MR. MATTHEW BENNETT EASLEY (NPI# 1477939270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477939270 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW BENNETT EASLEY |
| Practice Address |
42 Diauto Dr Randolph MA 02368-4510 |
| Mailing Address |
11 Salcombe St Unit 3 Boston MA 02125-2045 |
| Practice Telephone | 7818857252 |
| Practice Fax Number | 7818857256 |
| Mailing Telephone | 7322453220 |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851938690 | Matthew Easley | Speech-Language Pathologist | 2854 Coral Court, Ste 1, On With Life Outpatient Neuro Rehabilitation, Coralville, IA 52241 | 2019-11-27 |
| Street Address |
42 DIAUTO DR |
| City | RANDOLPH |
| State | MA |
| Zip Code | 02368-4510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972562288 | Integrative Chiropractic and Rehabilitation, P. C. | Chiropractor | 42 Diauto Dr, Randolph, MA 02368-4510 | 2006-03-23 |
| 1447863188 | Nadine Thompson | Social Worker | 42 Diauto Dr, Randolph, MA 02368-4510 | 2020-08-24 |
| 1912475187 | Vanessa C. Enriquez | Social Worker | 42 Diauto Dr, Randolph, MA 02368-4510 | 2018-11-06 |
| 1750758322 | Shannon Moore | Social Worker | 42 Diauto Dr, Randolph, MA 02368-4510 | 2015-08-30 |
| 1487072039 | Marissa Giel | Case Manager/Care Coordinator | 42 Diauto Dr, Randolph, MA 02368-4510 | 2014-04-01 |
| 1083975841 | Guerda Victor | Counselor | 42 Diauto Dr, Randolph, MA 02368-4510 | 2012-06-07 |
| 1730446337 | Antonio Arrendel | Counselor | 42 Diauto Dr, Randolph, MA 02368-4510 | 2012-04-19 |
| 1659648723 | James Milton Henry Jr. | Counselor | 42 Diauto Dr, Randolph, MA 02368-4510 | 2011-11-17 |
| 1891096160 | Lamour Community Health Institute, Inc | Clinic/Center | 42 Diauto Dr, Randolph, MA 02368-4510 | 2010-11-03 |
| 1154644839 | Integrative Chiropractic Services, PC | Chiropractor | 42 Diauto Dr, Randolph, MA 02368-4510 | 2010-03-09 |
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| 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 |
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| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780156000 | Taisha Dorsainvil | Counselor | 43 Highland Ave Apt 26, Randolph, MA 02368-4525 | 2018-12-27 |
| 1497109789 | Grace Dorcas Pokuah | Counselor | 24 Nelson Dr, #1a, Randolph, MA 02368 | 2016-04-22 |
| 1215314992 | Lyonel Traversiere | Counselor | 58 Althea Rd, Randolph, MA 02368-2950 | 2015-05-01 |
| 1063849768 | Patrice Augustin | Counselor | 7 Smith Rd, Randolph, MA 02368-2941 | 2013-09-26 |
| 1497007959 | Briget Bride | Counselor | 14 Darrell Dr, Randolph, MA 02368-4810 | 2012-10-09 |
| 1770857211 | Rosita Camarao | Counselor | 14101 Chestnut W, Randolph, MA 02368-6359 | 2012-03-01 |
| 1063714384 | Daphne Rollande Claudomir | Counselor | 4 Frank Leary Way Unit 4, Randolph, MA 02368 | 2010-11-18 |
| 1942459375 | Lannie Lee | Counselor | 9 Canton St, Randolph, MA 02368-2424 | 2008-09-10 |
| 1144820267 | Michael Teixeira | Counselor | 400 N Main St, Randolph, MA 02368-4177 | 2020-10-28 |
| 1346863693 | Brian Gonsalves | Counselor | 248 High St, Randolph, MA 02368-1837 | 2020-05-21 |
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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.