MISS JOHNNA ELAINE MARCUS (NPI# 1538717277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538717277 |
| Entity Type | Individual |
| Full Name | MISS JOHNNA ELAINE MARCUS |
| Credential | LICSW |
| Practice Address |
330 Brookline Ave Boston MA 02215-5400 |
| Mailing Address |
17 Heritage Ln Methuen MA 01844-1739 |
| Practice Telephone | 6176677618 |
| Practice Fax Number | 6176674469 |
| Mailing Telephone | 9782041265 |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2019-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
330 BROOKLINE AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02215-5400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376541458 | Carolyn Zelop | Obstetrics & Gynecology | 330 Brookline Ave, Ks 306, Boston, MA 02215-5400 | 2005-07-12 |
| 1134735848 | Wassef Chanbour | Ophthalmology | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-09-17 |
| 1174139976 | Christopher Joseph Allen | Nurse Practitioner | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-09-17 |
| 1982218970 | Carleen E Cox | Nurse Practitioner | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-09-07 |
| 1245842319 | Emily Anne Keegan | Nurse Practitioner | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-08-20 |
| 1043822505 | Ann Korkidakis | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Kirstein 3, Boston, MA 02215-5400 | 2020-08-17 |
| 1023628468 | Bryar Hasenjaeger | Nurse Practitioner | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-07-31 |
| 1023627262 | Vikram Karnik | Psychiatry & Neurology | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-07-23 |
| 1386252682 | Nancy Littlehale | Nurse Practitioner | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-07-22 |
| 1356968598 | Jessica Catherine Okrant | Nurse Practitioner | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-07-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1821635921 | Michael David Meyers | Counselor | 9 Notre Dame St, Boston, MA 02119-1230 | 2019-12-08 |
| 1831667260 | Melinda Baker | Counselor | 50 Congress St Ste 430, Boston, MA 02109-4055 | 2018-11-03 |
| 1992292361 | Stacey K. Borden | Counselor | 22 Drydock Ave Fl 3, Boston, MA 02210-2386 | 2018-04-20 |
| 1487163432 | Melinda Mcgahan | Counselor | 23 Bradston St Fl 1, Boston, MA 02118-2703 | 2017-09-21 |
| 1821515370 | Focal Points Healthcare, LLC | Counselor | 541 Sumner St # B, Boston, MA 02128-2258 | 2017-08-25 |
| 1881110005 | Robert Kenneth Turner | Counselor | 97 Hemenway Street, 11, Boston, MA 02115 | 2017-08-18 |
| 1548791189 | Ludy Young | Counselor | 247 Columbia Rd, Boston, MA 02121-3427 | 2017-03-24 |
| 1407390123 | Cheri L Epps | Counselor | 112 South Hampton Street, Boston, MA 02118 | 2016-12-14 |
| 1912440181 | Mark David Fralick | Counselor | 675 E 4th St, Boston, MA 02127-3063 | 2016-11-21 |
| Find all providers in BOSTON | ||||
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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.