AMANDA BRAVO (NPI# 1659970143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659970143 |
| Entity Type | Individual |
| Full Name | AMANDA BRAVO |
| Practice Address |
51 Kondazian St Watertown MA 02472-2830 |
| Mailing Address |
50 Capen St Dorchester MA 02124-4211 |
| Practice Telephone | 6176579227 |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194229591 | Amanda Joy Bravo | Community Health Worker | 426 S San Pedro St, Los Angeles, CA 90013-2119 | 2018-03-20 |
| Street Address |
51 KONDAZIAN ST |
| City | WATERTOWN |
| State | MA |
| Zip Code | 02472-2830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770573610 | John Peters | Social Worker | 51 Kondazian St, Watertown, MA 02472-2830 | 2005-10-23 |
| 1427657923 | Artrelief LLC | Clinic/Center | 51 Kondazian St, Watertown, MA 02472-2830 | 2020-10-26 |
| 1811505530 | Meghan Maureen O'neill | Counselor | 51 Kondazian St, Watertown, MA 02472-2830 | 2020-07-20 |
| 1215576913 | Ornella Lozier | Counselor | 51 Kondazian St, Watertown, MA 02472-2830 | 2019-12-27 |
| 1225675028 | Kelly Carvalho | Counselor | 51 Kondazian St, Watertown, MA 02472-2830 | 2019-11-30 |
| 1811532989 | Abubaker Alwahab | Counselor | 51 Kondazian St, Watertown, MA 02472-2830 | 2019-11-13 |
| 1851948186 | Jessica Gao | Counselor | 51 Kondazian St, Watertown, MA 02472-2830 | 2019-08-21 |
| 1841847324 | Catherine Mcauliffe | Counselor | 51 Kondazian St, Watertown, MA 02472-2830 | 2019-08-20 |
| 1942736616 | Lauren Kamerzel | Counselor | 51 Kondazian St, Watertown, MA 02472-2830 | 2017-05-02 |
| 1871961714 | Danielle Anika Domingue Sumi | Marriage & Family Therapist | 51 Kondazian St, Watertown, MA 02472 | 2015-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548735327 | Gladys Nakungu Kasansula | Counselor | Square Medical Group, 124 Watertown Street, Suite 2d, Watertown, MA 02472 | 2018-10-09 |
| 1447741962 | Hannah Edward | Optometrist | 550 Arsenal Street, Watertown, MA 02472 | 2018-05-21 |
| 1982193504 | Ruth Audrey Silverstein | Social Worker | Perkins School for The Blind, 175 North Beacon Street, Watertown, MA 02472 | 2018-05-09 |
| 1376067355 | Mostafa Medhati | Acupuncturist | 265 Lexington St., Watertown, MA 02472 | 2017-08-01 |
| 1003346313 | Eric Trant | Specialist/Technologist | 50 Columbia Street, Watertown, MA 02472 | 2017-06-19 |
| 1477007730 | Neangkanika Chea | Nurse Practitioner | 2 Repton Place, Apt 2204, Watertown, MA 02472 | 2016-08-04 |
| 1396128120 | Michelle Soares Darocha | Dentist | 18 Hovey Street, Watertown, MA 02472 | 2015-06-29 |
| 1760875496 | Ece Evin Yildirim | Acupuncturist | 557 Mt. Auburn St, Watertown, MA 02472 | 2015-03-05 |
| 1396140927 | Fabrizia Torazzi | Behavioral Analyst | 51 Water Street, Suite 200, Watertown, MA 02472 | 2014-10-24 |
| 1265774392 | Emilia Ann Fulop | Social Worker | 127 North Beacon Street, Watertown, MA 02472 | 2013-03-27 |
| Find all providers in zip 02472 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033725023 | Jade Kirsten Sorensen | Counselor | 210 S Rutland St, Watertown, NY 13601-3437 | 2020-09-16 |
| 1467061184 | Emma Rockwood | Counselor | 531 Washington St Ste 4124, Watertown, NY 13601-4037 | 2020-07-28 |
| 1083231377 | Katherine Anne Cahill | Counselor | 22679 Duffy Road, Watertown, NY 13601 | 2020-07-02 |
| 1134755440 | Patricia A Jonas | Counselor | 801 Jenson Ave Se, Watertown, SD 57201-5227 | 2020-03-18 |
| 1497389068 | Randi Hartman | Counselor | 818 S Broadway, Watertown, SD 57201-4861 | 2020-02-23 |
| 1316589484 | Aspen Counseling Services, Pllc | Counselor | 1019 6th Ave Se, Watertown, SD 57201-6603 | 2019-10-10 |
| 1285283911 | Stephanie Mae Wensink | Counselor | 3 Repton Cir Unit 3306, Watertown, MA 02472-2444 | 2019-09-05 |
| 1275095853 | Katherine Richey | Counselor | 118 Main St Ste 1b, Watertown, MA 02472-4425 | 2019-04-03 |
| 1790254654 | Kelsey Leigh Naklick | Counselor | 22670 Summit Dr Ste 2, Watertown, NY 13601-7208 | 2018-11-20 |
| 1336618396 | Better Me Counseling and Consulting | Counselor | 818 S Broadway Ste 113, Watertown, SD 57201-4800 | 2018-11-20 |
| Find all providers in WATERTOWN | ||||
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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.