JANICE FUNK (NPI# 1548261621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548261621 |
| Entity Type | Individual |
| Full Name | JANICE FUNK |
| Credential | PH.D. |
| Practice Address |
76 Summer St Haverhill MA 01830-5814 |
| Mailing Address |
325 Main St Po Box 882 Plaistow NH 03865-3033 |
| Practice Telephone | 9784691438 |
| Practice Fax Number | 9783720404 |
| Mailing Telephone | 6033825400 |
| Mailing Fax Number | 6033824283 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2007-07-08 |
| NPI Deactivation Date | 03/23/2006 |
| NPI Reactivation Date | 2006-04-11 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | 6540 | MA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0525677 | 05 | |
| MA | TUFTS | 771888 | 01 |
| MA | BLUE SHIELD MA | W05327 | 01 |
| Street Address |
76 SUMMER ST |
| City | HAVERHILL |
| State | MA |
| Zip Code | 01830-5814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316595812 | Melissa Carla Provost | Social Worker | 76 Summer St, Haverhill, MA 01830-5814 | 2019-08-28 |
| 1164078713 | Lori Dias | Registered Nurse | 76 Summer St, Haverhill, MA 01830-5814 | 2019-08-09 |
| 1417420811 | Wp Acquisition Sub LLC | Psychiatry & Neurology | 76 Summer St, Haverhill, MA 01830-5814 | 2019-01-08 |
| 1023580479 | Wp Acquisition Sub LLC | Clinic/Center | 76 Summer St, Haverhill, MA 01830-5814 | 2018-12-26 |
| 1750868428 | Jessica Amy Enners | Social Worker | 76 Summer St, Haverhill, MA 01830-5814 | 2018-07-25 |
| 1093291007 | Kimberly Shana Segal | Social Worker | 76 Summer St, Haverhill, MA 01830-5814 | 2018-07-12 |
| 1558854893 | Keri A Bergman | Social Worker | 76 Summer St, Haverhill, MA 01830 | 2018-06-12 |
| 1144712993 | Marisa Wegener Mccormack | Social Worker | 76 Summer St, Haverhill, MA 01830-5814 | 2018-06-06 |
| 1063930006 | Whittier Pavilion Inpatient Specialists Pllc | Internal Medicine | 76 Summer St, Haverhill, MA 01830-5814 | 2017-08-30 |
| 1447796479 | Kelsey Frances Shibilia | Social Worker | 76 Summer St, Haverhill, MA 01830-5814 | 2017-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275171753 | Saint Gemma Health and Wellness Center Inc. | Clinic/Center | C/o Mary Fallavollita, 375 Main St., Haverhill, MA 01830 | 2019-12-16 |
| 1689143968 | Margaret O'day | Social Worker | 621 Main Street, Haverhill, MA 01830 | 2018-11-16 |
| 1396213633 | Michelle Flanagan | Nurse Practitioner | 600 Primrose Street, Haverhill, MA 01830 | 2018-11-05 |
| 1992281265 | Megan Lee Cahill | Social Worker | 150 Water St., Haverhill, MA 01830 | 2018-07-19 |
| 1588116602 | Ronald Charles Jordan Jr. | Counselor | 6 Concordia Drive, Haverhill, MA 01830 | 2016-10-25 |
| 1902269772 | Alta Marie Tusini | Pediatrics | 600 Primrose St Ste 200, Haverhill, MA 01830 | 2016-03-30 |
| 1447611199 | Joan Hatem-roy | Social Worker | 280 Merrimack Street, Suite 400, Lawrence, MA 01830 | 2016-03-09 |
| 1326431818 | Divine Home Care | Home Health | 18 Kenoza St, Haverhill, MA 01830 | 2015-03-09 |
| 1821429861 | Emmaus | Case Manager/Care Coordinator | 127 How St., Haverhill, MA 01830 | 2013-12-02 |
| 1225390362 | Larry Medolo | Homeopath | 606 Broadway Ave, Haverhill, MA 01830 | 2012-06-14 |
| Find all providers in zip 01830 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184072084 | Stephen Spano | Legal Medicine | 605 Broadway Ste 201, Saugus, MA 01906-3200 | 2016-06-01 |
| 1275878498 | Joseph Peter Lamanna | Legal Medicine | 4 Stanton Circle, Boxford, MA 01921 | 2012-11-28 |
| 1902005705 | Peter Mainini | Legal Medicine | 17 Little Tree Ln, Bellingham, MA 02019-2911 | 2007-07-12 |
| 1104883909 | Akmal A Mikhail I | Legal Medicine | 63 Fresh Pond Pkwy, Cambridge, MA 02138-3348 | 2006-04-27 |
| 1770554008 | Abdoul Bah | Legal Medicine | 146 Boiler St., Boston, MA 02139-0024 | 2006-01-26 |
| 1043210958 | Wellness Management Inc. | Legal Medicine | 1460 Dorchester Ave, Dorchester, MA 02122-1343 | 2005-07-21 |
| 1780982975 | G Curtis Barry Md PC Dba Mid Cape Medical Center | Legal Medicine | 489 Bearses Way, Unit A-4, Hyannis, MA 02601-2707 | 2011-03-11 |
| 1902043144 | Marina Vladimirovna Semenova | Legal Medicine | 7 North St, 508 Apt, Pittsfield, MA 01201-5162 | 2009-01-09 |
| 1528229580 | Neuroeducation | Legal Medicine | 145 Ward Hill Ave, Bradford, MA 01835-6928 | 2008-06-23 |
| 1780871855 | Donohue, Rioux & Frangie Opthalmology, P.C. | Legal Medicine | 489 Bernardston Rd, Greenfield, MA 01301-1234 | 2007-10-02 |
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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.