MRS. MARIE BERTHONIA ANTOINE (NPI# 1407907462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407907462 |
Entity Type | Individual |
Full Name | MRS. MARIE BERTHONIA ANTOINE |
Credential | LMHC |
Practice Address |
745 River St Mattapan MA 02126-1941 |
Mailing Address |
420 Washington St Dorchester Center MA 02124-1127 |
Practice Telephone | 6173643035 |
Practice Fax Number | 6173643059 |
Mailing Telephone | 6172650628 |
Mailing Fax Number | 6712654134 |
Enumeration Date | 2007-01-16 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
MA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710429915 | Marie Antoine | Social Worker | 1285 Ne 157th St, North Miami Beach, FL 33162-5541 | 2016-11-06 |
1891921128 | Marie Antoine | Registered Nurse | 14111 255th St, Rosedale, NY 11422-2641 | 2009-06-01 |
1285896902 | Marie M Antoine | Registered Nurse | 6455 Nw Favian Ct, Port St Lucie, FL 34986-4405 | 2008-06-25 |
1447425624 | Marie Gaetane Antoine | Physical Therapist | 10418 203rd St, Saint Albans, NY 11412-1320 | 2008-04-28 |
1730645045 | Marie Yarline Antoine | Registered Nurse | 2607 Welsh Rd, Philadelphia, PA 19114-3302 | 2019-02-12 |
1841558541 | Marie Antoine | Pharmacist | 807 E Silver Springs Blvd, Ocala, FL 34470-6709 | 2012-05-01 |
1841499712 | Marie Antoine | Respiratory Therapist, Certified | 585 Schenectady Ave, Brooklyn, NY 11203-1809 | 2007-07-12 |
1609991181 | Marie Essie Antoine | Nurse Practitioner | 1201 Nw 16th St, Miami, FL 33125-1624 | 2007-03-21 |
Street Address |
745 RIVER ST |
City | MATTAPAN |
State | MA |
Zip Code | 02126-1941 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174559546 | Barnett Medical Associates,pc | Internal Medicine | 745 River St, Mattapan, MA 02126-1941 | 2006-06-25 |
1306997473 | Center for Community Health, Education & Research, Inc | Community/Behavioral Health | 745 River St, Mattapan, MA 02126-1941 | 2007-01-16 |
1164583787 | Jean S.f. Bonnet | Internal Medicine | 745 River St, Mattapan, MA 02126-1941 | 2006-12-13 |
1467543710 | Hyde Park Health Associates Inc. | Clinic/Center | 745 River St, Mattapan, MA 02126-1941 | 2006-09-28 |
1649207051 | Reginald Andre Barnett | Internal Medicine | 745 River St, Mattapan, MA 02126-1941 | 2006-06-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184280646 | Covil Home Care LLC | In Home Supportive Care | 1549 Blue Hill Ave, Mattapan, MA 02126 | 2019-05-10 |
1902374069 | Kasha Sarette | Social Worker | 37 Babson St, Mattapan, MA 02126 | 2018-11-07 |
1093231359 | Danielle Christian | Behavior Technician | 73 Catbird Ct, Mattapan, MA 02126 | 2017-08-18 |
1609314681 | Regis College | Hospice, Inpatient | 19 Southmere Road, Mattapan, MA 02126 | 2017-02-09 |
1437606001 | Betsy-lynn Ngole | Community Health Worker | 137 Savannah Ave, Boston, MA 02126 | 2016-09-01 |
1437535440 | Rosel Forwang Lewis | Registered Nurse | 42 Hallowell St, Mattapan, MA 02126 | 2015-08-03 |
1033596895 | Quality Home Care & Transportation | Transportation Broker | 93 W Selden St, Mattapan, MA 02126 | 2015-04-30 |
1205101565 | Clayton Mark Sandiford | Contractor | 22 Banfield Ave, Boston, MA 02126 | 2012-03-19 |
1790093128 | Richard Christopher Mitchell Jr. | Counselor | 32 Wellington Hill St, Mattapan, MA 02126 | 2010-09-20 |
1972630622 | Gemima St. Louis | Psychologist | 255 River St, Spark Center-bmc, Mattapan, MA 02126 | 2007-02-28 |
Find all providers in zip 02126 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467091074 | Grandhalbert Norvin | Counselor | 504 River St, Mattapan, MA 02126-2211 | 2019-12-30 |
1538624671 | Shadawn S Hopkins | Counselor | 451 Norfolk St Apt 15, Mattapan, MA 02126-2467 | 2019-02-03 |
1598231953 | Maria King-bynoe | Counselor | 32 Tennis Rd, Mattapan, MA 02126-1450 | 2018-10-23 |
1649634148 | Valerie Pruitt | Counselor | 629 Walk Hill St, Mattapan, MA 02126-3107 | 2016-04-11 |
1982044541 | Monique S White | Counselor | 23 Clarkwood St, Mattapan, MA 02126-1807 | 2013-06-27 |
1689962771 | Evan Dana Knight Sr. | Counselor | 116 River St, 25, Mattapan, MA 02126-2973 | 2011-07-11 |
1518254101 | Maude Bouquet | Counselor | 15 Suncrest Rd, Mattapan, MA 02126-2011 | 2011-07-01 |
1720387707 | Archer Angels Family Services LLC | Counselor | 23 Wilmore St, Suite 1, Mattapan, MA 02126-1811 | 2011-03-16 |
1053626911 | Kristin M Dame | Counselor | 46 River St, Mattapan, MA 02126-2952 | 2010-08-16 |
1023336880 | Osman Yusuf | Counselor | 124 Woodbole Ave, Apt 151, Mattapan, MA 02126-2632 | 2010-05-04 |
Find all providers in MATTAPAN |
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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.