DR. MIRIAM TANKIANG VILLANUEVA


Address: 30 Meadowbrook Rd, Brockton, MA 02301-7122
Phone: 5087424420

DR. MIRIAM TANKIANG VILLANUEVA (NPI# 1740386689) 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) 1740386689
Entity Type Individual
Full Name DR. MIRIAM TANKIANG VILLANUEVA
Credential M.D.
Practice Address 30 Meadowbrook Rd
Brockton
MA 02301-7122
Practice Telephone 5087424420
Practice Fax Number 5087424430
Mailing Telephone 5087424420
Mailing Fax Number 5087424430
Enumeration Date 2006-09-16
Last Update Date 2011-02-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
43630 MA Allopathic & Osteopathic Physicians

Office Location

Street Address 30 MEADOWBROOK RD
City BROCKTON
State MA
Zip Code 02301-7122

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457901316 Dellarita L Jones Counselor 30 Meadowbrook Rd, Brockton, MA 02301-7122 2019-09-12
1093361495 Allison Marie Bulger Counselor 30 Meadowbrook Rd, Brockton, MA 02301-7122 2019-08-13
1821643487 Stephanie Calandra Jones Counselor 30 Meadowbrook Rd, Brockton, MA 02301-7122 2019-08-09
1164987269 Stephen Miller Counselor 30 Meadowbrook Rd, Brockton, MA 02301-7122 2019-02-04
1518438944 Andrew Duff Bell Social Worker 30 Meadowbrook Rd, Brockton, MA 02301-7122 2018-12-11
1730687575 James Albert Parker Sr. Counselor 30 Meadowbrook Rd, Brockton, MA 02301-7122 2018-01-26
1558878728 Darlene Diggs Social Worker 30 Meadowbrook Rd, Brockton, MA 02301-7122 2018-01-09
1336659895 Danielle Aurora Lasden Nurse Practitioner 30 Meadowbrook Rd, Brockton, MA 02301-7122 2017-10-10
1538517685 Justine Doucette Counselor 30 Meadowbrook Rd, Brockton, MA 02301 2016-05-31
1205284395 Tara Canavan Counselor 30 Meadowbrook Rd, Otp, Brockton, MA 02301-7122 2016-05-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942807110 Jenny Vulpis Recreation Therapist 940 Belmont St (br 135), Brockton, MA 02301 2020-10-01
1205444924 Caroline Storey Counselor Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 2020-07-20
1013546852 Nuria Dos Santos Veiga Occupational Therapist 73 Denton St, Brockton, MA 02301 2020-04-03
1679113930 Laura Ann Brondyk II Counselor 10 Christys Dr, Brockton, MA 02301 2020-01-14
1437796521 Andrea Lopes Developmental Therapist 7 Goddard Road, Brockton, MA 02301 2019-12-08
1518420124 Diligencehealthcare Psychiatry & Neurology 30-40 Westpark Street, Brockton, MA 02301 2019-04-10
1124530373 Rachel Theys Behavioral Analyst 130 Liberty St Ste 13a, Brockton, MA 02301 2017-10-27
1689193369 Anderson D Delgado Behavior Technician 11 Packard Way, Brockton, MA 02301 2017-09-14
1811415326 Francesca Lavecchia Clinical Neuropsychologist Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 2017-09-05
1831615343 Donna Marie Dugan Counselor South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 2017-08-16
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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730444274 Edwin R Raffi Psychiatry & Neurology 940 Belmont St # 116a7, Brockton, MA 02301-5596 2012-07-11
1780816843 Fawad Taj Psychiatry & Neurology 940 Belmont St, Building 5, Rm116a7, Va Boston Healthcare, Brockton, MA 02301 2009-08-21
1922198431 Ronald J. Gurrera Psychiatry & Neurology 940 Belmont St # 116a, Brockton, MA 02301-5596 2006-10-13
1124134069 Dimitris Gerothanassis Psychiatry & Neurology 529 Pearl St, Brockton, MA 02301-2825 2006-08-22
1376555276 Joseph Aaron Shrand Psychiatry & Neurology 20 Meadowbrook Rd, Castle, Brockton, MA 02301-7122 2006-08-12
1326086638 Alejandro Y Mendoza Psychiatry & Neurology 235 North Pearl Street, Caritas Good Samaritan Med Ctr, Brockton, MA 02301 2006-06-02
1700873999 Lyudmila Rakita Psychiatry & Neurology 1342 Belmont St, Suite 103, Brockton, MA 02301-4436 2005-10-03
1780181636 Frank Copeli Psychiatry & Neurology 940 Belmont St Bldg 5, Brockton, MA 02301-5596 2018-04-08
1922516053 Steward Good Samaritan Medical Center, Inc. Psychiatry & Neurology 235 N Pearl St, Brockton, MA 02301-1794 2018-01-10
1477064293 Sabina Ferreira Tavares Psychiatry & Neurology 529 Pearl St, Brockton, MA 02301-2825 2017-10-19
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Competitor

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City BROCKTON
Zip Code 02301

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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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