MRS. DIANE F GOSSELIN


Address: 345 Neponset Street, Canton, MA 02021
Phone: 7818281222

MRS. DIANE F GOSSELIN (NPI# 1710911946) 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) 1710911946
Entity Type Individual
Full Name MRS. DIANE F GOSSELIN
Credential RN MS CS
Practice Address 345 Neponset Street
Canton
MA 02021
Practice Telephone 7818281222
Practice Fax Number 7818285454
Mailing Telephone 7818281222
Mailing Fax Number 7818285454
Enumeration Date 2006-07-11
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SP0808X Clinical Nurse Specialist
Specialization: Psych/Mental Health
149491 MA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA BCBS HMO PPO FEDERAL PN0777 01
MA TUFTS HMO 461191 01

Office Location

Street Address 345 NEPONSET STREET
City CANTON
State MA
Zip Code 02021

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225062458 The Commonwealth Center for Psychotherapy PC Psychologist 345 Neponset Street, Canton, MA 02021 2006-07-11

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Taxonomy Information

Taxonomy Code 364SP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1184269201 David John Becker Clinical Nurse Specialist 110 Stuart St Unit 18h, Boston, MA 02116-5668 2019-11-13
1770131252 Advanced Psychiatric Services LLC Clinical Nurse Specialist 1 Union Pl Ste 101, Dedham, MA 02026-4437 2019-08-28
1235691304 Laurie Zelas Private Practice LLC Clinical Nurse Specialist 2 Summer St Ste 16, Natick, MA 01760-4529 2019-04-05
1184199630 Rose Paolini, LLC Clinical Nurse Specialist 100 Laurel St, East Bridgewater, MA 02333-1846 2018-10-11
1124514146 Ann Polcari Clinical Nurse Specialist Service Building Mc Lean Hospital, 115 Mill Street, Belmont, MA 02478 2018-07-02
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1407172588 Kjersten Johnsen Clinical Nurse Specialist 290 Pleasant St, 102, Watertown, MA 02472-2427 2010-04-14
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City CANTON
Zip Code 02021

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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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