DR. JUDITH BALDWIN BOARDMAN (NPI# 1750593315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750593315 |
| Entity Type | Individual |
| Full Name | DR. JUDITH BALDWIN BOARDMAN |
| Credential | PHD, RNCS |
| Practice Address |
162 Federal St 4th Floor Salem MA 01970-3248 |
| Practice Telephone | 8886822224 |
| Practice Fax Number | 9787454307 |
| Mailing Telephone | 8886822224 |
| Mailing Fax Number | 9787454307 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
131301 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
162 FEDERAL ST 4TH FLOOR |
| City | SALEM |
| State | MA |
| Zip Code | 01970-3248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982659926 | Ellen M Russell | Nurse Practitioner | 162 Federal St, Salem, MA 01970-3248 | 2006-05-24 |
| 1144471350 | Stephanie Dixon | Counselor | 162 Federal St, Salem, MA 01970-3248 | 2008-10-07 |
| 1750530556 | Angela Lee Belleville | Counselor | 162 Federal St, Salem, MA 01970-3248 | 2008-09-17 |
| 1194907253 | Amy N Greene | Social Worker | 162 Federal St, Salem, MA 01970-3248 | 2007-11-30 |
| 1780864710 | Ann M Flagg | Counselor | 162 Federal St, Salem, MA 01970-3248 | 2007-11-07 |
| 1396933412 | Linda Ellen Werbner | Counselor | 162 Federal St, Salem, MA 01970-3248 | 2007-10-15 |
| 1437351921 | Rosemary Wooten | Counselor | 162 Federal St, Salem, MA 01970-3248 | 2007-06-05 |
| 1952503039 | Daneille Conti | Counselor | 162 Federal St, Salem, MA 01970-3248 | 2007-06-01 |
| 1639389414 | Justine Caton | Counselor | 162 Federal St, Salem, MA 01970-3248 | 2007-05-23 |
| 1033328836 | Denise G Mason II | Counselor | 162 Federal St, Salem, MA 01970-3248 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939108 | Sara Jane Garofalo | Social Worker | Bil-behavioral Health Esp, 35 Congress Street, Salem, MA 01970 | 2020-07-06 |
| 1326660267 | Leslie Marie Adams | Counselor | 35 Congress St #214, Salem, MA 01970 | 2020-05-14 |
| 1801435870 | Sarah Katherine Bolte | Counselor | 35 Congress St., Bldg. 2 Suite 351a, Salem, MA 01970 | 2019-12-23 |
| 1548814866 | Amy Carlson-pallazola | Counselor | 35 Congress Street Building 2, Suite 351a, Salem, MA 01970 | 2019-07-25 |
| 1932768850 | Alaina Kinsella | Counselor | 70 Boston Street, Unit 109, Salem, MA 01970 | 2019-06-13 |
| 1104384569 | Erica Jean Last | Community Health Worker | 35 Congress Street, Building 2, Suite 150c, Salem, MA 01970 | 2019-03-05 |
| 1467928184 | Jean David Thomas | Nurse Practitioner | Salem Family Health Center, 47 Congress Street, Salem, MA 01970 | 2018-10-20 |
| 1669950267 | Marla P. Meyer | Social Worker | 39 Norman Street, Third Floor, Salem, MA 01970 | 2018-08-06 |
| 1831689009 | Elisa M Castillo | Psychologist | 352 Lafayette Street, Salem, MA 01970 | 2018-05-14 |
| 1073003513 | Ryan Daniel Robichaud-fuentes | Counselor | 1 Salem Green Suite 103, Salem, MA 01970 | 2018-05-10 |
| Find all providers in zip 01970 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215446018 | Brenda K Burke | Clinical Nurse Specialist | 1 Sally Sweet Way, Salem, NH 03079-3359 | 2017-09-25 |
| 1164406997 | Dale Karen Defort | Clinical Nurse Specialist | 30 Federal St, Ste B, Salem, MA 01970 | 2005-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935809 | Anne-marie Barron | Clinical Nurse Specialist | 9 Kahler Ave, Milton, MA 02186-1519 | 2020-06-07 |
| 1306467139 | Kathleen Mary Daly | Clinical Nurse Specialist | 22 Priscilla Ln, Duxbury, MA 02332-5101 | 2020-05-04 |
| 1407325541 | New Directions Behavioral Health LLC | Clinical Nurse Specialist | 10 Ash St, Danvers, MA 01923-2749 | 2018-11-19 |
| 1457894628 | Psyche1001 Learn Grow Change LLC | Clinical Nurse Specialist | 638 Adamsville Rd, Suite 1001, Westport, MA 02790-5031 | 2016-11-21 |
| 1841642725 | Joyce Daqnal Shields | Clinical Nurse Specialist | 132 Oakley Rd, Belmont, MA 02478-2734 | 2016-07-05 |
| 1386004075 | Jane Bloom | Clinical Nurse Specialist | 95 Golden Hill, Lee, MA 01238-9132 | 2016-02-24 |
| 1255722716 | Carol Vivori | Clinical Nurse Specialist | 132 Mass Moca Way, North Adams, MA 01247-2446 | 2015-02-05 |
| 1982995262 | Linda Louise Darbyshire | Clinical Nurse Specialist | 60 Munson Meeting Way Ste I, Psychiatric Collaborative, Chatham, MA 02633-1992 | 2011-04-21 |
| 1093020091 | Suzanne Elizabeth Bergeron | Clinical Nurse Specialist | 2 Administration Rd, Bridgewater, MA 02324-3230 | 2010-08-13 |
| 1467774356 | Mindful Wellbeing, LLC | Clinical Nurse Specialist | 11 Jillson Way, East Sandwich, MA 02537-1265 | 2010-02-19 |
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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.