PETER MAHLON HENDERSON (NPI# 1700491024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700491024 |
| Entity Type | Individual |
| Full Name | PETER MAHLON HENDERSON |
| Practice Address |
157 Green St Jamaica Plain MA 02130-2667 |
| Practice Telephone | 6175241120 |
| Mailing Telephone | 6175241120 |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942467543 | Peter William Henderson | Surgery | 10 Union Sq E Frnt 2l, New York, NY 10003-3314 | 2008-05-21 |
| 1902906084 | Peter L Henderson Jr. | Surgery | 106 Hospital Dr, Suite 6, Chatsworth, GA 30705-2070 | 2006-09-25 |
| Street Address |
157 GREEN ST |
| City | JAMAICA PLAIN |
| State | MA |
| Zip Code | 02130-2667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629097845 | Katherine Hillman | Social Worker | 157 Green St, Jamaica Plain, MA 02130-2667 | 2006-07-19 |
| 1073111639 | Shauna Mary Boothby | Peer Specialist | 157 Green St, Jamaica Plain, MA 02130-2667 | 2020-10-15 |
| 1255938189 | Arbour Inc. | Peer Specialist | 157 Green St, Jamaica Plain, MA 02130-2667 | 2020-10-05 |
| 1013523661 | Cassidy Bingham | Counselor | 157 Green St, Jamaica Plain, MA 02130-2667 | 2020-09-18 |
| 1477168128 | Rebeca Zichlin | Counselor | 157 Green St, Jamaica Plain, MA 02130-2667 | 2020-09-10 |
| 1891335667 | Lucas Sidney Booth | Counselor | 157 Green St, Jamaica Plain, MA 02130-2667 | 2020-01-09 |
| 1235771379 | Christine Lekas | Counselor | 157 Green St, Jamaica Plain, MA 02130-2667 | 2019-10-10 |
| 1720541840 | Faith Rose Sudbey | Peer Specialist | 157 Green St, Jamaica Plain, MA 02130-2667 | 2019-04-08 |
| 1730644162 | Prentice Crowell | Peer Specialist | 157 Green St, Jamaica Plain, MA 02130-2667 | 2019-02-11 |
| 1477017143 | Cheryl A Molloy-emerson | Clinic/Center | 157 Green St, Jamaica Plain, MA 02130-2667 | 2019-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913121 | Virginia Dawn Pratt | Social Worker | Ethos, 555 Amory Street, Jamaica Plain, MA 02130 | 2020-08-19 |
| 1689139917 | Lina Skiba | Speech-Language Pathologist | Thom Child & Family Services, 555 Armory St, Jamaica Plain, MA 02130 | 2019-01-31 |
| 1841775442 | Melissa Rocklen | Social Worker | 30 Germania St Bldg C, Jamaica Plain, MA 02130 | 2018-09-28 |
| 1902389281 | Susan N. Berkman | Social Worker | 111 Perkins St., Apt.120, Jamaica Plain, MA 02130 | 2018-09-12 |
| 1326551912 | Cindy Tromp | Counselor | Arbour Hospital, 49 Robinwood Ave, Jamaica Plain, MA 02130 | 2017-11-06 |
| 1811415128 | Jesse Myles Carmen | Social Worker | 555 Armory Street, Jamaica Plain, MA 02130 | 2017-09-07 |
| 1881119410 | Melanie Suzanne Witman | Counselor | 1125 Centre Street, Boston, MA 02130 | 2017-08-04 |
| 1740702125 | Farah Clermont | Counselor | 3815 Washington St., Jamaica Plain, MA 02130 | 2017-07-07 |
| 1346777554 | Anjalie L Pieres | Counselor | 157 Green Streey, Jamaica Plain, MA 02130 | 2017-05-18 |
| 1316480098 | Caroline Amina Shaw-moss | Counselor | 7 Burr St., Boston, MA 02130 | 2016-11-29 |
| Find all providers in zip 02130 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306466792 | Devin Erich Bryant-bosshold | Counselor | 18 Iffley Rd Apt 1, Jamaica Plain, MA 02130-2307 | 2020-04-25 |
| 1326551912 | Cindy Tromp | Counselor | Arbour Hospital, 49 Robinwood Ave, Jamaica Plain, MA 02130 | 2017-11-06 |
| 1639698012 | Raihaan Attawala | Counselor | 3313 Washington St Ste 2, Jamaica Plain, MA 02130-2691 | 2017-09-16 |
| 1336665637 | Dorothy E Knox | Counselor | 46 Brookley Rd, Jamaica Plain, MA 02130-3627 | 2017-08-17 |
| 1740702125 | Farah Clermont | Counselor | 3815 Washington St., Jamaica Plain, MA 02130 | 2017-07-07 |
| 1346777554 | Anjalie L Pieres | Counselor | 157 Green Streey, Jamaica Plain, MA 02130 | 2017-05-18 |
| 1154709913 | Kathryn Buchanan-howland | Counselor | 7 Clive St # 1, Jamaica Plain, MA 02130-4406 | 2015-05-13 |
| 1457756710 | Hilla Drewiacki | Counselor | 157 Greem Street, Jamaica Plain, MA 02130 | 2014-10-29 |
| 1386059004 | Michelle Blair | Counselor | 3815 Washington St Ste 200, Jamaica Plain, MA 02130-3745 | 2014-06-23 |
| 1710399456 | Sonia Erlich | Counselor | 48 Peter Parley Rd, Jamaica Plain, MA 02130-2936 | 2014-05-29 |
| Find all providers in JAMAICA PLAIN | ||||
| City | JAMAICA PLAIN |
| Zip Code | 02130 |
Please comment or provide details below to improve the information on PETER MAHLON HENDERSON.
| 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.