MISS AMANDA GONZALEZ RICHARDSON (NPI# 1497108591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497108591 |
| Entity Type | Individual |
| Full Name | MISS AMANDA GONZALEZ RICHARDSON |
| Credential | M.A. |
| Practice Address |
10 Meadowbrook Rd Brockton MA 02301-7122 |
| Practice Telephone | 4134462228 |
| Mailing Telephone | 4134462228 |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2017-02-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| 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 |
|---|---|---|---|---|
| 1073114666 | Amanda Elaine Richardson | Counselor | 352 W Goldeneye Ln, Sneads Ferry, NC 28460-8096 | 2020-11-02 |
| 1750871760 | Amanda Marie Richardson | Physician Assistant | 306 N Basilio Ave, San Dimas, CA 91773-2707 | 2018-05-15 |
| 1184804734 | Amanda Hope Richardson | Community Health Worker | 2328 Camelia St, Cayce, SC 29033-2510 | 2007-11-13 |
| 1760662027 | Amanda Richardson | Hearing Instrument Specialist | N87 W16459 B West Appleton, Menomonee Falls, WI 53051 | 2007-11-05 |
| 1295374387 | Amanda Michelle Richardson | Nurse Practitioner | 1305 York Ave, New York, NY 10021-5663 | 2020-01-06 |
| 1003466962 | Amanda Richardson | Massage Therapist | 1375 Pearl St, Eugene, OR 97401-3523 | 2019-09-12 |
| 1770006900 | Amanda Brooke Richardson | Behavioral Analyst | 231 Se Barrington Dr Ste 203, Oak Harbor, WA 98277-3200 | 2017-07-19 |
| 1053831511 | Amanda Marie Richardson | Behavior Technician | 209 E Chippewa St, Mt Pleasant, MI 48858-1609 | 2017-06-26 |
| 1750817946 | Amanda Richardson | Counselor | 5901 Majestic St, Frederick, CO 80504-6933 | 2017-05-07 |
| 1811346679 | Amanda Lynn Richardson | Specialist | 7000 Austin St Ste 200, Forest Hills, NY 11375-4739 | 2016-06-11 |
| Street Address |
10 MEADOWBROOK RD |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-7122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053407429 | Timothy William Corliss | Social Worker | 10 Meadowbrook Rd, Brockton, MA 02301 | 2006-10-05 |
| 1346858347 | Kevin Alonzo Davis | Counselor | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2020-07-16 |
| 1194333229 | Timothy Duncan Carmichael | Counselor | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2020-07-15 |
| 1053939496 | Elaine Ruth Enos | Counselor | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2020-07-13 |
| 1598387862 | William Perry Petitpas | Substance Abuse Rehabilitation Facility | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2020-05-10 |
| 1760003701 | Laurie Williams-pipkins | Counselor | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2020-04-30 |
| 1780210278 | Tori-anne Charette-bjorkman | Counselor | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2020-03-17 |
| 1265067557 | Tiffany Menard | Counselor | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2020-03-06 |
| 1174163661 | Desteny M Mcsween | Counselor | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2020-01-13 |
| 1043858129 | Bonita Carrasquillo | Counselor | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2019-12-19 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222531 | Antoinett Gomes | Counselor | 11 Battles St Apt 3, Brockton, MA 02301-2236 | 2020-10-16 |
| 1316545510 | Leonard Paul Dagesse | Counselor | 51 Gladstone St, Brockton, MA 02302-3338 | 2020-10-12 |
| 1962014936 | Tjocelyne Counseling & Consulting Clinic LLC | Counselor | 425 Pleasant St Ste 102, Brockton, MA 02301-2533 | 2020-08-20 |
| 1841801461 | Peaceful Healing Soul Counseling Center, LLC | Counselor | 130 Spring St Apt 2, Brockton, MA 02301-4371 | 2020-08-17 |
| 1487271573 | Ruth Abraham Mentor | Counselor | 114 Sinclair Rd, Brockton, MA 02302-4451 | 2020-07-06 |
| 1508492661 | Carlos G Semedo | Counselor | 93 Myrtle St, Brockton, MA 02301-6139 | 2020-03-20 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1730724931 | Izaiah Dimanche-silva | Counselor | 5 Addison St, Brockton, MA 02301-1401 | 2019-11-12 |
| 1700427804 | Jessica Roberts | Counselor | 117 Colonel Bell Dr Apt 6, Brockton, MA 02301-1965 | 2019-10-01 |
| 1003460031 | Krista Hojlo | Counselor | 67 Brian Dr, Brockton, MA 02301-4601 | 2019-07-29 |
| Find all providers in BROCKTON | ||||
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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.