LORRAINE BETWENIK GOTLIB (NPI# 1396799755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396799755 |
| Entity Type | Individual |
| Full Name | LORRAINE BETWENIK GOTLIB |
| Credential | RNCS |
| Practice Address |
40 Holland St Somerville MA 02144-2705 |
| Mailing Address |
147 Milk St Provider Enrollment 9th Floor Boston MA 02109-4806 |
| Practice Telephone | 6176296180 |
| Mailing Telephone | 6175598051 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2009-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
116590 | MA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS HEALTH PLAN | 669498 | 01 |
| MA | MEDICARE RAILROAD | P00087776 | 01 |
| MA | BLUE CROSS | PN0623 | 01 |
| MA | NEIGHBORHOOD HEALTH PLAN | 0037006 | 01 |
| Street Address |
40 HOLLAND ST |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02144-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548268360 | Karen Elline Newbold | Pediatrics | 40 Holland St, Somerville, MA 02144-2705 | 2005-07-14 |
| 1366922460 | Lisa Ruggiero | Nurse Practitioner | 40 Holland St, Somerville, MA 02144-2705 | 2018-08-17 |
| 1679072607 | James Gillan | Physical Therapist | 40 Holland St, Somerville, MA 02144-2705 | 2018-02-05 |
| 1114450459 | Ariela M Borkan | Midwife | 40 Holland St, Somerville, MA 02144-2705 | 2017-04-04 |
| 1740711506 | David Mccarthy | Family Medicine | 40 Holland St, Somerville, MA 02144-2705 | 2017-03-23 |
| 1336695303 | Nicole Douglas | Counselor | 40 Holland St, Somerville, MA 02144-2705 | 2016-08-30 |
| 1548716996 | Katherine Aurigemma | Nurse Practitioner | 40 Holland St, Somerville, MA 02144-2705 | 2016-08-26 |
| 1932552478 | Jordan Moore | Social Worker | 40 Holland St, Somerville, MA 02144-2705 | 2016-07-20 |
| 1255788600 | Whitney Hollands | Pharmacist | 40 Holland St, Somerville, MA 02144-2705 | 2016-05-16 |
| 1265888192 | Yi Liu | Physical Therapist | 40 Holland St, Somerville, MA 02144-2705 | 2016-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386106953 | Star Markets Company Inc | Durable Medical Equipment & Medical Supplies | 90 Causeway St, Boston, MA 02144 | 2019-04-03 |
| 1841769460 | Jeffrey Shwom | Technician/Technologist | 40 Holland Street, 1st Floor, Somerville, MA 02144 | 2018-11-14 |
| 1689106700 | Michelle Dyrholm | Anesthesiology | Massachusetts General Hospital, Dept of Anesthesia, 55 Fruit Street, Gray-bigelow 444, Boston, MA 02144 | 2017-03-29 |
| 1275089575 | Nancy Landry Pllc | Family Medicine | Somerville Family Practice, 1020 Broadway, Somerville, MA 02144 | 2016-08-28 |
| 1982019451 | Wilson Garcia Acosta | Specialist | 278 Powderhouse, Somerville, MA 02144 | 2014-06-24 |
| 1376954289 | Jonathan Farr | Counselor | 1236 Broadway Ste 12, Somerville, MA 02144 | 2014-05-13 |
| 1356751945 | Christina Sakelarakis | Psychologist | 73 Fairfax St, Somerville, MA 02144 | 2014-05-05 |
| 1578905816 | Nicolle Woods | Behavioral Analyst | 58 Day St #441938, Somerville, MA 02144 | 2013-07-29 |
| 1306130018 | Emily Elizabeth Wheeler | Psychologist | 259 Elm St Ste 201, Somerville, MA 02144 | 2011-05-31 |
| 1932363355 | Hang Le Ngo | Psychologist | 53 Chester Street, Somerville, MA 02144 | 2008-07-15 |
| Find all providers in zip 02144 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861530347 | Harold Arthur Quinn | Registered Nurse | 22 Mcgrath Hwy Ste 204, Somerville, MA 02143-4507 | 2007-02-05 |
| 1225100241 | Cambridge Health Alliance | Registered Nurse | 26 Central St, Somerville, MA 02143-2827 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878812 | Manabi Dhakal | Registered Nurse | 300 Tremont St Apt 2, Newton, MA 02458-2115 | 2020-07-22 |
| 1356969497 | Sarah Anne Mcnulty | Registered Nurse | Harrington Hospital, 100 South Street, Southbridge, MA 01550 | 2020-07-06 |
| 1114548294 | Patricia Anne Kenny | Registered Nurse | 20 Fosters Pt, Beverly, MA 01915-3912 | 2020-04-30 |
| 1467071001 | Lisa Ann Lamore | Registered Nurse | 296 Federal St, Greenfield, MA 01301-1932 | 2020-04-14 |
| 1881227965 | Kathleen L Tracy | Registered Nurse | 1 Hilary St, Boston, MA 02129-2507 | 2020-02-18 |
| 1346893187 | Lisa Napoli | Registered Nurse | 10 Menlo St, Brighton, MA 02135-2910 | 2019-07-22 |
| 1649838129 | Maame A Essoun | Registered Nurse | 33 Harley Dr Apt 4, Worcester, MA 01606-1740 | 2019-05-30 |
| 1063903714 | Natalie Baker | Registered Nurse | 2 Shepherds Hollow Rd, Leeds, MA 01053-9707 | 2018-05-29 |
| 1861997744 | Circle Care Behavioral Health LLC | Registered Nurse | 24 Spring Bars Rd Ste 3a, Falmouth, MA 02540-3938 | 2018-03-24 |
| 1831614692 | Henry Kengong Ntoro LLC | Registered Nurse | 144 Merrimack St Ste 441, Lowell, MA 01852-1709 | 2017-08-13 |
| Find all providers with the same taxonomy | ||||
| City | SOMERVILLE |
| Zip Code | 02144 |
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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.