DR. STEPHANIE ALEXIS DAVIDOFF (NPI# 1669421236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669421236 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE ALEXIS DAVIDOFF |
| Credential | M.D. PH.D. |
| Practice Address |
27 Mica Ln Suite 205 Wellesley MA 02481-1724 |
| Mailing Address |
76 Whitney St Sherborn MA 01770-1006 |
| Practice Telephone | 7817511275 |
| Practice Fax Number | 7812357912 |
| Mailing Telephone | 5086538398 |
| Mailing Fax Number | 5086556510 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
76772 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | DEA NUMBER | BD7553820 | 01 |
| Street Address |
27 MICA LN SUITE 205 |
| City | WELLESLEY |
| State | MA |
| Zip Code | 02481-1724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366920936 | Jennifer Marie Kadilak | Social Worker | 27 Mica Ln, Wellesley, MA 02481-1724 | 2018-08-05 |
| 1912325085 | Kathleen O'meara, Aprn PC | Clinic/Center | 27 Mica Ln, Suite 205, Wellesley, MA 02481-1724 | 2014-04-04 |
| 1902161953 | For Our Communities - Focus, Inc. | In Home Supportive Care | 27 Mica Ln, Suite 300, Wellesley, MA 02481-1724 | 2012-07-05 |
| 1053535518 | Nancy J Donovan | Psychiatry & Neurology | 27 Mica Ln, Suite 106, Wellesley, MA 02481-1724 | 2007-04-13 |
| 1538215389 | Jeanne Watson Driscoll, Ms,rn,cs,pc | Registered Nurse | 27 Mica Ln, Suite 205, Wellesley, MA 02481-1724 | 2007-01-26 |
| 1144376906 | Kathleen O'meara | Clinical Nurse Specialist | 27 Mica Ln, Suite 205, Wellesley, MA 02481-1724 | 2007-01-26 |
| 1629126453 | Hal Duncan Cash | Psychiatry & Neurology | 27 Mica Ln, Wellesley, MA 02481-1724 | 2007-01-08 |
| 1265509558 | Fredda Zuckerman | Counselor | 27 Mica Ln, Suite 205, Wellesley, MA 02481-1724 | 2006-11-29 |
| 1891865606 | Jeanne Watson Driscoll | Nurse Practitioner | 27 Mica Ln, Wellesley, MA 02481-1724 | 2006-11-09 |
| 1124067210 | Alison C Phillips | Psychiatry & Neurology | 27 Mica Ln, Suite 205, Wellesley, MA 02481-1724 | 2006-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699329797 | Jeffrey A. Harrison, Dmd, PC | Dentist | 258 Washington Street, Wellesley, MA 02481 | 2019-07-26 |
| 1922651215 | Steffanie Accorsi | Behavior Technician | 110 Cedar St, Suite 10, Wellesley, MA 02481 | 2019-07-17 |
| 1023673977 | Alka Swarup | Occupational Therapist | 10 Hunnewell Street, Wellesley Hls, MA 02481 | 2019-05-07 |
| 1740779511 | Marianne Brandon | Psychologist | Marianne Brandon Phd, 25 Walnut St #202, Wellesley Hills, MA 02481 | 2018-05-07 |
| 1558722686 | Robin Cook-nobles | Psychologist | 106 Central Street, The Stone Center Wellesley College, Wellesley, MA 02481 | 2016-03-17 |
| 1851760169 | Samantha Eve Jordan | Student in an Organized Health Care Education/Training Program | 30 Washington Street Suite 300, Wellesley, MA 02481 | 2015-09-16 |
| 1942677224 | Sandra Schwartz | Physical Therapist | Summit Orthopedic Therapy, 40 Washington Street, Wellesly, MA 02481 | 2015-08-21 |
| 1053710467 | Train Boston Physical Therapy, Inc. | Exclusive Provider Organization | 34 Washington Street, Wellesley, MA 02481 | 2014-08-21 |
| 1124458344 | Allison Arrigg | Counselor | 11 Chapel Place, Human Relations Service, Wellesley Hills, MA 02481 | 2013-11-25 |
| 1932531472 | Abigail Gorman Daunis | Physical Therapist | 34 Washington St., Wellesley, MA 02481 | 2013-08-07 |
| Find all providers in zip 02481 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609014232 | Thomas E Snyder | Psychiatry & Neurology | 10 Allen Rd, Wellesley, MA 02481-6727 | 2009-02-04 |
| 1376722306 | Ibrahim B Dagher | Psychiatry & Neurology | 24 Crown Ridge Rd, Wellesley, MA 02482-4635 | 2007-10-26 |
| 1396864781 | Robert L Pyles | Psychiatry & Neurology | 367 Worcester St, Wellesley, MA 02481-5346 | 2007-03-28 |
| 1710002639 | Dan H Buie | Psychiatry & Neurology | 38 Cliff Rd, Wellesley, MA 02481-3024 | 2007-03-20 |
| 1841381977 | Andrew Guy Compaine | Psychiatry & Neurology | One Hollis Street, Suite 430, Wellesley, MA 02482-4631 | 2006-09-27 |
| 1366543357 | William Baron Rothschild | Psychiatry & Neurology | 49 Eisenhower Cir, Wellesley, MA 02482-7120 | 2006-09-25 |
| 1477660157 | Martin Merovitz | Psychiatry & Neurology | 1a Mayo Rd, Wellesley, MA 02482 | 2006-08-25 |
| 1366477499 | Stephen Patrick Mcdermott | Psychiatry & Neurology | 25 Walnut St, Ste 200, Wellesley, MA 02481 | 2006-07-11 |
| 1811943137 | Vincent Desantis | Psychiatry & Neurology | 572 Washington St, Wellesley, MA 02482-6418 | 2006-05-26 |
| 1992756530 | Edwin Mikkelsen | Psychiatry & Neurology | 67 Yarmouth Rd, Wellesley, MA 02481-1248 | 2006-05-15 |
| Find all providers in WELLESLEY | ||||
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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.