HANNAH RUSSELL


Address: 1115 W Chestnut St, Brockton, MA 02301-7501
Phone: 5085590473

HANNAH RUSSELL (NPI# 1427564475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427564475
Entity Type Individual
Full Name HANNAH RUSSELL
Practice Address 1115 W Chestnut St
Brockton
MA 02301-7501
Mailing Address 283 Walnut St
Abington
MA 02351-2622
Practice Telephone 5085590473
Mailing Telephone 7813367169
Enumeration Date 2017-12-28
Last Update Date 2017-12-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 9693650 MA Agencies

Other Provider Identifier

State Issuer Identifier Type Code
MA BLUE CROSS BLUE SHIELD CDW960531941 01

Other Providers HANNAH RUSSELL

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1780281170 Hannah L Russell Pharmacist 2954 Eppington South Dr, Fort Mill, SC 29708-6949 2020-10-08
1083901516 Hannah Nikkole Russell Radiology 333 Cedar St Rm Cb-30, Yusm - Radiology, New Haven, CT 06510-3206 2011-07-05
1346854502 Hannah Leigh Russell Behavior Technician 225 Broadhollow Rd, Melville, NY 11747-4822 2020-09-04
1265043673 Hannah Laura Emma Russell Behavior Technician 6910 S Highland Dr Ste 1, Cottonwood Heights, UT 84121-3061 2020-08-11
1699318006 Hannah Russell Behavior Technician 421 Fayetteville St Ste 1100, Raleigh, NC 27601-3000 2019-10-18
1588178321 Hannah Russell Social Worker 76 Ashwood Dr, Tiffin, OH 44883-1908 2017-11-30
1841704954 Hannah Russell Dietitian, Registered 17707 W Main St Fl 1, Monroe, WA 98272-1967 2017-11-28
1598283673 Hannah Elizabeth Russell Dietitian, Registered 1493 Cambridge St, -, Cambridge, MA 02139-1047 2017-09-08
1316460686 Hannah Lane Russell Counselor 2347 Vine Street, Cincinnati, OH 45219 2017-07-19
1346601127 Hannah B Russell Physician Assistant 3040 Bourn St, Lewiston, MI 49756-8134 2016-03-08

Office Location

Street Address 1115 W CHESTNUT ST
City BROCKTON
State MA
Zip Code 02301-7501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912942202 Daniel Omoayo Social Worker 1115 W Chestnut St, Brockton, MA 02301-7501 2006-06-19
1861091647 Brandi Danielle Pace Developmental Therapist 1115 W Chestnut St, Brockton, MA 02301-7501 2020-10-22
1851905343 James Thomas Stewart IIi Counselor 1115 W Chestnut St, Brockton, MA 02301-7501 2020-09-02
1336750397 Jacqueline Grant Social Worker 1115 W Chestnut St, Brockton, MA 02301-7501 2020-08-13
1821611047 Peyton Mayzel Counselor 1115 W Chestnut St, Brockton, MA 02301-7501 2020-05-21
1477186658 Rebecca Bruno Counselor 1115 W Chestnut St, Brockton, MA 02301-7501 2020-02-17
1255975116 Elizabeth Mary Lawlor Student in an Organized Health Care Education/Training Program 1115 W Chestnut St, Brockton, MA 02301-7501 2019-11-04
1437790615 Meredith Lincoln Student in an Organized Health Care Education/Training Program 1115 W Chestnut St, Brockton, MA 02301-7501 2019-09-30
1164073441 Marissa Ann Bragg Student in an Organized Health Care Education/Training Program 1115 W Chestnut St, Brockton, MA 02301-7501 2019-09-27
1487205316 Alexmira Andrade Monteiro Behavior Technician 1115 W Chestnut St, Brockton, MA 02301-7501 2019-09-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942807110 Jenny Vulpis Recreation Therapist 940 Belmont St (br 135), Brockton, MA 02301 2020-10-01
1205444924 Caroline Storey Counselor Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 2020-07-20
1013546852 Nuria Dos Santos Veiga Occupational Therapist 73 Denton St, Brockton, MA 02301 2020-04-03
1679113930 Laura Ann Brondyk II Counselor 10 Christys Dr, Brockton, MA 02301 2020-01-14
1437796521 Andrea Lopes Developmental Therapist 7 Goddard Road, Brockton, MA 02301 2019-12-08
1518420124 Diligencehealthcare Psychiatry & Neurology 30-40 Westpark Street, Brockton, MA 02301 2019-04-10
1124530373 Rachel Theys Behavioral Analyst 130 Liberty St Ste 13a, Brockton, MA 02301 2017-10-27
1689193369 Anderson D Delgado Behavior Technician 11 Packard Way, Brockton, MA 02301 2017-09-14
1811415326 Francesca Lavecchia Clinical Neuropsychologist Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 2017-09-05
1831615343 Donna Marie Dugan Counselor South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 2017-08-16
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710501127 Jco Group of Services Community/Behavioral Health 31 Dover St, Brockton, MA 02301-5938 2020-06-01
1639726433 Trauma To Wellness Inc. Community/Behavioral Health 37 Belmont St Fl 2, Brockton, MA 02301-5289 2019-08-26
1891267068 Marcilia Alves Community/Behavioral Health 206 Elliot St, Brockton, MA 02302-2314 2018-12-27
1073000121 Sunrise Behavioral Health Services LLC Community/Behavioral Health 39 Country Club Ln, Brockton, MA 02301-7098 2018-04-15
1639690837 Inclusion Family Counseling Center Inc Community/Behavioral Health 1 Centre St Ste 301, Brockton, MA 02301-4095 2017-06-28
1104202415 New England Behavioral Health Services Inc Community/Behavioral Health 369 Court St, Brockton, MA 02302-4617 2015-08-10
1790189439 Unlimited Behavioral Health Services of Massachusetts, LLC Community/Behavioral Health 348 North Pearl Street, Rm, Brockton, MA 02301-1197 2014-10-09
1174806152 Mass Counseling Services Inc Community/Behavioral Health 155 Short St, Brockton, MA 02302-2662 2011-09-26
1134401615 Rachel Westland Community/Behavioral Health 861 Court St, Brockton, MA 02302-2631 2011-09-12
1962636753 Pyramid Builder Associates Community/Behavioral Health 480 Chatham West Dr, 480 Chatham West, Brockton, MA 02301-1322 2009-05-07
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Competitor

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City BROCKTON
Zip Code 02301

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Dataset Information

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.

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