DR. RONALD J. KILLIANY (NPI# 1699755645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699755645 |
| Entity Type | Individual |
| Full Name | DR. RONALD J. KILLIANY |
| Credential | PH.D. |
| Practice Address |
6 Essex Center Dr Peabody MA 01960-2904 |
| Mailing Address |
8 Pickett St Marblehead MA 01945-3566 |
| Practice Telephone | 9785328010 |
| Mailing Telephone | 6176388082 |
| Mailing Fax Number | 6176384922 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2019-12-21 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 6861 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS BLUE SHIELD | W06041 | 01 |
| MA | HAVARD PILGRIM | 009934 | 01 |
| MA | MASSHEALTH | 0596159 | 01 |
| Street Address |
6 ESSEX CENTER DR |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-2904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831198217 | Peabody Obgyn, LLC | Obstetrics & Gynecology | 6 Essex Center Dr, Suite 206, Peabody, MA 01960-2910 | 2005-07-19 |
| 1194270413 | St Marys Internal Medicine PC | Clinic/Center | 6 Essex Center Dr, Suite 304, Peabody, MA 01960-2904 | 2016-08-16 |
| 1427434083 | Salem Peabody Oral Surgery Inc. | Clinic/Center | 6 Essex Center Dr, Suite 112a, Peabody, MA 01960-2904 | 2015-08-06 |
| 1003208216 | Essex Neurological Associates | Psychiatry & Neurology | 6 Essex Center Dr, Suite 307, Peabody, MA 01960-2904 | 2015-02-25 |
| 1770992794 | Marguerite Cycz | Registered Nurse | 6 Essex Center Dr, Peabody, MA 01960-2904 | 2014-08-04 |
| 1245642834 | Samantha Synenberg | Dentist | 6 Essex Center Dr, Suite 110, Peabody, MA 01960-2904 | 2014-05-29 |
| 1639426315 | North Shore Dental Center | Dentist | 6 Essex Center Dr, Ste. 302, Peabody, MA 01960-2904 | 2012-08-13 |
| 1427367101 | North Shore Neurological Associates, Inc. | Internal Medicine | 6 Essex Center Dr, Suite 303, Peabody, MA 01960-2963 | 2010-09-29 |
| 1518279702 | Andrea Shah | Dentist | 6 Essex Center Dr, Suite 110, Peabody, MA 01960-2904 | 2010-07-05 |
| 1821329111 | Joanne G Brown | Social Worker | 6 Essex Center Dr, Suite 107, Peabody, MA 01960-2904 | 2010-01-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
| 1801398102 | Janis Melanson | Counselor | Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 | 2018-03-02 |
| 1679082036 | Kelsey Ann Lima | Social Worker | 9 Centennial Drive, Suite 202, Peabody, MA 01960 | 2017-09-28 |
| 1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
| 1841715711 | Alexandra Lee Chasse | Counselor | 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 | 2017-08-11 |
| 1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
| 1528412061 | Kabamedicalcorporation | Durable Medical Equipment & Medical Supplies | 484lowell Street, Peabody, MA 01960 | 2016-04-21 |
| 1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
| 1225496474 | Ashley Motta | Counselor | 24 Jennifer Lane, Peabody, MA 01960 | 2016-02-03 |
| 1578942645 | Cerebral Palsy of Eastern Mass Incorporated | Early Intervention Provider Agency | 6 Stratis Way, Peabody, MA 01960 | 2015-05-22 |
| Find all providers in zip 01960 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700134574 | Elizabeth Ayer Olson | Clinical Neuropsychologist | 7 Essex Green Dr., Suite 63, North Shore Neuropsychological Services, LLC, Peabody, MA 01960-2961 | 2012-08-27 |
| 1205110822 | North Shore Neuropsychological Services, LLC | Clinical Neuropsychologist | 5 Essex Green Drive, Suite 23, Peabody, MA 01960 | 2011-09-30 |
| 1558526376 | Courtney Ann Lobraico | Clinical Neuropsychologist | 7 Essex Green Dr, Suite 63, Peabody, MA 01960-2961 | 2008-07-21 |
| 1053340612 | Barry F. Skoff | Clinical Neuropsychologist | 7 Essex Green Dr, Suite 65, Peabody, MA 01960-2961 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949873 | Erica Rose Appleman | Clinical Neuropsychologist | 134 Horace St, Boston, MA 02128-1581 | 2020-07-09 |
| 1578187613 | Nancy Schneider-pruett | Clinical Neuropsychologist | The Neuropsychology Service, 100 Cummings Center, Beverly, MA 01982 | 2020-06-04 |
| 1194365312 | Erin Grace Kitchener | Clinical Neuropsychologist | 1 Wells Ave Fl 4, Newton, MA 02459-3211 | 2020-01-15 |
| 1407330509 | Coastal Psychological Center, LLC. | Clinical Neuropsychologist | 36 Woburn St Ste 6, Reading, MA 01867-2903 | 2018-09-24 |
| 1881102515 | Matthew S Conway | Clinical Neuropsychologist | 26 Chestnut St Ste 2e, Andover, MA 01810-3600 | 2018-01-16 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1346792637 | Margaret Alice Mcphee | Clinical Neuropsychologist | 29 Regina Dr, Chelmsford, MA 01824-4540 | 2016-11-02 |
| 1154870814 | Jessica Pan | Clinical Neuropsychologist | 1 Bowdoin St, 7th Floor, Boston, MA 02114-4201 | 2016-09-22 |
| 1508217506 | Donald Bearden | Clinical Neuropsychologist | 30 Iroquois St, Unit 33, Roxbury Crossing, MA 02120-2848 | 2016-06-30 |
| 1497115612 | Susan Magocsi | Clinical Neuropsychologist | 13 Meetinghouse Ln, Milton, MA 02186-2415 | 2016-03-01 |
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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.