FRESH START PSYCHOLOGICAL SERVICES LLC (NPI# 1629508171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629508171 |
| Entity Type | Organization |
| Organization Name | FRESH START PSYCHOLOGICAL SERVICES LLC |
| Practice Address |
18 Railroad St Ste 1 Andover MA 01810-3570 |
| Practice Telephone | (978) 222-9818 |
| Practice Fax Number | 9788249475 |
| Mailing Telephone | 9782229818 |
| Mailing Fax Number | 9788249475 |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2017-06-18 |
| Authorized Official Name | DR. DIANE GREEN REILLY (MANAGER) |
| Authorized Official Telephone | 9782229818 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
7734 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | NPI | 1821363615 | 01 |
| Street Address |
18 RAILROAD ST STE 1 |
| City | ANDOVER |
| State | MA |
| Zip Code | 01810-3570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881990133 | Nuning T Murphy | Psychologist | 18 Railroad St Ste 1, Andover, MA 01810-3570 | 2011-02-03 |
| 1619433257 | Rise As You Are Counseling, LLC | Counselor | 18 Railroad St Ste 1, Andover, MA 01810-3570 | 2019-02-19 |
| 1578031118 | Sparrow Counseling Services, LLC | Counselor | 18 Railroad St Ste 1, Andover, MA 01810-3570 | 2018-11-12 |
| 1225558885 | Psychological Services of Andover, LLC | Psychologist | 18 Railroad St Ste 1, Andover, MA 01810-3570 | 2017-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871123513 | Jill Katherine Priestley | Registered Nurse | 251 South Main Street, Andover, MA 01810 | 2020-01-22 |
| 1023672086 | Diane Marie Gallant | Occupational Therapy Assistant | 5606 80 Andover Street, Andover, MA 01810 | 2019-04-25 |
| 1932677473 | Jessica Howie | Physician Assistant | 28 Andover St Fl 1, Andover, MA 01810 | 2018-11-02 |
| 1972087138 | Mia Cloonan | Social Worker | 1 Punchard Avenue, Apt. 3 Rear, Andover, MA 01810 | 2018-09-23 |
| 1063995462 | Janet Suleski | Social Worker | 10 Stevens St, Andover, MA 01810 | 2018-09-11 |
| 1942794706 | Alison Catherine Lynch | Optometrist | 7 Parthenon Cir, Andover, MA 01810 | 2018-06-15 |
| 1740773647 | Wandajune Bishop-towle | Psychologist | 75 Wild Rose Dr., Andover, MA 01810 | 2018-06-14 |
| 1235689860 | Jo-ann Elizabeth Newcomb | Registered Nurse | 12 Hemlock Rd, Andover, MA 01810 | 2016-10-06 |
| 1922476712 | Marianela Rivera | Physical Therapist | 32 Osgood St., Andover, MA 01810 | 2015-09-10 |
| 1447535935 | Kathleen L Mccracken | Occupational Therapy Assistant | 200 Brickstone Square, 3rd Floor, Genesis Rehab Services, Andover, MA 01810 | 2011-10-15 |
| Find all providers in zip 01810 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346739208 | Raymond Francis Dlugos | Psychologist | 196 Elm St, Andover, MA 01810-1637 | 2018-05-07 |
| 1003351388 | John Charles Pakstis | Psychologist | 3 Dundee Park Dr, Suite 203, Andover, MA 01810-3751 | 2016-12-22 |
| 1700810025 | General Psychological Associates | Psychologist | 3 Dundee Park Dr, Suite 203, Andover, MA 01810-3723 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817489 | Trevor Allan Cote | Psychologist | 137 Newbury St # 6b, Boston, MA 02116-2912 | 2020-10-08 |
| 1942840244 | Joshua Michael Edwards | Psychologist | 200 Southwick Rd Apt 12, Westfield, MA 01085-4797 | 2020-01-14 |
| 1235787045 | Joy Victoria Albiani | Psychologist | 500 Amory St Ste 300, Jamaica Plain, MA 02130-2775 | 2019-08-27 |
| 1144882234 | Barbara Fritts Phd Licensed Psychologist | Psychologist | 23 Water St # 105, Holliston, MA 01746-2364 | 2019-06-28 |
| 1114496031 | Melanie Cadet | Psychologist | 440 Hancock St Ste 8-248, Quincy, MA 02171-2442 | 2018-11-20 |
| 1710466685 | Denise A Green | Psychologist | 21 Matoon St, Amherst, MA 01002-2107 | 2018-08-10 |
| 1639663065 | Martha Hardy Lamb | Psychologist | 7 Commonwealth Ave, Dedham, MA 02026-1403 | 2018-06-19 |
| 1740773977 | Jennifer Grossman | Psychologist | 192 Carlton Rd, Waban, MA 02468-1836 | 2018-06-12 |
| 1467945022 | Carmen M Torres | Psychologist | 21 Fenwood Rd Apt 2, Boston, MA 02115-6101 | 2018-06-08 |
| 1144712936 | Jacqueline Bearce | Psychologist | 132 Pondview Dr, Amherst, MA 01002-3258 | 2018-06-06 |
| Find all providers with the same taxonomy | ||||
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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.