CLAYTON MARR III (NPI# 1689136269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689136269 |
| Entity Type | Individual |
| Full Name | CLAYTON MARR III |
| Practice Address |
63 Fountain St Ste 503 Framingham MA 01702-6279 |
| Practice Telephone | 5088759529 |
| Mailing Telephone | 5088759529 |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
63 FOUNTAIN ST STE 503 |
| City | FRAMINGHAM |
| State | MA |
| Zip Code | 01702-6279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447608716 | Elizabeth Maria Gloria Romero | Psychologist | 63 Fountain St Ste 503, Framingham, MA 01702-6279 | 2016-05-27 |
| 1396359501 | Marissa May Mcbride | Counselor | 63 Fountain St Ste 503, Framingham, MA 01702-6279 | 2020-09-04 |
| 1629602487 | Zachary Dumay | Peer Specialist | 63 Fountain St Ste 503, Framingham, MA 01702-6279 | 2020-03-02 |
| 1053945816 | Leah Rose Levine | Peer Specialist | 63 Fountain St Ste 503, Framingham, MA 01702-6279 | 2020-03-02 |
| 1609406883 | Tessa Lewis | Counselor | 63 Fountain St Ste 503, Framingham, MA 01702-6279 | 2020-01-16 |
| 1467001321 | Zaklina Parzych | Case Manager/Care Coordinator | 63 Fountain St Ste 503, Framingham, MA 01702-6279 | 2019-09-04 |
| 1366003725 | Jerome Dobson | Peer Specialist | 63 Fountain St Ste 503, Framingham, MA 01702-6279 | 2019-06-26 |
| 1922664028 | Elisa M Bermudez Dejesus | Counselor | 63 Fountain St Ste 503, Framingham, MA 01702-6279 | 2019-05-14 |
| 1841768074 | Ashley O'niell | Social Worker | 63 Fountain St Ste 503, Framingham, MA 01702-6279 | 2018-11-06 |
| 1720562317 | Jessica Marie Kales | Case Manager/Care Coordinator | 63 Fountain St Ste 503, Framingham, MA 01702-6279 | 2018-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720635295 | Astrid Bautista | Counselor | 345 Waverly Street, Framingham, MA 01702 | 2019-08-20 |
| 1598223588 | Roshini Mary Mathew | Counselor | 298 Howard Street Suite 100, Framingham, MA 01702 | 2019-03-08 |
| 1114401411 | Raquel Suzanne Martha Woodard | Social Worker | 475 Franklin St Suite 101 Adoption Choices, Framingham, MA 01702 | 2018-09-21 |
| 1457840720 | Randine Elizabeth Parry | Psychologist | 15 Cherry Oca Ln, Framingham, MA 01702 | 2018-05-02 |
| 1043707664 | Amanda Coughlin | Social Worker | 475 Franklin St Ste 101, Framingham, MA 01702 | 2018-04-19 |
| 1649799438 | Davis Square Dental Specialists LLC | Dentist | 509 Concord Street, Framingham, MA 01702 | 2017-09-13 |
| 1801315775 | Zahra Majidi | Developmental Therapist | Criterion, 651 Franklin St., Framimgham, MA 01702 | 2017-09-12 |
| 1356893119 | Angelic Love Home Care | Home Health | 47 Melen St, Framingham, MA 01702 | 2016-10-27 |
| 1598116634 | Katherine Mcclean | Nutritionist | 19 Linden St Apt D, Framingham, MA 01702 | 2016-06-30 |
| 1205282548 | Rafaela Dos Santos | Nurse Practitioner | 354 Waverly St., Framingham, MA 01702 | 2016-05-05 |
| Find all providers in zip 01702 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114553989 | Theresa Buccico | Peer Specialist | 284 Union Ave, Framingham, MA 01702-6318 | 2020-03-12 |
| 1629602487 | Zachary Dumay | Peer Specialist | 63 Fountain St Ste 503, Framingham, MA 01702-6279 | 2020-03-02 |
| 1053945816 | Leah Rose Levine | Peer Specialist | 63 Fountain St Ste 503, Framingham, MA 01702-6279 | 2020-03-02 |
| 1790324374 | Megan Elizabeth Trask | Peer Specialist | 1881 Worcester Rd, Framingham, MA 01701-5410 | 2019-12-31 |
| 1629625199 | Tasha Digeronimo | Peer Specialist | 1881 Worcester Rd, Framingham, MA 01701-5410 | 2019-08-20 |
| 1366003725 | Jerome Dobson | Peer Specialist | 63 Fountain St Ste 503, Framingham, MA 01702-6279 | 2019-06-26 |
| 1366009789 | Caitlin Ann Pallin | Peer Specialist | 1881 Worcester Rd, Framingham, MA 01701-5410 | 2019-05-21 |
| 1093379596 | Jennifer Colecchi | Peer Specialist | 1881 Worcester Rd, Framingham, MA 01701-5410 | 2019-04-30 |
| 1437617529 | Diana B Duquette | Peer Specialist | 88 Lincoln St, Framingham, MA 01702-6354 | 2019-03-07 |
| 1881152205 | Courtney Dewey | Peer Specialist | 1881 Worcester Rd, Framingham, MA 01701-5410 | 2019-03-05 |
| Find all providers in FRAMINGHAM | ||||
| City | FRAMINGHAM |
| Zip Code | 01702 |
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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.