MICHELLE VIDAL (NPI# 1467971366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467971366 |
| Entity Type | Individual |
| Full Name | MICHELLE VIDAL |
| Practice Address |
400 N Main St Randolph MA 02368-4104 |
| Practice Telephone | 7819864800 |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2017-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154790673 | Michelle Vidal | Physical Therapy Assistant | 2265 Glover Pl, Los Angeles, CA 90031-1128 | 2015-09-15 |
| 1326232596 | Michelle Vidal | Counselor | 2837 Mission St, San Francisco, CA 94110-3907 | 2007-08-30 |
| 1124362389 | Michelle Vidal | Social Worker | 170 Governors Ave, Lawrence Memorial Hospital, Medford, MA 02155-1643 | 2012-11-12 |
| 1164576229 | Michelle Vidal | Nurse Practitioner | 15 Parkman St, Wang Building Room 745, Boston, MA 02114-3117 | 2007-01-23 |
| Street Address |
400 N MAIN ST |
| City | RANDOLPH |
| State | MA |
| Zip Code | 02368-4104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820267 | Michael Teixeira | Counselor | 400 N Main St, Randolph, MA 02368-4177 | 2020-10-28 |
| 1316561343 | Henry Lambert | Counselor | 400 N Main St, Randolph, MA 02368-4177 | 2020-06-05 |
| 1124663083 | Manuela Linda Rocha | Counselor | 400 N Main St, Randolph, MA 02368-4177 | 2019-11-14 |
| 1629612395 | Lauren Naruse | Counselor | 400 N Main St, Randolph, MA 02368-4177 | 2019-11-05 |
| 1770069676 | Wanda Casillas | Counselor | 400 N Main St, Randolph, MA 02368-4104 | 2018-07-13 |
| 1093209447 | Sylvanie Narcisse | Counselor | 400 N Main St, Randolph, MA 02368-4104 | 2018-06-19 |
| 1194216655 | Carl Joseph | Counselor | 400 N Main St, Randolph, MA 02368-4104 | 2018-05-21 |
| 1912412727 | Diane T Nguyen | Counselor | 400 N Main St, Randolph, MA 02368-4104 | 2017-12-04 |
| 1093234999 | Taryn Nichole Bethanis | Counselor | 400 N Main St, Randolph, MA 02368-4104 | 2017-09-12 |
| 1750827747 | Sheena Mooney | Social Worker | 400 N Main St, Randolph, MA 02368-4104 | 2017-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016444 | Kadiatou Djindji Bah | Behavior Technician | 75 N Main St Suite 628, Randolph, MA 02368 | 2020-09-02 |
| 1194334490 | Madison Murphy | Behavior Technician | 75 North Main Street, Ma, Suite #628, Randolph, MA 02368 | 2020-07-23 |
| 1255995049 | Daniel Joseph Bellistri | Social Worker | Daniel Bellistri, 70 Memorial Pkwy., Randolph, MA 02368 | 2019-04-26 |
| 1992291124 | Ashley Lauren Davis | Licensed Practical Nurse | 11 Mcdonnell Drive, Randolph, MA 02368 | 2018-07-11 |
| 1023503943 | Jean Rony Mesalon | Licensed Practical Nurse | 8 Reynolds Ave, Randolph, MA 02368 | 2018-06-22 |
| 1154829208 | Tatianna Lovette Hendren | Behavioral Analyst | 28 Liberty Place, Apartment C, Randolph, MA 02368 | 2018-01-24 |
| 1841709698 | Gerica Barbosa | Counselor | 37 Sarah St, Randolph, MA 02368 | 2017-09-25 |
| 1437508629 | Julie A Panchamsingh-barakat | Social Worker | 400-, 402 N Main St, Randolph, MA 02368 | 2016-06-08 |
| 1497109789 | Grace Dorcas Pokuah | Counselor | 24 Nelson Dr, #1a, Randolph, MA 02368 | 2016-04-22 |
| 1194185868 | Heavenly Home Care | Home Health | 9 William Morrison Drive, Randolph, MA 02368 | 2016-02-24 |
| Find all providers in zip 02368 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063044774 | Safe Space Therapeutic Services, Inc. | Counselor | 10 Mazzeo Dr Ste 206, Randolph, MA 02368-3433 | 2020-02-10 |
| 1336770155 | Crystal Casel | Counselor | 356 Main St E, Randolph, NY 14772-9696 | 2020-01-30 |
| 1386112126 | Bianca S Mathe | Counselor | 55 Birch Dr, Randolph, MA 02368-3406 | 2018-11-09 |
| 1184122566 | Lois T Awah | Counselor | 10 Mill Hill St, Randolph, MA 02368-5082 | 2018-01-31 |
| 1851800114 | Stephanie Jasinski | Counselor | 19 Harmony Rd, Randolph, NJ 07869 | 2017-09-29 |
| 1841709698 | Gerica Barbosa | Counselor | 37 Sarah St, Randolph, MA 02368 | 2017-09-25 |
| 1114462116 | Paula Marie Weaver | Counselor | 25 Norfolk Rd, Randolph, MA 02368-4714 | 2016-12-29 |
| 1902259088 | Grace Gichuhi | Counselor | 286 Canton St, Randolph, MA 02368-1506 | 2016-07-13 |
| 1598117756 | Sharon George | Counselor | 9 Linden Park Dr, Randolph, MA 02368-4703 | 2016-07-12 |
| 1235597576 | Emline Clairvil | Counselor | 278 Canton St, Randolph, MA 02368-1506 | 2016-02-01 |
| Find all providers in RANDOLPH | ||||
Please comment or provide details below to improve the information on MICHELLE VIDAL.
| 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.