PREMIER MEDICAL LLC (NPI# 1568092476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568092476 |
| Entity Type | Organization |
| Organization Name | PREMIER MEDICAL LLC |
| Practice Address |
400 Foxborough Blvd Apt 4208 Foxborough MA 02035-3807 |
| Mailing Address |
91 Fairhaven Dr Midland Park NJ 07432-1018 |
| Practice Telephone | 4438133117 |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2020-01-20 |
| Authorized Official Name | DR. ERMAL BOJDANI (PRESIDENT, CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 4438133117 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306369442 | Premier Medical LLC | Family Medicine | 3001 Saint Rose Pkwy, Henderson, NV 89052-3839 | 2017-07-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Premier Medical LLC | 629 Helen Ave, Chesapeake, Virginia 23322 |
| Washington State Corporations | PREMIER MEDICAL LLC | 1402 Auburn Wy N #417, Auburn, WA 98002 |
| Street Address |
400 FOXBOROUGH BLVD APT 4208 |
| City | FOXBOROUGH |
| State | MA |
| Zip Code | 02035-3807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144711227 | Amy Lynne Gallant | Registered Nurse | 283 South St, Foxboro, MA 02035 | 2018-05-23 |
| 1144695420 | Kennedy-donovan Center, Inc Aba Services | Behavioral Analyst | 1 Commercial Street, Foxboro, MA 02035 | 2015-12-11 |
| 1972912251 | Makenzie Katherine Elliott | Optometrist | 25 Mechanic Street, Foxboro, MA 02035 | 2014-08-12 |
| 1548522691 | Jessica Leigh Pushee | Dentist | 400 Foxborough Blvd, #9205, Foxborough, MA 02035 | 2012-06-14 |
| 1194034447 | Kimberly Roy Cohn | Nurse Practitioner | Studio At H2t, LLC, 17 Cocasset St, Ste 1, Foxboro, MA 02035 | 2010-10-05 |
| 1093809378 | Ann Xavier Wallace | Nurse Practitioner | 71 Walnut St, Foxboro, MA 02035 | 2006-10-03 |
| 1215020466 | Larry Alan Pincus | Psychiatry & Neurology | 30 Mechanic Street, Suite 2, Foxboro, MA 02035 | 2006-10-02 |
| 1104850999 | Amna Haq Khan | Obstetrics & Gynecology | 15 Payson Street, Foxboro, MA 02035 | 2006-07-10 |
| 1336186386 | Munaza Shamshad | Family Medicine | 18 Washington Street, Foxboro Center for Women & Family, Foxboro, MA 02035 | 2006-05-31 |
| 1538118971 | Teryl Dawn Pett | Physician Assistant | 20 Patriot Place, Foxboro, MA 02035 | 2006-05-10 |
| Find all providers in zip 02035 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046148 | Kripa Behavioral Health, P.C. | Psychiatry & Neurology | 415 Elsbree St Ste 1a, Fall River, MA 02720-7297 | 2020-09-08 |
| 1588273320 | Measured Wellness LLC | Psychiatry & Neurology | 47 Seaverns Ave # 5, Boston, MA 02130-2876 | 2020-07-28 |
| 1942819784 | Bluesky Telepsych, Inc. | Psychiatry & Neurology | 125 Cambridge Park Drive, Suite 306, Cambridge, MA 02140 | 2020-07-28 |
| 1689291304 | Zion Health & Wellness LLC | Psychiatry & Neurology | 209 W Central St Ste 216, Natick, MA 01760-3716 | 2020-06-29 |
| 1447875984 | Charles Clifford Engel Jr. | Psychiatry & Neurology | Home Base Program, Massachusetts General Hospital, 1 Constitution Road, Charlestown, MA 02129 | 2020-06-10 |
| 1447874284 | Suburban Psychiatric Specialists | Psychiatry & Neurology | 7 Condor Rd, Sharon, MA 02067-2905 | 2020-06-07 |
| 1669096996 | East Boston Behavioral Health and Medicine LLC | Psychiatry & Neurology | 464 Bremen St Ste 4, East Boston, MA 02128-1430 | 2020-06-02 |
| 1144853250 | Jamii Wellness and Behavioral Medicine, LLC | Psychiatry & Neurology | 360 W Boylston St Rm 207, West Boylston, MA 01583-2384 | 2020-02-17 |
| 1972149367 | Deirdre O Arvidson | Psychiatry & Neurology | 32 Harold Ln, Chatham, MA 02633-1643 | 2019-11-21 |
| 1225670839 | Abc Medical, LLC | Psychiatry & Neurology | 36 Woburn St., Reading, MA 01867 | 2019-10-15 |
| Find all providers with the same taxonomy | ||||
| City | FOXBOROUGH |
| Zip Code | 02035 |
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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.