BOSTON CENTER FOR MEMORY, INC (NPI# 1609142017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609142017 |
| Entity Type | Organization |
| Organization Name | BOSTON CENTER FOR MEMORY, INC |
| Practice Address |
180 Wells Ave. Suite 304 Newton MA 02459 |
| Practice Telephone | 6176996927 |
| Practice Fax Number | 6173835874 |
| Mailing Telephone | 6176996927 |
| Mailing Fax Number | 6173835874 |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2018-03-21 |
| Authorized Official Name | DR. GUY BERNARD DEBROS (BILLING SPECIALIST) |
| Authorized Official Telephone | 8024471409 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
180 WELLS AVE. SUITE 304 |
| City | NEWTON |
| State | MA |
| Zip Code | 02459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558843912 | Nancy Smith | Social Worker | 504 Ward St, Newton, MA 02459 | 2018-09-03 |
| 1730608100 | Nicole M La Camera | Counselor | 39 Chestnut Terrace, Newton, MA 02459 | 2017-09-16 |
| 1154851368 | Crmb Physician Group Pllc | Obstetrics & Gynecology | 300 Boylston, Newton Corner, MA 02459 | 2017-06-20 |
| 1497156392 | The Spiegel Center | Clinic/Center | 335 Boylston Street, Front, Newton, MA 02459 | 2014-09-10 |
| 1073944294 | Aviva Care | In Home Supportive Care | 30 Bontempo Rd, Newton, MA 02459 | 2013-12-13 |
| 1053689950 | Deborah Anne Sichel | Psychiatry & Neurology | 446 Brookline Street, Newton, MA 02459 | 2011-12-06 |
| 1437433216 | Micah Walsh Adams | Social Worker | 32 Union St. Suite 3, Newton, MA 02459 | 2011-09-28 |
| 1245532746 | Rochelle Eve Goldin | Occupational Therapist | 333 Nahanton Street, Newton, MA 02459 | 2010-12-03 |
| 1609177302 | Ellen Gail Forst | Speech-Language Pathologist | 333 Nahunton Street, Newton, MA 02459 | 2010-11-11 |
| 1225283609 | Enhanced Auditory Resources LLC | Hearing Aid Equipment | 181 Wells Avenue, Suite 100, Newton, MA 02459 | 2008-11-26 |
| Find all providers in zip 02459 | ||||
| Taxonomy Code | 2084B0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Behavioral Neurology & Neuropsychiatry |
| Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. |
| Notes: Source: National Uniform Claim Committee. [1/1/2012: new] Additional Resources: American Academy of Neurology, www.aan.com. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477021491 | Aliyu Oster Ojei | Psychiatry & Neurology | 40 W Park St, Brockton, MA 02301-5241 | 2018-11-07 |
| 1649798000 | Awareness Therapy Center, LLC | Psychiatry & Neurology | 264 N Main St Ste 1a, East Longmeadow, MA 01028-1815 | 2017-09-06 |
| 1588958631 | Alessandro Biffi | Psychiatry & Neurology | 15 Parkman St # 8835, Boston, MA 02114-3117 | 2011-06-07 |
| 1952322364 | Eric Charles Dessain | Psychiatry & Neurology | 62 Conant Rd, Garage Entrance, Lincoln, MA 01773-3913 | 2006-07-21 |
| 1356906572 | Spectrum Neuro Behavioral Care LLC | Psychiatry & Neurology | 61 Lincoln St Ste 203, Framingham, MA 01702-8264 | 2019-05-02 |
| 1154984862 | Edward Douglas II | Psychiatry & Neurology | 850 Harrison Ave, Boston, MA 02118-4001 | 2019-04-18 |
| 1508358391 | Sharon Sedik | Psychiatry & Neurology | 140 High St Ste 230, Springfield, MA 01105-1435 | 2018-06-06 |
| 1215236476 | Brigid Dwyer | Psychiatry & Neurology | 725 Albany St, Shapiro 7, Suite B, Boston, MA 02118-2526 | 2011-03-26 |
| 1194988659 | Seth A. Gale | Psychiatry & Neurology | 221 Longwood Ave, Mezzanine 80, Boston, MA 02115-5804 | 2008-07-05 |
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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.