AMANDA PERRY (NPI# 1578794293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578794293 |
| Entity Type | Individual |
| Full Name | AMANDA PERRY |
| Credential | M.A. |
| Practice Address |
1115 W Chestnut St Brockton MA 02301-7501 |
| Mailing Address |
125 Redwing Dr Bridgewater MA 02324-2219 |
| Practice Telephone | 5085590473 |
| Mailing Telephone | 5086312062 |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2011-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639679467 | Amanda Leann Perry | Behavior Technician | 450 W Cool Dr Apt 103, Tucson, AZ 85704-6463 | 2018-02-19 |
| 1003046616 | Amanda Leigh Perry | Nurse Practitioner | 665 112th Ave Ne, Cooperstown, ND 58425-9264 | 2009-07-16 |
| 1255965372 | Amanda J Perry | Occupational Therapist | 2901 Finley Rd Ste 101, Downers Grove, IL 60515-1394 | 2020-02-27 |
| 1124663471 | Amanda Perry | Licensed Practical Nurse | 1879 Deerfield Rd, Lebanon, OH 45036-8602 | 2019-11-11 |
| 1558920207 | Amanda Perry | Behavior Technician | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2019-06-06 |
| 1730612664 | Amanda Lee Perry | Occupational Therapist | 2319 Highway 145, Saltillo, MS 38866-9199 | 2017-04-07 |
| 1700279692 | Amanda Paige Perry | Advanced Practice Midwife | 3601 The Vanderbilt Clinic, Nashville, TN 37232-5100 | 2015-03-17 |
| 1275953580 | Amanda Perry | Occupational Therapy Assistant | 35 Milkshake Ln, Annapolis, MD 21403-1507 | 2014-04-25 |
| 1205122447 | Amanda Wescoat Perry | Physical Therapist | 5301 Providence Rd, Suite 80, Virginia Beach, VA 23464-4128 | 2011-06-27 |
| 1992956114 | Amanda Brianne Perry | Physician Assistant | 1124 New Highway 52 E, Westmoreland, TN 37186-5060 | 2008-10-07 |
| Street Address |
1115 W CHESTNUT ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-7501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912942202 | Daniel Omoayo | Social Worker | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2006-06-19 |
| 1861091647 | Brandi Danielle Pace | Developmental Therapist | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2020-10-22 |
| 1851905343 | James Thomas Stewart IIi | Counselor | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2020-09-02 |
| 1336750397 | Jacqueline Grant | Social Worker | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2020-08-13 |
| 1821611047 | Peyton Mayzel | Counselor | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2020-05-21 |
| 1477186658 | Rebecca Bruno | Counselor | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2020-02-17 |
| 1255975116 | Elizabeth Mary Lawlor | Student in an Organized Health Care Education/Training Program | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2019-11-04 |
| 1437790615 | Meredith Lincoln | Student in an Organized Health Care Education/Training Program | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2019-09-30 |
| 1164073441 | Marissa Ann Bragg | Student in an Organized Health Care Education/Training Program | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2019-09-27 |
| 1487205316 | Alexmira Andrade Monteiro | Behavior Technician | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2019-09-23 |
| 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 | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695919 | Albert Bruce Myers Iv | Counselor | 139 Ash St, Brockton, MA 02301-3663 | 2020-09-30 |
| 1437762085 | Laura Elizabeth Regal | Counselor | 231 Main St # 3, Brockton, MA 02301-4342 | 2020-08-24 |
| 1104313949 | Michelle K. Hennessy | Counselor | 103 Commercial St Ste 2, Brockton, MA 02302-3133 | 2018-04-17 |
| 1447767215 | Kafayat Bello | Counselor | 5 Raintree Cir Apt F, Brockton, MA 02302-1912 | 2018-01-03 |
| 1518495928 | Shacorra Williams | Counselor | 12 Montgomery St, Brockton, MA 02301-3714 | 2017-05-30 |
| 1710426911 | Michael Campbell | Counselor | 347 Quincy St, Brockton, MA 02302-3419 | 2017-02-21 |
| 1386181857 | Wecjard Emmanuel | Counselor | 331 N Quincy St, Brockton, MA 02302-1940 | 2017-01-23 |
| 1427502814 | Lauren Mackenzie Suarez | Counselor | 63 Whitmore St, Brockton, MA 02301-5660 | 2016-08-15 |
| 1972957439 | Kassandra Morales | Counselor | 4 Sophia Ave, Brockton, MA 02301-2135 | 2016-04-20 |
| 1447658208 | Altine Simon | Counselor | 74 Pine Grove Dr, Brockton, MA 02301-1115 | 2014-12-10 |
| Find all providers in BROCKTON | ||||
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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.