DR. MARK EISENBERG (NPI# 1598870438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598870438 |
Entity Type | Individual |
Full Name | DR. MARK EISENBERG |
Credential | PH.D. |
Practice Address |
251 Causeway St Room 229 Boston MA 02114-2148 |
Mailing Address |
95 Chase Run Stoughton MA 02072-3558 |
Practice Telephone | 6172481007 |
Mailing Telephone | 7814363404 |
Enumeration Date | 2006-08-20 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103T00000X | Psychologist | 2148 | MA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871611731 | Mark Eisenberg | Neurological Surgery | Nslij -department of Neurosurgery, 900 Northern Boulevard, Great Neck, NY 11021 | 2007-03-27 |
1982713905 | Mark F Eisenberg | Dentist | 1811 S. Crain Hwy, Glen Burnie, MD 21061 | 2006-08-30 |
1467539254 | Mark Eisenberg | Physical Therapist | 67 Lacey Rd, Whiting, NJ 08759-2912 | 2006-11-01 |
1477588911 | Mark H Eisenberg | Emergency Medicine | 2520 Cherry Ave, Bremerton, WA 98310-4229 | 2006-07-12 |
1487628418 | Mark Philip Eisenberg | Internal Medicine | 73 High St, Charlestown Healthcare Center, Charlestown, MA 02129-3026 | 2006-02-15 |
Street Address |
251 CAUSEWAY ST ROOM 229 |
City | BOSTON |
State | MA |
Zip Code | 02114-2148 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215995410 | Boston Vamc | Department of Veterans Affairs (VA) Pharmacy | 251 Causeway St, Boston, MA 02114-2148 | 2006-05-04 |
1720691819 | Sasha Marianna Dias | Social Worker | 251 Causeway St, Boston, MA 02114-2148 | 2020-08-28 |
1649830894 | Olivia Finnegan | Social Worker | 251 Causeway St, Boston, MA 02114-2148 | 2019-06-19 |
1982110409 | Jessica Mcleod | Social Worker | 251 Causeway St, Boston, MA 02114-2148 | 2017-12-20 |
1205214012 | Vanessa Lyn Weekley | Social Worker | 251 Causeway St, Boston, MA 02114-2148 | 2015-05-12 |
1730584624 | Eric Lefevre | Social Worker | 251 Causeway St, Boston, MA 02114-2148 | 2014-11-04 |
1609157411 | Meghan Shanahan | Registered Nurse | 251 Causeway St, 3rd Floor, Boston, MA 02114-2148 | 2011-09-07 |
1508146358 | Patricia Jeanne Lieber | Social Worker | 251 Causeway St, Boston, MA 02114-2148 | 2011-08-25 |
1982918850 | Nicole Bosse | Pharmacist | 251 Causeway St, Boston, MA 02114-2148 | 2010-08-03 |
1528224409 | Denise Marie Flynn | Social Worker | 251 Causeway St, Boston, MA 02114-2148 | 2008-07-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
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Taxonomy Code | 103T00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
Notes: Source: American Psychological Association [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841897345 | Sade Callwood | Psychologist | 185 Devonshire St Ste 800, Boston, MA 02110-1414 | 2020-10-07 |
1184239808 | Morgan Eleanor Smigielski | Psychologist | 65 Park Dr Apt 18, Boston, MA 02215-5238 | 2020-09-10 |
1679183230 | Holly Muller | Psychologist | 225 Friend St, Boston, MA 02114-1800 | 2020-08-07 |
1942826813 | David Leo Pendergast | Psychologist | 36 A St Unit 6c, Boston, MA 02127-1870 | 2020-06-17 |
1063035566 | Hermine Muskat | Psychologist | 1313 Washington St Apt 521, Boston, MA 02118-2170 | 2020-05-19 |
1750914503 | Stephanie Petit Jean Louis | Psychologist | 80 Fenwood Rd Unit 405, Boston, MA 02115-6138 | 2020-02-20 |
1164078754 | Alexandria Miller | Psychologist | 801 Massachusetts Ave # 2067, Boston, MA 02118-2605 | 2019-08-10 |
1356824288 | Mira Mooreville Nurko | Psychologist | 71 Rockview St, Boston, MA 02130-2147 | 2018-09-06 |
1083195416 | Lawrence Pilkington Stifler | Psychologist | 99 Summer St Fl 12, Boston, MA 02110-1213 | 2018-08-23 |
1952896326 | Amy R. Pettit | Psychologist | 11 Deerfield St, Boston, MA 02215-5600 | 2018-06-27 |
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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.