DR. WILLIAM CHARLES MADSEN (NPI# 1720135379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720135379 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM CHARLES MADSEN |
| Credential | PH.D. |
| Practice Address |
51 Kondazian St Watertown MA 02472-2830 |
| Mailing Address |
61 Dudley St Cambridge MA 02140-2419 |
| Practice Telephone | 6178689044 |
| Mailing Telephone | 6178689044 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
6547 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992220305 | William Madsen | Dentist | 105 Brennan Dr, Kirkland, IL 60146-8550 | 2017-08-07 |
| 1003036229 | William C Madsen | Dentist | 820 Nolana Street, Suite B, Mcallen, TX 78504-3043 | 2007-04-30 |
| 1013545433 | William Chase Madsen | Student in an Organized Health Care Education/Training Program | 901 Rancho Ln Ste 135, Las Vegas, NV 89106-3826 | 2020-03-31 |
| 1033309935 | William Pirate Madsen | Pharmacist | 3475 E 17th St, Ammon, ID 83406-6781 | 2007-07-26 |
| 1023167970 | William Craig Madsen | Dentist | 107 S 500 W, Payson, UT 84651-2029 | 2007-01-09 |
| Street Address |
51 KONDAZIAN ST |
| City | WATERTOWN |
| State | MA |
| Zip Code | 02472-2830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770573610 | John Peters | Social Worker | 51 Kondazian St, Watertown, MA 02472-2830 | 2005-10-23 |
| 1659970143 | Amanda Bravo | Counselor | 51 Kondazian St, Watertown, MA 02472-2830 | 2020-10-26 |
| 1427657923 | Artrelief LLC | Clinic/Center | 51 Kondazian St, Watertown, MA 02472-2830 | 2020-10-26 |
| 1811505530 | Meghan Maureen O'neill | Counselor | 51 Kondazian St, Watertown, MA 02472-2830 | 2020-07-20 |
| 1215576913 | Ornella Lozier | Counselor | 51 Kondazian St, Watertown, MA 02472-2830 | 2019-12-27 |
| 1225675028 | Kelly Carvalho | Counselor | 51 Kondazian St, Watertown, MA 02472-2830 | 2019-11-30 |
| 1811532989 | Abubaker Alwahab | Counselor | 51 Kondazian St, Watertown, MA 02472-2830 | 2019-11-13 |
| 1851948186 | Jessica Gao | Counselor | 51 Kondazian St, Watertown, MA 02472-2830 | 2019-08-21 |
| 1841847324 | Catherine Mcauliffe | Counselor | 51 Kondazian St, Watertown, MA 02472-2830 | 2019-08-20 |
| 1942736616 | Lauren Kamerzel | Counselor | 51 Kondazian St, Watertown, MA 02472-2830 | 2017-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548735327 | Gladys Nakungu Kasansula | Counselor | Square Medical Group, 124 Watertown Street, Suite 2d, Watertown, MA 02472 | 2018-10-09 |
| 1447741962 | Hannah Edward | Optometrist | 550 Arsenal Street, Watertown, MA 02472 | 2018-05-21 |
| 1982193504 | Ruth Audrey Silverstein | Social Worker | Perkins School for The Blind, 175 North Beacon Street, Watertown, MA 02472 | 2018-05-09 |
| 1376067355 | Mostafa Medhati | Acupuncturist | 265 Lexington St., Watertown, MA 02472 | 2017-08-01 |
| 1003346313 | Eric Trant | Specialist/Technologist | 50 Columbia Street, Watertown, MA 02472 | 2017-06-19 |
| 1477007730 | Neangkanika Chea | Nurse Practitioner | 2 Repton Place, Apt 2204, Watertown, MA 02472 | 2016-08-04 |
| 1396128120 | Michelle Soares Darocha | Dentist | 18 Hovey Street, Watertown, MA 02472 | 2015-06-29 |
| 1760875496 | Ece Evin Yildirim | Acupuncturist | 557 Mt. Auburn St, Watertown, MA 02472 | 2015-03-05 |
| 1396140927 | Fabrizia Torazzi | Behavioral Analyst | 51 Water Street, Suite 200, Watertown, MA 02472 | 2014-10-24 |
| 1265774392 | Emilia Ann Fulop | Social Worker | 127 North Beacon Street, Watertown, MA 02472 | 2013-03-27 |
| Find all providers in zip 02472 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194963975 | Stephanie Noelle Child | Psychologist | 2 Derby Rd, Watertown, MA 02472-2544 | 2009-02-01 |
| 1306217237 | Boston Child & Adolescent Assessment LLC | Psychologist | 124 Watertown St, Suite 3a East, Watertown, MA 02472-2576 | 2015-10-19 |
| 1972814499 | Lauren A Killeen | Psychologist | 124 Watertown St, Ste. 3a, Watertown, MA 02472-2576 | 2010-06-30 |
| 1124172713 | Timothy Paul Cook | Psychologist | 18969 Us Route 11, Watertown, NY 13601-5320 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518575786 | Eavan Miles-mason, Phd, LLC | Psychologist | 319 Peakham Rd, Sudbury, MA 01776-2757 | 2020-07-14 |
| 1184247132 | Lauren R Blakely | Psychologist | 96 Fairbanks Ave, Wellesley, MA 02481-5256 | 2020-05-26 |
| 1881220986 | Katharine Dunson Oconnell | Psychologist | 144 Forest St, Wellesley Hills, MA 02481-6832 | 2020-03-20 |
| 1710457577 | Karla Lizbet Rivas | Psychologist | 44 Mansfield St, Allston, MA 02134 | 2018-12-04 |
| 1497230684 | Marisa Katherine Glynn | Psychologist | 35 Edgar Avenue, Somerville, MA 02145 | 2018-10-03 |
| 1043706419 | Jessica Shepley | Psychologist | 72 Fox Hill Rd, Bernardston, MA 01337-9586 | 2018-07-09 |
| 1548755176 | Elizabeth F Clark | Psychologist | 16 Gleasondale Rd, Stow, MA 01775-1465 | 2018-06-26 |
| 1528552619 | Heather Duckworth Smith | Psychologist | 5 Seal Cove Ln, Hingham, MA 02043-1050 | 2018-06-21 |
| 1467946251 | Olivia Moorehead-slaughter | Psychologist | 171 Goddard Ave, Brookline, MA 02445-7412 | 2018-06-15 |
| 1710479522 | David Arnold | Psychologist | 35 Hop Brook Rd, Amherst, MA 01002-2771 | 2018-06-06 |
| Find all providers with the same taxonomy | ||||
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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.