AMANDA GRACE KILBURN (NPI# 1497272462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497272462 |
Entity Type | Individual |
Full Name | AMANDA GRACE KILBURN |
Credential | M.S., CFY-SLP |
Practice Address |
43 Dartmouth St Malden MA 02148-5103 |
Mailing Address |
106 Pinafore Dr Camillus NY 13031-1520 |
Practice Telephone | 7813064820 |
Enumeration Date | 2017-08-29 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
43 Dartmouth St, Malden, MA 021485103 | 3154503810 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902420458 | Amanda Kilburn | Family Medicine | 24 Doctors Ln Ste 202, Clarion, PA 16214-8574 | 2020-06-01 |
Street Address |
43 DARTMOUTH ST |
City | MALDEN |
State | MA |
Zip Code | 02148-5103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821304106 | Abby Michelle Silverman | Speech-Language Pathologist | 43 Dartmouth St, Malden, MA 02148-5103 | 2010-08-25 |
1205487816 | Maggie Wonson Small | Counselor | 43 Dartmouth St, Malden, MA 02148-5103 | 2019-09-25 |
1861058604 | Andria Elizabeth Thomas | Counselor | 43 Dartmouth St, Malden, MA 02148-5103 | 2019-05-17 |
1932667169 | Difei Tong | Occupational Therapist | 43 Dartmouth St, Malden, MA 02148-5103 | 2019-03-06 |
1073079935 | Jennifer Marie Marchione | Occupational Therapist | 43 Dartmouth St, Malden, MA 02148-5103 | 2019-02-15 |
1174010235 | Sasha Israel | Counselor | 43 Dartmouth St, Malden, MA 02148-5103 | 2018-04-15 |
1194230508 | Candy Huang Chan | Counselor | 43 Dartmouth St, Malden, MA 02148-5103 | 2017-12-07 |
1164932232 | Tessa Kennedy | Counselor | 43 Dartmouth St, Malden, MA 02148-5103 | 2017-10-03 |
1750811980 | Angela Nicole Venini | Counselor | 43 Dartmouth St, Malden, MA 02148-5103 | 2017-06-20 |
1013368182 | Nicole Janet Souza | Social Worker | 43 Dartmouth St, Malden, MA 02148-5103 | 2016-06-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427680743 | Cambridge Public Health Commission | Pharmacy | 350 Main Street Suite 640, Malden, MA 02148 | 2020-02-05 |
1568932192 | Stephanie L Octave | Behavior Technician | 28 Wolcott St, Malden, MA 02148 | 2018-11-27 |
1477036549 | Fabienne Odney | Registered Nurse | 41 Alpine St, Malden, MA 02148 | 2018-09-13 |
1972085322 | Donna Watson | Social Worker | 33 Goodwin Avenue, Malden, MA 02148 | 2018-09-02 |
1588144505 | Michael William Sage | Physician Assistant | Cha Malden Care Center, 195 Canal Street, Malden, MA 02148 | 2018-08-20 |
1255827432 | Martineau Louine | Internal Medicine | 11 Dennis Road, Malden, MA 02148 | 2018-07-10 |
1700378098 | Catherine Grieves | Social Worker | 785 Main St Apt. 6, Malden, MA 02148 | 2018-06-01 |
1215427901 | Leam Thomas | Counselor | 175 Summer Street, Apt204, Malden, MA 02148 | 2018-05-17 |
1629593637 | David Acuna | Counselor | 22 Plesant Street, Malden, MA 02148 | 2017-08-10 |
1295258580 | Judith P Phillips | Physician Assistant | 24 Auburn Street, Malden, MA 02148 | 2017-07-19 |
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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 |
---|---|---|---|---|
1720690357 | Mary Stathos | Counselor | 380 Pleasant St Ste 12, Malden, MA 02148-8127 | 2020-08-17 |
1578185641 | Joseph Prever | Counselor | 6 Pleasant St # 6, Malden, MA 02148-5100 | 2020-05-12 |
1952959058 | Edmund Seth Addo | Counselor | 22 Pleasant St Ste 206, Malden, MA 02148-5119 | 2019-09-01 |
1215427901 | Leam Thomas | Counselor | 175 Summer Street, Apt204, Malden, MA 02148 | 2018-05-17 |
1013452085 | Jenny Brunot | Counselor | 12 Pearl Ct, Malden, MA 02148-6443 | 2016-12-30 |
1184073876 | Tim Martin | Counselor | 8 Quarry Lane #1416, Malden, MA 02148 | 2016-06-03 |
1841609674 | Liliana Patino | Counselor | 200 Mountain Ave Apt 63, Malden, MA 02148-2748 | 2014-08-06 |
1619308400 | Roxana Perez-flores | Counselor | 130 Avon St Apt 54, Malden, MA 02148-7232 | 2013-12-05 |
1427482777 | Dwight Sankey | Counselor | 45 Loomis St Apt 101, Malden, MA 02148-2009 | 2013-08-22 |
1215286257 | Frederick Louis Howcroft | Counselor | 730 Eastern Ane, Malden, MA 02148 | 2012-09-06 |
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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.