ARDEN SUGEILY LAKE


Address: 50 Annafran St, Roslindale, MA 02131-4705
Phone: 8573502159

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 50 ANNAFRAN ST
City ROSLINDALE
State MA
Zip Code 02131-4705

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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
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Taxonomy Information

Taxonomy Code 103TM1800X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Mental Retardation & Developmental Disabilities

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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Competitor

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City ROSLINDALE
Zip Code 02131

Improve Information

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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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