KIMBERLY BENOIT (NPI# 1548631807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548631807 |
| Entity Type | Individual |
| Full Name | KIMBERLY BENOIT |
| Credential | MA |
| Practice Address |
20 Meadowbrook Rd Brockton MA 02301-7122 |
| Practice Telephone | 5086386066 |
| Mailing Telephone | 5086386066 |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2015-10-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities |
| Street Address |
20 MEADOWBROOK RD |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-7122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376555276 | Joseph Aaron Shrand | Psychiatry & Neurology | 20 Meadowbrook Rd, Castle, Brockton, MA 02301-7122 | 2006-08-12 |
| 1649886912 | Haley Anne Vradenburg | Student in an Organized Health Care Education/Training Program | 20 Meadowbrook Rd, Brockton, MA 02301-7122 | 2020-09-21 |
| 1972003226 | Andrew William Mccall | Counselor | 20 Meadowbrook Rd, Brockton, MA 02301-7122 | 2018-02-13 |
| 1285146308 | Andy Derolus Edouard | Counselor | 20 Meadowbrook Rd, Brockton, MA 02301-7122 | 2017-10-30 |
| 1235651217 | Ashley Marie Potts | Counselor | 20 Meadowbrook Rd, Brockton, MA 02301-7122 | 2017-07-12 |
| 1568902435 | Ashley D'acci | Counselor | 20 Meadowbrook Rd, Brockton, MA 02301-7122 | 2017-02-27 |
| 1346782935 | Molly Benoit | Counselor | 20 Meadowbrook Rd, Brockton, MA 02301-7122 | 2016-11-14 |
| 1033651740 | Amanda Hoeg | Counselor | 20 Meadowbrook Rd, Brockton, MA 02301-7122 | 2016-11-11 |
| 1639622004 | Nell Woodworth | Counselor | 20 Meadowbrook Rd, Brockton, MA 02301-7122 | 2016-08-02 |
| 1588013304 | Bryan Urday | Counselor | 20 Meadowbrook Rd, Brockton, MA 02301-7122 | 2016-06-13 |
| 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 | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
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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.