FAIRWINDS-NANTUCKET'S COUNSELING CENTER, INC (NPI# 1629537444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629537444 |
| Entity Type | Organization |
| Organization Name | FAIRWINDS-NANTUCKET'S COUNSELING CENTER, INC |
| Practice Address |
20 Vesper Ln L-1 Gouin Village Nantucket MA 02554-4394 |
| Practice Telephone | 5082282689 |
| Practice Fax Number | 5082283613 |
| Mailing Telephone | 5082282689 |
| Mailing Fax Number | 5082283613 |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-19 |
| Authorized Official Name | JENNIFER MCCOSH (REVENUE CYCLE MANAGER) |
| Authorized Official Telephone | 8014719975 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Family & Children's Services of Nantucket County | Former Legal Business Name - Organization |
| Street Address |
20 VESPER LN L-1 GOUIN VILLAGE |
| City | NANTUCKET |
| State | MA |
| Zip Code | 02554-4394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275621385 | Fairwinds-nantuckets Counseling Center | Clinic/Center | 20 Vesper Ln, L-1 Gouin Village, Nantucket, MA 02554-4394 | 2006-10-11 |
| 1336759570 | Nora Harrington | Counselor | 20 Vesper Ln, Nantucket, MA 02554-4394 | 2020-08-03 |
| 1770105025 | Nicole Sandoval | Counselor | 20 Vesper Ln, Nantucket, MA 02554-4394 | 2020-05-09 |
| 1538726286 | Tucker Anthony Haddon | Counselor | 20 Vesper Ln, Nantucket, MA 02554-4394 | 2019-05-28 |
| 1174180830 | Michael Getter | Counselor | 20 Vesper Ln, Nantucket, MA 02554-4394 | 2019-05-28 |
| 1366009383 | Olivia Stirlen Mclean | Behavior Technician | 20 Vesper Ln, Nantucket, MA 02554-4394 | 2019-05-24 |
| 1992269625 | Heather Anne Nardone | Counselor | 20 Vesper Ln, Nantucket, MA 02554-4394 | 2019-01-28 |
| 1013471192 | Mary Graves | Counselor | 20 Vesper Ln, Nantucket, MA 02554-4394 | 2019-01-23 |
| 1124594239 | Shantoi Usher | Behavior Technician | 20 Vesper Ln, Nantucket, MA 02554-4394 | 2018-10-16 |
| 1053893131 | Allison Gayo | Counselor | 20 Vesper Ln, Nantucket, MA 02554-4394 | 2018-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508420621 | Nantucket Oral Surgery Pllc | Dentist | 19 1/2 Surfside Drive, Nantucket, MA 02554 | 2019-04-24 |
| 1891221909 | Bryan Frascati | Counselor | 7 E Bayberry Court, Nantucket, MA 02554 | 2017-05-10 |
| 1487047254 | Rita C. Chrappa | Psychologist | 117 Pleasant St., Nantucket, MA 02554 | 2015-03-18 |
| 1568800803 | Southeast Orthodontics | Dentist | 19 1/2 Surfside Road, Nantucket, MA 02554 | 2013-06-10 |
| 1578804423 | Bonnie Fitz-gibbon | Counselor | 68 South Shore Road, Nantucket, MA 02554 | 2013-03-01 |
| 1689944811 | Nantucket Dermatology, LLC | Dermatology | 4.5 Bartlett Rd, Nantucket, MA 02554 | 2012-01-04 |
| 1003184250 | Moirar M. Leveille | Counselor | 20 Vesper Lane L-1, Nantucket, MA 02554 | 2011-12-02 |
| 1750685459 | Michelle Meckler | Counselor | 20 Vesper Lane, L-1 Gouin Village, Nantucket, MA 02554 | 2011-01-10 |
| 1245480888 | Betty K Dupont | Physical Therapist | 43 Warrens Landing Rd, Nantucket, MA 02554 | 2008-09-19 |
| 1962669770 | Roy M Davis | Dentist | 11 Amelia Drive, Nantucket, MA 02554 | 2008-05-20 |
| Find all providers in zip 02554 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518455021 | Taylor K. Baker | Pediatrics | 12 Ridge Rd, Foxborough, MA 02035-1400 | 2018-04-30 |
| 1285018911 | Amel Alawami | Pediatrics | 800 Washington St # 334, Boston, MA 02111-1552 | 2015-07-13 |
| 1235541152 | Naomi Bloom Gershon | Pediatrics | 100 High St Ste 200, Westwood, MA 02090-1100 | 2014-05-27 |
| 1831225424 | Ramzi H Nasir | Pediatrics | Children's Hospital, Gen'l Pediatrics, 300 Longwood Ave., Boston, MA 02115 | 2007-02-26 |
| 1972667103 | Winifred B Parker | Pediatrics | 20 Lincoln Rd, Wayland, MA 01778-1302 | 2006-12-21 |
| 1083787634 | William Austin Haffner Sammons | Pediatrics | 84 Moorland St, Williamstown, MA 01267-2410 | 2006-11-15 |
| 1831284041 | Daniel Nussbaum II | Pediatrics | 5 Dover St, Suite 103, New Bedford, MA 02740-6258 | 2006-10-04 |
| 1962416461 | Dennis J Rosen | Pediatrics | 157 Columbia Drive, Amherst, MA 01002 | 2006-07-28 |
| 1417996273 | Laurel Kristin Leslie | Pediatrics | 800 Washington St # Mc345, Tufts Medical Center Floating Hospital for Children, Boston, MA 02111-1552 | 2006-06-06 |
| 1659328433 | Marcel Kinsbourne | Pediatrics | 158 Cambridge St, Winchester, MA 01890-2414 | 2006-05-27 |
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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.