MR. BRANDON TERRELL-ROBERT GHOLSON (NPI# 1639420011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639420011 |
| Entity Type | Individual |
| Full Name | MR. BRANDON TERRELL-ROBERT GHOLSON |
| Credential | M,S, |
| Practice Address |
313 Congress St Boston MA 02210-1218 |
| Practice Telephone | 6177904908 |
| Mailing Telephone | 6177904908 |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MA | Behavioral Health & Social Service Providers |
| Street Address |
313 CONGRESS ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02210-1218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215210182 | Institute for Family Centered Services, Inc. | Community/Behavioral Health | 313 Congress St, 5th Floor, Boston, MA 02210-1218 | 2011-09-27 |
| 1255746079 | Adult Day Health, Inc. | Clinic/Center | 313 Congress St, Boston, MA 02210-1218 | 2014-07-01 |
| 1336491851 | Angelica V Gomez | Counselor | 313 Congress St, Boston, MA 02210-1218 | 2012-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104339308 | Jand Inc. | Eyewear Supplier (Equipment, not the service) | 72 Seaport Blvd, Boston, MA 02210 | 2017-11-09 |
| 1548655541 | Virtudent Ma LLC | Dentist | 21 Drydock Ave. 6th Floor, C/o Masschallenge, Boston, MA 02210 | 2015-04-06 |
| 1013310242 | Ella Osborn | Dentist | 268 Summer St, Boston, MA 02210 | 2014-10-02 |
| 1215231071 | Healthworks Med Group of Massachusetts P C | Clinic/Center | 245 Summer St Ste 1100, Boston, MA 02210 | 2011-01-07 |
| 1225228323 | Lisa R Hirschhorn | Internal Medicine | Jsi Research & Training, 44 Farnsworth Street, Boston, MA 02210 | 2007-07-26 |
| 1003038365 | Ma Department of Youth Services | Public Health or Welfare | 27 Wormwood Street, Suite 400, Boston, MA 02210 | 2007-05-03 |
| 1043365786 | Carol I Williams | Surgery | Mcmcllc, 88 Black Falcon Pier, Boston, MA 02210 | 2007-01-24 |
| 1801955265 | Anjali Aggarwal | Anesthesiology | One Park Lane, Apartment #1005, Boston, MA 02210 | 2006-12-08 |
| 1609987312 | Morton Bruce Rosenberg | Dentist | 25 Channel Center Street, #802, Boston, MA 02210 | 2006-08-31 |
| 1063446714 | Robert C Parke | Family Medicine | Boston Meps Medical Section, 495 Summer Street, Boston, MA 02210 | 2006-07-10 |
| Find all providers in zip 02210 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019800 | Anabel Rohrer | Counselor | 189 Princeton St Apt 1, Boston, MA 02128-3517 | 2020-10-05 |
| 1174138499 | Rachel Theresa Feddor | Counselor | 1970 Commonwealth Ave Apt 48, Boston, MA 02135-5820 | 2020-09-14 |
| 1356953673 | Colleen Murray | Counselor | 45 Montcalm Ave, Boston, MA 02135-2839 | 2020-08-18 |
| 1326657487 | Laqueen Arleen Battle | Counselor | 101 Arch Street, 8th Floor, Ste 869, Boston, MA 02110 | 2020-07-24 |
| 1134737240 | Jeandrilie Font-llorens | Counselor | 440 Mcclellan Hwy Ste 105b, Boston, MA 02128-1101 | 2020-07-15 |
| 1255959524 | Discover Healing Therapy LLC | Counselor | 185 Devonshire St Ste 501, Boston, MA 02110-1415 | 2020-07-13 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1013537992 | James Jeffrey Yelinek Jr. | Counselor | 80 Fenwood Rd Unit 614, Boston, MA 02115-6148 | 2020-04-21 |
| 1952944290 | Chabreah Alston | Counselor | 23 Cameron St Apt 3, Boston, MA 02125-4463 | 2019-10-18 |
| 1720620271 | Cheryl Pamela Lewis | Counselor | 155 Northampton St Apt 408, Boston, MA 02118-1845 | 2019-10-16 |
| Find all providers in BOSTON | ||||
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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.