DR. LESLIE R FENN (NPI# 1588635163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588635163 |
| Entity Type | Individual |
| Full Name | DR. LESLIE R FENN |
| Credential | M.D. |
| Practice Address |
78 College Ave Somerville MA 02144-1916 |
| Mailing Address |
10 Sherman St Lexington MA 02420-3711 |
| Practice Telephone | 6176235487 |
| Practice Fax Number | 6177764222 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
47616 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
78 COLLEGE AVE |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02144-1916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689047235 | Anna Kulmatiski | Counselor | 78 College Ave, Somerville, MA 02144-1916 | 2015-11-04 |
| 1194069260 | Amanda Glaser | Counselor | 78 College Ave, 2nd Floor, Somerville, MA 02144-1916 | 2012-11-15 |
| 1467708248 | Riverside Community Care | Community/Behavioral Health | 78 College Ave, 2nd Floor, Somerville, MA 02144-1916 | 2012-07-30 |
| 1295014819 | Gregory Mark Kaufman | Counselor | 78 College Ave, Somerville, MA 02144-1916 | 2011-08-13 |
| 1477858231 | Lawrence D Keane | Counselor | 78 College Ave, Somerville, MA 02144-1916 | 2011-01-25 |
| 1871765644 | Somerville Mental Health Association, Inc. | Clinic/Center | 78 College Ave, Somerville, MA 02144-1916 | 2008-04-01 |
| 1467658880 | Jessica Nicole Gutchess | Social Worker | 78 College Ave, Somerville, MA 02144-1916 | 2007-06-22 |
| 1114047479 | Somerville Mental Health | Community/Behavioral Health | 78 College Ave, Somerville, MA 02144-1916 | 2007-03-30 |
| 1629132287 | Barbara Berrang Middleton | Occupational Therapist | 78 College Ave, Somerville, MA 02144-1916 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386106953 | Star Markets Company Inc | Durable Medical Equipment & Medical Supplies | 90 Causeway St, Boston, MA 02144 | 2019-04-03 |
| 1841769460 | Jeffrey Shwom | Technician/Technologist | 40 Holland Street, 1st Floor, Somerville, MA 02144 | 2018-11-14 |
| 1689106700 | Michelle Dyrholm | Anesthesiology | Massachusetts General Hospital, Dept of Anesthesia, 55 Fruit Street, Gray-bigelow 444, Boston, MA 02144 | 2017-03-29 |
| 1275089575 | Nancy Landry Pllc | Family Medicine | Somerville Family Practice, 1020 Broadway, Somerville, MA 02144 | 2016-08-28 |
| 1982019451 | Wilson Garcia Acosta | Specialist | 278 Powderhouse, Somerville, MA 02144 | 2014-06-24 |
| 1376954289 | Jonathan Farr | Counselor | 1236 Broadway Ste 12, Somerville, MA 02144 | 2014-05-13 |
| 1356751945 | Christina Sakelarakis | Psychologist | 73 Fairfax St, Somerville, MA 02144 | 2014-05-05 |
| 1578905816 | Nicolle Woods | Behavioral Analyst | 58 Day St #441938, Somerville, MA 02144 | 2013-07-29 |
| 1306130018 | Emily Elizabeth Wheeler | Psychologist | 259 Elm St Ste 201, Somerville, MA 02144 | 2011-05-31 |
| 1932363355 | Hang Le Ngo | Psychologist | 53 Chester Street, Somerville, MA 02144 | 2008-07-15 |
| Find all providers in zip 02144 | ||||
| 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 |
|---|---|---|---|---|
| 1003025776 | Theodore Peter Wasik | Psychiatry & Neurology | 61 Roseland St Ste 8, Somerville, MA 02143-3536 | 2007-05-21 |
| 1093881575 | Susan M Peet Rowley | Psychiatry & Neurology | 73 West End Avenue, Somerville, NJ 08876-1828 | 2006-11-28 |
| 1235218504 | Amanda J Gruber | Psychiatry & Neurology | 41 Russell St, Somerville, MA 02144-3023 | 2006-11-06 |
| 1245204932 | John H Lloyd | Psychiatry & Neurology | 175 Elm St, Suite C4, Somerville, MA 02144-3150 | 2006-02-17 |
| 1376517052 | Steven Budoff | Psychiatry & Neurology | 135 W End Ave, Somerville, NJ 08876-1809 | 2006-02-17 |
| 1720060155 | Miriam Cohen Tepper | Psychiatry & Neurology | 26 Central St, Cambridge Health Alliance, Somerville, MA 02143-2827 | 2005-11-21 |
| 1013999093 | Stanley M Cole | Psychiatry & Neurology | 402a Highland Ave Ste J, Somerville, MA 02144-2511 | 2005-11-16 |
| 1154784098 | Eileen Huttlin Kirtane | Psychiatry & Neurology | 26 Central Street, Somerville, MA 02143 | 2016-03-29 |
| 1316283708 | Dale Rosin | Psychiatry & Neurology | 129 Grove St, Somerville, NJ 08876-1922 | 2012-12-12 |
| 1497004469 | Psychiatric and Behavirol Health Solutions, LLC | Psychiatry & Neurology | 135 W End Ave, Somerville, NJ 08876-1809 | 2012-09-05 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 02144 |
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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.