KENNEDY DONOVAN CENTER, INC (NPI# 1750487245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750487245 |
| Entity Type | Organization |
| Organization Name | KENNEDY DONOVAN CENTER, INC |
| Practice Address |
25 Forest St Attleboro MA 02703-2407 |
| Mailing Address |
1 Commercial St Foxboro MA 02035-2530 |
| Practice Telephone | 5082266035 |
| Mailing Telephone | 5085432542 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2010-07-15 |
| Authorized Official Name | MR. KEVIN RODMAN-CONARE (CEO/PRESIDENT) |
| Authorized Official Telephone | 5085432542 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | MA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | EARLY INTERVENTION | 000000021539 | 01 |
| MA | 1800612 | 05 | |
| MA | 1800647 | 05 | |
| MA | 1802453 | 05 | |
| MA | EARLY INTERVENTION | EI0025 | 01 |
| MA | EARLY INTERVENTION | KD0001 | 01 |
| MA | EARLY INTERVENTION | 0008524 | 01 |
| MA | 1800604 | 05 | |
| MA | EARLY INTERVENTION | 601795 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568632040 | Kennedy Donovan Center, Inc | Day Training, Developmentally Disabled Services | 19 Hawthorn St, New Bedford, MA 02740-4938 | 2008-03-11 |
| 1376761734 | Kennedy Donovan Center, Inc | Custodial Care Facility | 32 Commercial St, South Yarmouth, MA 02664-4441 | 2007-04-23 |
| 1104191212 | Kennedy Donovan Center, Inc | Non-emergency Medical Transport (VAN) | 19 Hawthorn St, New Bedford, MA 02740-4938 | 2012-03-22 |
| Street Address |
25 FOREST ST |
| City | ATTLEBORO |
| State | MA |
| Zip Code | 02703-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043866437 | Courtney Robidoux | Occupational Therapist | 25 Forest St, Attleboro, MA 02703-2492 | 2019-08-13 |
| 1093296170 | Lisa Marie Sheedy | Developmental Therapist | 25 Forest St, Attleboro, MA 02703-2407 | 2018-08-27 |
| 1427577527 | Amy Letourneau | Developmental Therapist | 25 Forest St, Attleboro, MA 02703-2407 | 2017-09-11 |
| 1477073492 | Judith Macdonnell | Registered Nurse | 25 Forest St, Attleboro, MA 02703-2407 | 2017-06-21 |
| 1700315942 | Lariena Nicole Ralph Dobkin | Registered Nurse | 25 Forest St, Attleboro, MA 02703-2407 | 2017-06-10 |
| 1194263491 | Amy Derzanski | Developmental Therapist | 25 Forest St, Attleboro, MA 02703-2407 | 2017-02-07 |
| 1316398381 | Sarah Raposa | Developmental Therapist | 25 Forest St, Attleboro, MA 02703-2407 | 2016-06-30 |
| 1740655950 | Kira Fernandes | Counselor | 25 Forest St, Attleboro, MA 02703-2407 | 2015-12-14 |
| 1528430527 | Susan Gartzke | Developmental Therapist | 25 Forest St, Attleboro, MA 02703-2407 | 2015-10-29 |
| 1902284359 | Amanda Poli | Speech-Language Pathologist | 25 Forest St, Attleboro, MA 02703-2407 | 2015-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447735196 | Neha Juneja | Dentist | 4 Park St., Attleboro, MA 02703 | 2018-09-28 |
| 1366960981 | Michael Crowley | Physical Therapist | 21 North Main Street, Attleboro, MA 02703 | 2017-09-04 |
| 1649719931 | Alpha Dental Center of Attleboro | Dentist | 140 Park St., Suite 3, Attleboro, MA 02703 | 2017-02-20 |
| 1134668874 | Matthew Camara | Developmental Therapist | 98 Middle Street, Attleboro, MA 02703 | 2017-02-14 |
| 1922543453 | Hannah Cho | Dentist | 4 Park Street, Attleboro, MA 02703 | 2016-12-19 |
| 1902340532 | Whitney Randant | Counselor | 23 Whineys Way, Attleboro, MA 02703 | 2016-12-16 |
| 1396193603 | Eric Boynton | Behavioral Analyst | 33 Perry Ave., Attleboro, MA 02703 | 2016-05-26 |
| 1316374770 | Sandy Glover | Counselor | 8 North Main St., Attleboro, MA 02703 | 2013-10-01 |
| 1790120830 | New England Behavioral Service, Inc. | Behavioral Analyst | 21 Park St., Suite 414, Attleboro, MA 02703 | 2013-05-02 |
| 1124390026 | Maria Jasmin Morales | Community/Behavioral Health | The Bates Building, 7 North Main Street, Attleboro, MA 02703 | 2012-02-08 |
| Find all providers in zip 02703 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
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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.