LISA FREDMAN (NPI# 1568012110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568012110 |
| Entity Type | Individual |
| Full Name | LISA FREDMAN |
| Practice Address |
86 Baker Avenue Ext Ste 100 Concord MA 01742-2132 |
| Practice Telephone | 9783691113 |
| Practice Fax Number | 9783690908 |
| Mailing Telephone | 9783691113 |
| Mailing Fax Number | 9783690908 |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-09-16 |
| 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 |
| Street Address |
86 BAKER AVENUE EXT STE 100 |
| City | CONCORD |
| State | MA |
| Zip Code | 01742-2132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649796715 | Laura Smith | Social Worker | 86 Baker Avenue Ext Ste 100, Concord, MA 01742-2132 | 2017-08-20 |
| 1710501028 | Stephanie Ault | Counselor | 86 Baker Avenue Ext Ste 100, Concord, MA 01742-2132 | 2020-06-02 |
| 1215550041 | Ashley Miller | Counselor | 86 Baker Avenue Ext Ste 100, Concord, MA 01742-2132 | 2020-05-27 |
| 1245873686 | Kristin Duggan | Counselor | 86 Baker Avenue Ext Ste 100, Concord, MA 01742-2132 | 2019-10-17 |
| 1235789876 | Kelsey Karas | Counselor | 86 Baker Avenue Ext Ste 100, Concord, MA 01742-2132 | 2019-09-16 |
| 1376102319 | Kelly West | Registered Nurse | 86 Baker Avenue Ext Ste 100, Concord, MA 01742-2132 | 2019-06-12 |
| 1376002568 | Jeffrey Perez | Counselor | 86 Baker Avenue Ext Ste 100, Concord, MA 01742-2132 | 2019-03-18 |
| 1437632932 | Cory Elizabeth Kaufman | Counselor | 86 Baker Avenue Ext Ste 100, Concord, MA 01742-2132 | 2018-09-11 |
| 1265913800 | Sara Beth Clinton | Counselor | 86 Baker Avenue Ext Ste 100, Concord, MA 01742-2132 | 2018-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674348 | Camille Arcidi | Dentist | 747 Main Street, Suite 221, Concord, MA 01742 | 2020-09-17 |
| 1851916936 | Paige Hamilton-read | Psychologist | 333 Thoreau Street, Concord, MA 01742 | 2020-06-14 |
| 1467926113 | Judith Segal | Psychologist | 844 Sudbury Road, Concord, MA 01742 | 2019-01-16 |
| 1316422983 | Lisa Colagiovanni | Social Worker | 54 Hillside Ave., Concord, MA 01742 | 2018-09-30 |
| 1932699907 | Margaret C O'hearn-curran | Psychologist | 178 Silver Hill Rd, Concord, MA 01742 | 2018-05-15 |
| 1205358678 | Eva Moen | Pharmacist | 19 Nathan Pratt Drive, Unit 308, Concord, MA 01742 | 2017-07-07 |
| 1215475421 | Hengameh Lavasanifar | Pharmacist | Jcb;131 Ornac Suite 200;, Mgh Cancer Center At Emerson Hospital, Concord, MA 01742 | 2017-02-08 |
| 1255882684 | Stephanie Randazzo | Counselor | 20 Nathan Pratt Drive Unit 209, Concord, MA 01742 | 2016-10-20 |
| 1871943704 | Marjorie E. Cahn | Social Worker | 634 Walden Street, Concord, MA 01742 | 2016-06-22 |
| 1063873842 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | 2284 Main Street, Lahey Health Primary Care, Concord, Concord, MA 01742 | 2016-03-08 |
| Find all providers in zip 01742 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245844273 | Michael Frost Lynch | Counselor | 23 Crest St, Concord, MA 01742-3006 | 2020-09-08 |
| 1487263281 | Tara Burgess | Counselor | 357 Nashawtuc Rd, Concord, MA 01742-1616 | 2020-07-28 |
| 1245861533 | Christine Marie Perez | Counselor | 1333 Willow Pass Rd Ste 2100, Concord, CA 94520-7930 | 2020-01-27 |
| 1649814104 | Live Your Life Clt Counseling Pllc | Counselor | 185 Church St Ne, Concord, NC 28025-4761 | 2019-10-28 |
| 1194368902 | Dara Michelle Brenner | Counselor | 66 Commonwealth Ave, Concord, MA 01742-2974 | 2019-10-24 |
| 1316593379 | Courtney J Cupelo | Counselor | 90 Airport Rd Unit 22, Concord, NH 03301-5356 | 2019-08-15 |
| 1689131104 | Baljeet Kaur Heyer | Counselor | 1486 Fox Hollow Ct, Concord, CA 94521-2521 | 2019-02-21 |
| 1679037774 | Jill C Resch | Counselor | 284 Executive Park Dr Ste 160, Concord, NC 28025-1836 | 2019-01-23 |
| 1114491412 | Eileen Ann English | Counselor | 2 Concord Greene Unit 2, Concord, MA 01742-3186 | 2019-01-20 |
| 1598239352 | Stuart Scott | Counselor | 259 S Main St, Concord, NH 03301-3405 | 2019-01-15 |
| Find all providers in CONCORD | ||||
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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.