LETICIA I. SANTIAGO-BOSTON (NPI# 1497101109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497101109 |
| Entity Type | Individual |
| Full Name | LETICIA I. SANTIAGO-BOSTON |
| Practice Address |
100 Townsend Ave Berlin NJ 08009-9011 |
| Practice Telephone | 6092671550 |
| Practice Fax Number | 6095349194 |
| Mailing Telephone | 6092671550 |
| Mailing Fax Number | 6095349194 |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2020-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
37AC00451100 | NJ | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
100 TOWNSEND AVE |
| City | BERLIN |
| State | NJ |
| Zip Code | 08009-9011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255311379 | Mary Nigro | General Practice | 100 Townsend Ave, Berlin, NJ 08009-9011 | 2006-01-17 |
| 1700426848 | James Joseph Campbell | Counselor | 100 Townsend Ave, Berlin, NJ 08009-9011 | 2020-01-07 |
| 1265920466 | Legacy Treatment Serivces, Inc. | Community/Behavioral Health | 100 Townsend Ave, Berlin, NJ 08009-9011 | 2018-04-24 |
| 1326552613 | Legacy Treatment Serivces, Inc. | Clinic/Center | 100 Townsend Ave, Berlin, NJ 08009-9011 | 2017-11-22 |
| 1851528905 | Advocare, LLC | Internal Medicine | 100 Townsend Ave, Berlin, NJ 08009-9011 | 2009-06-16 |
| 1578736963 | Luis Fernando Vera | General Practice | 100 Townsend Ave, Berlin, NJ 08009-9011 | 2008-04-08 |
| 1063624500 | Barbara Doherty Zambon | Pharmacist | 100 Townsend Ave, Berlin, NJ 08009 | 2007-05-04 |
| 1114148905 | Virginia Willette | Pharmacist | 100 Townsend Ave, Berlin, NJ 08009-9011 | 2007-05-01 |
| 1710906714 | Douglas J. Mayer | Emergency Medicine | 100 Townsend Ave, Berlin, NJ 08009-9011 | 2006-07-19 |
| 1306880737 | John B. Sireci | Emergency Medicine | 100 Townsend Ave, Berlin, NJ 08009-9011 | 2006-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104365592 | Sean Gerard King | Physical Therapist | 115 Route 73 N, #80, Berlin, NJ 08009 | 2017-02-17 |
| 1407303472 | Phoebe Brady | Counselor | 116 Grove St., Berlin, NJ 08009 | 2016-09-07 |
| 1669929782 | Courtney Lynne Chambers | Nurse Practitioner | 16 Aristone Drive, Berlin, NJ 08009 | 2016-09-07 |
| 1346625423 | Amy Torpey | Social Worker | 128 Berlin Cross Keys Road, Berlin, NJ 08009 | 2015-07-30 |
| 1821479494 | Personalized Independent Living Opporuntities & Training Services | Day Training, Developmentally Disabled Services | 283 Jackson Road, Berlin, NJ 08009 | 2015-06-09 |
| 1821497520 | Joseph Cesarine | Emergency Medicine | 100 Townsend Aveniue, Berlin, NJ 08009 | 2014-08-19 |
| 1831443282 | Dedra Lombardi | Counselor | 16 Jason Drive, Berlin, NJ 08009 | 2012-11-07 |
| 1053620674 | Richard Nazer | Dentist | 339 North Route 73, Berlin, NJ 08009 | 2010-09-30 |
| 1134372329 | Caroline Rose Eisenberg | Dietitian, Registered | 127 Berlin Cross Keys Rd, Berlin, NJ 08009 | 2008-10-31 |
| 1720253743 | Terry L Fazio | Nurse Practitioner | 100 Townsend Rd, Bedin, NJ 08009 | 2008-04-30 |
| Find all providers in zip 08009 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349738 | Nicholas Thomas Kolosky | Counselor | 129 Sea Green Dr, Berlin, CT 06037-4095 | 2020-05-29 |
| 1194385997 | Kimberly J Poole-sykes | Counselor | 10776 Grays Corner Rd Unit 2, Berlin, MD 21811-3561 | 2019-06-14 |
| 1992279491 | Rachel Boyer | Counselor | 237 Gates Pond Rd, Berlin, MA 01503-1306 | 2019-01-17 |
| 1780935239 | Seaside Counseling & Wellness Center, LLC. | Counselor | 10776 Grays Corner Rd, Suite 2, Berlin, MD 21811-3541 | 2012-09-24 |
| 1710248315 | Jaime Farrell Coates | Counselor | 378 Schooner Ln, Berlin, MD 21811 | 2012-05-31 |
| 1033416102 | Sharanda Williamson | Counselor | 128 Berlin Cross Keys Rd, Berlin, NJ 08009-9201 | 2011-02-24 |
| 1487960712 | Terry D Maxfield Jr. | Counselor | 82 Eastview Lane, Ste 3, Berlin, VT 05602-0000 | 2010-08-24 |
| 1245471952 | Wanda Siena Blanco | Counselor | 16 S Main St Ste D, Berlin, MD 21811-1467 | 2009-03-11 |
| 1629125299 | Ann-margaret Moise | Counselor | 10514 Racetrack Rd Ste C, Berlin, MD 21811-3241 | 2007-01-04 |
| 1184797128 | Maria Coviello | Counselor | 3 Twelfth St, Berlin, NH 03570-3860 | 2006-11-16 |
| Find all providers in BERLIN | ||||
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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.