | 34 Newhall Street #204, Lowell, MA 01852 | 2018-07-26 |
| 1699273540 | Laura Ardila | Registered Nurse | 10 Linden St, Lowell, MA 01852 | 2018-01-25 |
| 1285153692 | Ashley Holmes | Counselor | 77 E Merrimack Street, Lowell, MA 01852 | 2017-09-18 |
| 1932627155 | Veronica H Birungi | Registered Nurse | 257 West Manchester Street, Lowell, MA 01852 | 2017-09-08 |
| 1255859245 | Kalyn Lee O'brien | Counselor | 77 E Merrimack St., Lowell, MA 01852 | 2017-08-30 |
| 1912424920 | Danielle Dirton | Behavior Technician | 106 Lundberg St. Unit 10, Lowell, MA 01852 | 2017-08-30 |
| 1770007072 | Leena Chann | Registered Nurse | 166 Central St., Lowell, MA 01852 | 2017-07-28 |
| 1942724257 | Stephanie Catherine Joubert | Registered Nurse | 166 Central Street, Lowell, MA 01852 | 2017-07-28 |
| Find all providers in zip 01852 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
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| 1821203365 | Minute Man Arc for Human Services, Inc. | Clinic/Center | 130c Baker Avenue Ext, Concord, MA 01742-2121 | 2007-05-10 |
| 1043336407 | Baroco Corporation | Clinic/Center | 4 Westview Rd, Pittsfield, MA 01201-8021 | 2007-03-21 |
| 1063538445 | Baroco Corporation | Clinic/Center | 450 Cottage St, Springfield, MA 01104-3355 | 2007-03-21 |
| 1346366507 | Baroco Corporation | Clinic/Center | 64 Roanoke Ave, West Springfield, MA 01089-3710 | 2007-03-21 |
| 1265558621 | Baroco Corporation | Clinic/Center | 115 Wayside Ave, West Springfield, MA 01089-1317 | 2007-03-21 |
| 1306465869 | Carter House LLC | Clinic/Center | 125 Sutton Rd, Needham, MA 02492-3214 | 2020-04-14 |
| 1528500303 | Bierman Aba, Inc. | Clinic/Center | 145 Rosemary St, Suite K, Needham Heights, MA 02494-3238 | 2016-11-10 |
| 1598142861 | Solutions Home Care | Clinic/Center | 260 Fordham Rd, Wilmington, MA 01887-2170 | 2015-05-06 |
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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.