DR. HOLLY GELFOND MIZUTANI (NPI# 1487863783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487863783 |
| Entity Type | Individual |
| Full Name | DR. HOLLY GELFOND MIZUTANI |
| Credential | EDD, PMHCNS-BC |
| Practice Address |
1500 District Ave Burlington MA 01803-5069 |
| Mailing Address |
150 Riverside Ave Medford MA 02155-4726 |
| Practice Telephone | 7819104056 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
266902 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1500 DISTRICT AVE |
| City | BURLINGTON |
| State | MA |
| Zip Code | 01803-5069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700372703 | Fuel for Life | Dietitian, Registered | 1500 District Ave, Burlington, MA 01803 | 2018-07-03 |
| 1801385380 | New England Executive Care | Internal Medicine | 1500 District Ave, Burlington, MA 01803-5069 | 2018-05-09 |
| 1407384381 | Leroy K Ullrich | Pharmacy | 1500 District Ave, Burlington, MA 01803-5069 | 2017-05-23 |
| 1821548637 | Oakmontscript Lp | Pharmacy | 1500 District Ave, Burlington, MA 01803-5069 | 2016-10-05 |
| 1033667704 | Stephanie Sudjian | Dietitian, Registered | 1500 District Ave, Burlington, MA 01803-5069 | 2016-09-12 |
| 1710431598 | The Wesley Hospice Care LLC | Hospice Care, Community Based | 1500 District Ave, Burlington, MA 01803-5069 | 2016-08-09 |
| 1598127573 | Spire Home Health Care Agency LLC | Home Health | 1500 District Ave, 2042, Burlington, MA 01803-5069 | 2016-03-28 |
| 1386012821 | Home Health Plus LLC | Home Health | 1500 District Ave, Burlington, MA 01803-5069 | 2015-09-14 |
| 1023494424 | Compassionate Health Care Providers LLC | Home Health | 1500 District Ave, Burlington, MA 01803-5069 | 2015-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219089 | Mallika Tara Iyer | Behavior Technician | 64 S Bedford Street, Burlington, MA 01803 | 2020-03-06 |
| 1518445709 | Patriot Urgent Care Professionals, PC | General Practice | 90 Middlesex Turnpike, Burlington, MA 01803 | 2018-07-31 |
| 1932608122 | Danielle Berkowitz | Registered Nurse | 90 Middlesex Tpke Ste G, Burlington, MA 01803 | 2018-02-02 |
| 1255861860 | David William Mahnken | Social Worker | 11a Cypress Drive, Burlington, MA 01803 | 2017-06-15 |
| 1770030710 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1300 Middlesex Turnpike, Burlington, MA 01803 | 2016-09-07 |
| 1083091557 | Burlington Eye Group, Inc | Optometrist | 74 Burlington Mall Road, Burlington, MA 01803 | 2015-05-04 |
| 1720485535 | Db2 Practice Management | Clinic/Center | 11 Cambridge St, Burlington, MA 01803 | 2014-11-21 |
| 1689081812 | Jasmit Minhas | Internal Medicine | 9 Kimball Court, Apt 112, Burlington, MA 01803 | 2014-07-21 |
| 1528404993 | Alexander David Neusner | Surgery | 40 Mall Rd, Burlington, MA 01803 | 2013-05-13 |
| 1730421389 | First Choice Dental Group | Dentist | 11 Camridge Street, Burlington, MA 01803 | 2013-03-21 |
| Find all providers in zip 01803 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407175821 | Katherine E. Wilde | Clinical Nurse Specialist | 86 Lake St, Burlington, VT 05401-5297 | 2010-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935809 | Anne-marie Barron | Clinical Nurse Specialist | 9 Kahler Ave, Milton, MA 02186-1519 | 2020-06-07 |
| 1306467139 | Kathleen Mary Daly | Clinical Nurse Specialist | 22 Priscilla Ln, Duxbury, MA 02332-5101 | 2020-05-04 |
| 1407325541 | New Directions Behavioral Health LLC | Clinical Nurse Specialist | 10 Ash St, Danvers, MA 01923-2749 | 2018-11-19 |
| 1457894628 | Psyche1001 Learn Grow Change LLC | Clinical Nurse Specialist | 638 Adamsville Rd, Suite 1001, Westport, MA 02790-5031 | 2016-11-21 |
| 1841642725 | Joyce Daqnal Shields | Clinical Nurse Specialist | 132 Oakley Rd, Belmont, MA 02478-2734 | 2016-07-05 |
| 1386004075 | Jane Bloom | Clinical Nurse Specialist | 95 Golden Hill, Lee, MA 01238-9132 | 2016-02-24 |
| 1255722716 | Carol Vivori | Clinical Nurse Specialist | 132 Mass Moca Way, North Adams, MA 01247-2446 | 2015-02-05 |
| 1982995262 | Linda Louise Darbyshire | Clinical Nurse Specialist | 60 Munson Meeting Way Ste I, Psychiatric Collaborative, Chatham, MA 02633-1992 | 2011-04-21 |
| 1093020091 | Suzanne Elizabeth Bergeron | Clinical Nurse Specialist | 2 Administration Rd, Bridgewater, MA 02324-3230 | 2010-08-13 |
| 1467774356 | Mindful Wellbeing, LLC | Clinical Nurse Specialist | 11 Jillson Way, East Sandwich, MA 02537-1265 | 2010-02-19 |
| Find all providers with the same taxonomy | ||||
| City | BURLINGTON |
| Zip Code | 01803 |
Please comment or provide details below to improve the information on DR. HOLLY GELFOND MIZUTANI.
| 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.