CENTER FOR ANXIETY AND RELATED DISORDERS AT BOSTON UNIVERSITY (NPI# 1740583327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740583327 |
| Entity Type | Organization |
| Organization Name | CENTER FOR ANXIETY AND RELATED DISORDERS AT BOSTON UNIVERSITY |
| Practice Address |
648 Beacon St Ste 6 Boston MA 02215-2013 |
| Practice Telephone | 6173539610 |
| Practice Fax Number | 6173539609 |
| Mailing Telephone | 6173539610 |
| Mailing Fax Number | 6173539609 |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2010-12-21 |
| Authorized Official Name | MRS. BONNIE BROWN (NURSE ADMINISTRATOR) |
| Authorized Official Telephone | 6173539610 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
4H8L | MA | Behavioral Health & Social Service Providers |
| Street Address |
648 BEACON ST STE 6 |
| City | BOSTON |
| State | MA |
| Zip Code | 02215-2013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619209236 | Jonathan S Comer | Psychologist | 648 Beacon St Ste 6, Boston, MA 02215 | 2010-02-07 |
| 1952889792 | Annie Dantowitz | Social Worker | 648 Beacon St Ste 6, Boston, MA 02215 | 2018-08-03 |
| 1457842023 | Eugenia I Gorlin | Psychologist | 648 Beacon St Ste 6, Boston, MA 02215-2013 | 2018-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487080487 | Kip Van Thompson | Psychologist | 166 Terrace St, Apt. 314, Boston, MA 02120-2512 | 2013-09-23 |
| 1255677969 | Kaila Norman Mack | Psychologist | 151 Merrimac St Fl 3, Child Cbt Program At Mgh, Boston, MA 02114-4714 | 2012-12-27 |
| 1023642865 | Chia Hsuan Sabrina Chang | Psychologist | 20 Vining St, Boston, MA 02115-6115 | 2020-03-02 |
| 1982001871 | Amy Elizabeth Lawrence | Psychologist | 150 S Huntington Ave, Boston, MA 02130-4817 | 2014-11-20 |
| 1811306194 | Shimrit Koren Black | Psychologist | 150 S Huntington Ave, Boston, MA 02130-4817 | 2014-08-12 |
| 1942646138 | Rachel Zack Ishikawa | Psychologist | 55 Fruit Street, Wang Ambulatory Care Center, Boston, MA 02114 | 2013-05-15 |
| 1518226612 | Noah Chase Berman | Psychologist | 185 Devonshire St, Suite 900, Boston, MA 02110-1407 | 2012-05-09 |
| 1770862757 | Megan Oser | Psychologist | 221 Longwood Ave, 4th Floor, Boston, MA 02115-5804 | 2011-08-09 |
| 1396031431 | Lisa Caryn Smith | Psychologist | 648 Beacon St, 6th Floor, Boston, MA 02215-2013 | 2011-06-28 |
| 1851628887 | Todd Joel Farchione | Psychologist | 268 Newbury St, Third Floor, Boston, MA 02116-2424 | 2009-11-12 |
| Find all providers in BOSTON | ||||
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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.