JUAN FARAONI III (NPI# 1710425087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710425087 |
| Entity Type | Individual |
| Full Name | JUAN FARAONI III |
| Credential | LPC, LMHC |
| Practice Address |
1581 Beacon St Brookline MA 02446-4602 |
| Mailing Address |
115 Edgemere Ave West Hartford CT 06110-1003 |
| Practice Telephone | 6179081228 |
| Mailing Telephone | 6179081228 |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2020-06-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
11153 | MA | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
3078 | CT | Behavioral Health & Social Service Providers |
| Street Address |
1581 BEACON ST |
| City | BROOKLINE |
| State | MA |
| Zip Code | 02446-4602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851365993 | Audrey M Jones | Psychologist | 1581 Beacon St, Brookline, MA 02446 | 2006-02-15 |
| 1841845187 | Jessica Baker | Counselor | 1581 Beacon St, Brookline, MA 02446-4602 | 2019-08-05 |
| 1649753864 | Vera Yanha Ng | Counselor | 1581 Beacon St, Brookline, MA 02446-4602 | 2018-09-13 |
| 1396106589 | Shirin Sajadi | Psychoanalyst | 1581 Beacon St, Brookline, MA 02446-4602 | 2016-03-15 |
| 1689079907 | Tahereh Nadim | Student in an Organized Health Care Education/Training Program | 1581 Beacon St, Brookline, MA 02446-4602 | 2014-10-29 |
| 1164776241 | Jonathan Kelley | Counselor | 1581 Beacon St, Brookline, MA 02446-4602 | 2012-10-29 |
| 1306112719 | Virginia Elliott | Psychoanalyst | 1581 Beacon St, Brookline, MA 02446-4602 | 2012-03-29 |
| 1396978318 | Lauren E O'sullivan | Counselor | 1581 Beacon St, Brookline, MA 02446-4602 | 2009-08-25 |
| 1841461456 | Thomas W Twyman | Social Worker | 1581 Beacon St, Brookline, MA 02446-4602 | 2008-03-23 |
| 1558541417 | Stephen Michael Soldz | Psychologist | 1581 Beacon St, Brookline, MA 02446-4602 | 2007-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588218127 | Mohammad Ali Zafar | Social Worker | 11 Stearns Rd Apartment#1, Brookline, MA 02446 | 2019-08-01 |
| 1730659368 | Boston Family Therapy & Wellness Pllc | Clinic/Center | 1330 Beacon Street Suite 263, Brookline, MA 02446 | 2018-11-27 |
| 1518442078 | Elizabeth Dorsey | Social Worker | Boston Graduate School of Psychoanalysis, 1581 Beacon Street, Brookline, MA 02446 | 2018-10-01 |
| 1467936732 | Helen Elizabeth Weiner | Social Worker | 6 Churchill Sstreet, Brookline, MA 02446 | 2018-09-21 |
| 1285116640 | Dawn Higgins | Social Worker | 227 Summit Avenue W304, Brookline, MA 02446 | 2018-09-03 |
| 1528540978 | Shana Joan Turowitz | Social Worker | 156 Lawton Street, Brookline, MA 02446 | 2018-09-02 |
| 1528563996 | Lauren H Shin | Pediatrics | 150 Pleasant St Unit 309, Brookline, MA 02446 | 2018-03-28 |
| 1821512872 | Ilana Lindsay Cooper | Psychologist | 1093 Beacon St Ste 401, Brookline, MA 02446 | 2017-08-01 |
| 1538683735 | Elizabeth Apkin | Psychologist | 1330 Beacon Street Suite 201, Brookline, MA 02446 | 2017-07-29 |
| 1366963258 | Maria Antonietta Mazzola | Psychiatry & Neurology | 57 Manchester Rd, Brookline, MA 02446 | 2017-06-29 |
| Find all providers in zip 02446 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026359 | Melissa Skepko | Counselor | 103 Francis St Unit 2, Brookline, MA 02446-6637 | 2020-09-03 |
| 1649888330 | Fleur De Lis Counseling, Coaching, and Consultation LLC | Counselor | 44 Mason Rd, Brookline, NH 03033-2203 | 2020-07-19 |
| 1376166678 | Amanda Michelle Role | Counselor | 1470 Beacon St Apt B, Brookline, MA 02446-2613 | 2020-05-20 |
| 1902449176 | Xrhealth Usa Inc | Counselor | 1330 Beacon St Ste 209, Brookline, MA 02446-3202 | 2019-10-21 |
| 1730735408 | Brookline Psychologist Pllc | Counselor | 1101 Beacon Street 8w Ste 4, Brookline, MA 02446-0244 | 2019-08-17 |
| 1699331652 | Paul Patrick Thomas | Counselor | 60 Parkman St Apt 2, Brookline, MA 02446-7013 | 2019-05-15 |
| 1821555061 | Karen Katz | Counselor | 222 Pleasant St, Brookline, MA 02446-6855 | 2019-02-25 |
| 1386118198 | Lara Darrow | Counselor | 295 Grassy Brook Rd, Brookline, VT 05345-9744 | 2019-01-15 |
| 1013404466 | Martha S Bullock | Counselor | 30 Park St Apt 1, Brookline, MA 02446-6257 | 2018-04-20 |
| 1558878264 | Taverly Jude Sousa | Counselor | 33 Pond Ave # B207, Brookline, MA 02445-7163 | 2018-01-03 |
| Find all providers in BROOKLINE | ||||
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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.