PEDIATRIC WEIGHT MANAGEMENT CENTERS LLC (NPI# 1619147311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619147311 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC WEIGHT MANAGEMENT CENTERS LLC |
| Other Organization Name | GREAT MOVES |
| Practice Address |
188 Needham St Newton MA 02464-1596 |
| Practice Telephone | 6179280006 |
| Mailing Telephone | 6179280006 |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-07-31 |
| Authorized Official Name | MRS. ANN MARIE LYNCH (OFFICE MANAGER) |
| Authorized Official Telephone | 6179280006 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 132700000X | Dietary Manager | Dietary & Nutritional Service Providers |
| Other Name | Type Code |
|---|---|
| Great Moves | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | PEDIATRIC WEIGHT MANAGEMENT CENTERS LLC | 188 Needham St., Newton, MA 02464 |
| Street Address |
188 NEEDHAM ST |
| City | NEWTON |
| State | MA |
| Zip Code | 02464-1596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972526945 | James Barron | Psychologist | 188 Needham St, Newton, MA 02464-1596 | 2006-07-25 |
| 1245882604 | 42 North Dental Care, LLC | Clinic/Center | 188 Needham St, Newton, MA 02464-1596 | 2019-07-15 |
| 1932455441 | Jordan Kane | Speech-Language Pathologist | 188 Needham St, Newton, MA 02464-1596 | 2012-08-02 |
| 1548524234 | Betsy M Juarez | Psychologist | 188 Needham St, Newton, MA 02464-1596 | 2012-06-27 |
| 1669735585 | Children's Speech & Feeding Therapy Inc. | Speech-Language Pathologist | 188 Needham St, Newton, MA 02464-1596 | 2012-06-18 |
| 1508153891 | Haesung Han | Student in an Organized Health Care Education/Training Program | 188 Needham St, Newton, MA 02464-1596 | 2011-07-07 |
| 1932419488 | Robyn Mierzejewski | Speech-Language Pathologist | 188 Needham St, Newton, MA 02464-1596 | 2010-10-18 |
| 1275846347 | Pamela Marie Sorrell | Social Worker | 188 Needham St, Newton, MA 02464-1596 | 2010-07-19 |
| 1669500930 | Comprehensive Health Services, LLC | Counselor | 188 Needham St, Suite 220, Newton, MA 02464-1596 | 2007-03-01 |
| 1659406791 | Patricia Byrne Larson | Social Worker | 188 Needham St, Newton, MA 02464-1596 | 2007-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235799016 | Vi Dang | Pharmacist | 1175 Chestnut St Unit 24, Newton Upper Falls, MA 02464 | 2019-06-14 |
| 1861056657 | Freiberg- Dale Associates | In Home Supportive Care | 1254 Chestnut Street, 2nd Floor, Newton, MA 02464 | 2019-04-26 |
| 1770065633 | Eriny Agban | Counselor | 223 Needham St, Newton, MA 02464 | 2018-09-06 |
| 1629507025 | Marilyn Gamber | Nurse Practitioner | 141 Needham St Ste N205, Newton, MA 02464 | 2017-06-08 |
| 1275089880 | Carole Calderon | Social Worker | 28 Richardson Road, Newton Upper Falls, MA 02464 | 2016-09-01 |
| 1952797011 | Christine Maley | Occupational Therapist | 377 Elliot St Ste 110j, Newton Upper Falls, MA 02464 | 2015-04-15 |
| 1851780936 | Katrina Maclean X | Behavioral Analyst | 109 Oak Street Suite G10, Newton, MA 02464 | 2015-01-13 |
| 1447555909 | Sarah Russell | Speech-Language Pathologist | 43 River Ave, Newton Upper Falls, MA 02464 | 2011-01-14 |
| 1639328164 | Sanita D'souza | Audiologist | 23 Mechanic Street, S R Associates, Newton, MA 02464 | 2008-09-09 |
| 1366581845 | Julia Elizabeth French | Chiropractor | 383 Elliot St # F, Newton Upper Falls, MA 02464 | 2007-02-05 |
| Find all providers in zip 02464 | ||||
| Taxonomy Code | 132700000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietary Manager |
| A dietary manager is a trained food services professional who is charged with maintaining cost/profit objectives, purchasing foods and services for the department and supervising staff.. Dietary managers are trained to understand the basic nutritional needs of clients and work in partnership with dietitians, who offer specialized nutritional expertise. The CDM certified dietary manager designation is an advanced professional credential awarded to dietary managers who have completed specific course work, have passed the national credentialing exams (including a sanitation and safety exam) and have applied for certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821535014 | Julia Diamant | Dietary Manager | 113 Washington St, Foxboro, MA 02035-1332 | 2017-01-25 |
| 1083164123 | Dominique Cotton | Dietary Manager | 68 Annunciation Rd, Boston, MA 02120-1808 | 2016-10-13 |
| 1306262183 | Sara Schwarz | Dietary Manager | 200 Groton Rd, Ayer, MA 01432-1168 | 2014-03-17 |
| 1255561494 | Ayla Mariel Barmmer | Dietary Manager | 97 Lowell Rd, Concord, MA 01742-1733 | 2009-07-22 |
| 1275624124 | Bertha Herring-daniels | Dietary Manager | 200 Springs Rd, Bedford, MA 01730-1114 | 2006-09-27 |
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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.