TWO BRATTLE CENTER, P.C. (NPI# 1396792628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396792628 |
| Entity Type | Organization |
| Organization Name | TWO BRATTLE CENTER, P.C. |
| Practice Address |
64 Church St Cambridge MA 02138-3730 |
| Mailing Address |
Po Box 380187 Cambridge MA 02238-0187 |
| Practice Telephone | 6174417500 |
| Practice Fax Number | 6174417510 |
| Mailing Telephone | 6174417500 |
| Mailing Fax Number | 6174417510 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RICARDO BENITEZ (HR MANAGER) |
| Authorized Official Telephone | 6174417500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | ========= | MA | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| X | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS | W10390 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | TWO BRATTLE CENTER, P.C. | 218 Garden Street, Cambridge, MA 02138 |
| Street Address |
64 CHURCH ST |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02138-3730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003959834 | Timothy Gerard Benson | Psychiatry & Neurology | 64 Church St, Cambridge, MA 02138-3730 | 2007-02-14 |
| 1871640243 | Jennifer Erin Quest-stern | Counselor | 64 Church St, Lower Level, Cambridge, MA 02138-3730 | 2007-01-05 |
| 1568538171 | Dorothy L Anderson | Social Worker | 64 Church St, Ll, Cambridge, MA 02138-3730 | 2006-11-27 |
| 1609946706 | Magdalena J. Fosse | Psychologist | 64 Church St, Cambridge, MA 02138-3730 | 2006-11-08 |
| 1649360199 | Lauren Sue Kopans | Psychologist | 64 Church St, Two Brattle Center, Cambridge, MA 02138-3730 | 2006-10-13 |
| 1114945375 | Candice E Warren | Social Worker | 64 Church St, Cambridge, MA 02138-3730 | 2006-07-17 |
| 1598797128 | John H. Dugan | Social Worker | 64 Church St, Lower Level, Cambridge, MA 02138-3730 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618610 | Khushboo Vijay Bhatia | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program, Mount Auburn Hospi, 330 Mt. Auburn Street, Cambridge, MA 02138 | 2020-08-06 |
| 1780204156 | Ashna Grover | Student in an Organized Health Care Education/Training Program | 330 Mt Auburn Street Mount Auburn Hospital, Internal Medicine Residency Program, Cambridge, MA 02138 | 2020-04-25 |
| 1790330298 | Cambridge Periodontics LLC | Dentist | 1692 Massachusetts Ave Ste 3, Cambridge, MA 02138 | 2019-08-02 |
| 1295389765 | Yulia Levit | Technician/Technologist | 1208 Massachussets Av, Cambridge, MA 02138 | 2019-08-01 |
| 1720645393 | Chinmay Tusharkumar Jani | Student in an Organized Health Care Education/Training Program | Mount Auburn Hospital, 330 Mt Auburn Street, Cambridge, MA 02138 | 2019-05-20 |
| 1386209831 | Alexander Ryan Walker | Internal Medicine | 300 Mount Auburn Street Mount Auburn Hospital, Dept. of Medicine, Cambridge, MA 02138 | 2019-05-09 |
| 1659844868 | Aimee Hsieh | Social Worker | 525 Mount Auburn Street, Cambridge, MA 02138 | 2019-01-10 |
| 1043733389 | Armida Fruzzetti | Psychologist | 900 Concord Avenue, Cambridge, MA 02138 | 2017-07-19 |
| 1174984827 | Jenna Mezin Schmid | Psychologist | 75 Mt Auburn St 4 East, Harvard University Health Services, Cambridge, MA 02138 | 2016-03-09 |
| 1316313208 | Kelly Abbott | Optometrist | 12 Eliot St., Cambridge, MA 02138 | 2015-08-14 |
| Find all providers in zip 02138 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043793722 | Lucy Curell | Psychologist | 278 Washington St Apt 2, Cambridge, MA 02139-3506 | 2018-09-10 |
| 1023504156 | Robert Graham Kegan | Psychologist | 71 Larch Rd, Cambridge, MA 02138-3316 | 2018-07-01 |
| 1063907590 | Meg Alison Bond | Psychologist | 61 Dudley St, Cambridge, MA 02140-2419 | 2018-06-27 |
| 1982199816 | Lisa A Cosgrove | Psychologist | 415 Broadway, Cambridge, MA 02138-4278 | 2018-06-23 |
| 1811480924 | Nancy Clare Kehoe | Psychologist | 100 Cushing St, Cambridge, MA 02138-4584 | 2018-06-13 |
| 1033601547 | Arlene Miller | Psychologist | 75 Richdale Ave Ste 10, Cambridge, MA 02140-2608 | 2018-05-31 |
| 1568952810 | Janet Amphlett | Psychologist | 47 Thorndike St, Cambridge, MA 02141-1799 | 2018-05-12 |
| 1871082834 | William Mcmullen | Psychologist | 109 Antrim St, Cambridge, MA 02139-1133 | 2018-05-05 |
| 1912496183 | Katherine Ann Coleman | Psychologist | 44 Concord Ave, Cambridge, MA 02138-2380 | 2018-05-03 |
| 1811485709 | Craig Rodgers | Psychologist | 872 Mass Ave Apt 908, Cambridge, MA 02139-3018 | 2018-04-25 |
| Find all providers in CAMBRIDGE | ||||
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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.