ARDEN SUGEILY LAKE (NPI# 1700389749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700389749 |
Entity Type | Individual |
Full Name | ARDEN SUGEILY LAKE |
Practice Address |
50 Annafran St Roslindale MA 02131-4705 |
Practice Telephone | 8573502159 |
Enumeration Date | 2018-03-15 |
Last Update Date | 2018-03-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
Behavioral Health & Social Service Providers |
Street Address |
50 ANNAFRAN ST |
City | ROSLINDALE |
State | MA |
Zip Code | 02131-4705 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174120513 | Wells of Wellness, LLC | Registered Nurse | 993 South Street, Apt, Suite, Floor, Etc., Roslindale, MA 02131 | 2020-10-08 |
1760952881 | Patricia J Dunn | Social Worker | 51 Braden Street, Roslindale, MA 02131 | 2018-12-01 |
1750864518 | Maria T. Alvarado | Social Worker | 18 Manusr Street, Roslindale, MA 02131 | 2018-09-07 |
1306342951 | Roslindale Center Chiropractic Inc | Chiropractor | 17 Corinth St, Roslindale, MA 02131 | 2018-04-03 |
1629511241 | Maddy Morrin | Student in an Organized Health Care Education/Training Program | 17 Archdale Rd, Roslindale, MA 02131 | 2016-11-30 |
1346600434 | Stephanie Messina | Student in an Organized Health Care Education/Training Program | Home for Little Wanderers Clinic, 780 American Legion Hwy, Roslindale, Ma 02131, Roslindale, MA 02131 | 2016-03-02 |
1497143762 | Priority Home Care Services LLC | Home Health | 43 Cummins High Way, Suite 3, Boston, MA 02131 | 2015-01-08 |
1841610078 | Ryan Kennedy | Student in an Organized Health Care Education/Training Program | 478 American Legion Highway, Roslindale, MA 02131 | 2014-04-28 |
1780011833 | Casey A Pagliaro | Marriage & Family Therapist | 4238 Washington Street, Suite 316, The Leggett Group, Roslindale, MA 02131 | 2013-10-03 |
1902238025 | Ann Wheeler | Social Worker | Thlw 780 American Legion Highway, Roslindale, MA 02131 | 2013-07-31 |
Find all providers in zip 02131 |
Taxonomy Code | 103TM1800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Mental Retardation & Developmental Disabilities |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659998656 | Marie Taras Liang | Psychologist | 90 Sweetwater Ave, Bedford, MA 01730-1106 | 2020-06-25 |
1578052064 | Christopher J. Fox | Psychologist | 49 Brandywine Dr, Belchertown, MA 01007-9546 | 2018-05-09 |
1043708175 | Thomas Stoddard | Psychologist | 23 Kent Ct # 3, Somerville, MA 02143-3503 | 2018-04-24 |
1679006530 | Rose Drew | Psychologist | 54 Kingman St, East Taunton, MA 02718-1408 | 2017-04-07 |
1851775530 | Joyce Ann Melker | Psychologist | 46 Mildred Ave, Swansea, MA 02777-1620 | 2015-07-13 |
1922305093 | Jessica R Everett | Psychologist | 461 River Rd, Andover, MA 01810-4213 | 2011-02-24 |
1003131178 | Alan Harchik | Psychologist | 239 Aubinwood Rd, Amherst, MA 01002-1627 | 2010-04-01 |
1073847448 | Daniel Ndungu | Psychologist | 42 Hampshire St, Lowell, MA 01850-2020 | 2009-10-01 |
1437351699 | Michael Lowry | Psychologist | 343 West St, North Hatfield, MA 01066 | 2007-06-01 |
1154378834 | The Arc of South Norfolk, Inc. | Psychologist | 789 Clapboardtree St, Westwood, MA 02090-1717 | 2006-05-28 |
Find all providers with the same taxonomy |
City | ROSLINDALE |
Zip Code | 02131 |
Please comment or provide details below to improve the information on ARDEN SUGEILY LAKE.
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.