DR. KELLY F. TRUSHEIM


Address: 269 Union St, Behavioral Health - Blue Team, Lynn, MA 01901-1314
Phone: 7816917164

DR. KELLY F. TRUSHEIM (NPI# 1700039898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700039898
Entity Type Individual
Full Name DR. KELLY F. TRUSHEIM
Credential PSY.D.
Practice Address 269 Union St
Behavioral Health - Blue Team
Lynn
MA 01901-1314
Practice Telephone 7816917164
Mailing Telephone 7816917164
Enumeration Date 2008-11-03
Last Update Date 2013-09-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 9680 MA Behavioral Health & Social Service Providers
N 103T00000X Psychologist 2912 CT Behavioral Health & Social Service Providers
N 103T00000X Psychologist 1089 SC Behavioral Health & Social Service Providers

Office Location

Street Address 269 UNION ST
BEHAVIORAL HEALTH - BLUE TEAM
City LYNN
State MA
Zip Code 01901-1314

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033111711 Melinda D Jones Nurse Practitioner 269 Union St, Lynn, MA 01901-1314 2005-08-12
1245830900 Angel Felix Rosado Mencia Dentist 269 Union St, Lynn, MA 01901-1314 2020-10-30
1114525342 Nerla Batraville Registered Nurse 269 Union St, Lynn, MA 01901-1314 2020-10-09
1497352736 Gaelle A Wagnac Registered Nurse 269 Union St, Lynn, MA 01901-1314 2020-10-08
1679170153 Melissa Chenard Registered Nurse 269 Union St, Lynn, MA 01901-1314 2020-10-07
1174137665 Stacey Marie Anzalone Registered Nurse 269 Union St, Lynn, MA 01901-1314 2020-09-02
1801409511 Devin Green Registered Nurse 269 Union St, Lynn, MA 01901-1314 2020-08-24
1891306643 Theresa Goretti Registered Nurse 269 Union St, Lynn, MA 01901-1314 2020-08-14
1306467972 Aishetu Kutigi Abubakar Registered Nurse 269 Union St, Lynn, MA 01901-1314 2020-05-05
1508487505 Jennifer Gonzalez Registered Nurse 269 Union St, Lynn, MA 01901-1314 2020-04-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427515923 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 173 Oxford Street, Lowel Level, Suite P, Lynn, MA 01901 2019-02-21
1730680125 Sarah Sawulski Registered Nurse 269 Union Stree01901t, Lynn, MA 01901 2018-02-22
1184142895 Adrienne Wood Case Manager/Care Coordinator 100 Willow Street, Lynn, MA 01901 2017-09-01
1831613199 Marie Linda Yannaco-grant Social Worker 62 Market Street, Lynn, MA 01901 2017-07-28
1942723457 Michael Xinyu Miao Physical Therapy Assistant 1 Market Street, 3rd Floor, Lynn, MA 01901 2017-07-18
1730544743 Pediatric Dental Professionals LLC Dentist 391 Lynn Way, Bldg A, Lynn, MA 01901 2015-12-17
1346667748 Emily G. Joseph Social Worker 112 Market Street, 2nd Floor, Lynn, MA 01901 2014-03-24
1548510621 Serena M Smith Counselor 181 Union Street, Suite J, Lynn, MA 01901 2012-09-14
1043575624 Timothy J Bossie Optometrist 20 Central Avenue, Lynn, MA 01901 2012-07-10
1689946923 Lynn Dental Center Dentist 232 Union Street, Lynn, MA 01901 2012-02-02
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982731485 Diane G Hansen Psychologist 12 Chancery Ct, Ph9, Lynn, MA 01902-4248 2007-02-28
1760090476 Alexandra Lorraine Vlahakes Psychologist 60 Granite St, Lynn, MA 01904-2915 2020-07-20
1811405491 Alberto Luis Hernandez X Psychologist 269 Union St, Lynn, MA 01901-1314 2018-01-17
1497124846 Oren Lee-parritz Psychologist 269 Union St, Lynn, MA 01901-1314 2015-09-16
1366847956 Sejal Mahesh Patel Psychologist 20 Central Ave, Lynn, MA 01901-1201 2014-10-26
1144623471 Sylvia Fitzpatrick Psychologist 20 Central Ave, Lynn, MA 01901-1201 2014-10-01
1538419882 Jennifer Lee Minogue Mastovich Psychologist 280 Union St, Lynn, MA 01901-1353 2012-09-13
1568609865 Stephen K. Valle Psychologist 181 N Common St, Lynn, MA 01905-2506 2009-01-08
1255576153 Zachary Blumkin Psychologist 23 Central Ave, Lynn, MA 01901-1220 2008-12-05
1508038779 Angela Forsberg Wilbur Psychologist 269 Union Street, Behavioral Health Dept, Lynn, MA 01901 2008-03-28
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Competitor

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City LYNN
Zip Code 01901

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Dataset Information

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.

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