LEADERSHIP PSYCHOLOGY SERVICES INC (NPI# 1750749149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750749149 |
| Entity Type | Organization |
| Organization Name | LEADERSHIP PSYCHOLOGY SERVICES INC |
| Practice Address |
747 Main St Suite #319 Concord MA 01742-3302 |
| Mailing Address |
102 South Rd Pepperell MA 01463-1257 |
| Practice Telephone | 9783931925 |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2016-05-31 |
| Authorized Official Name | DR. MICHAEL CASSELLA (PRESIDENT) |
| Authorized Official Telephone | 9783931925 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
9751 | MA | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
9751 | MA | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
9751 | MA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
9751 | MA | Behavioral Health & Social Service Providers |
| Street Address |
747 MAIN ST SUITE #319 |
| City | CONCORD |
| State | MA |
| Zip Code | 01742-3302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023009990 | William Judson Burtis | Internal Medicine | 747 Main St, Suite 123, Concord, MA 01742-3328 | 2005-10-31 |
| 1821586033 | Cognicounseling | Clinic/Center | 747 Main St, Concord, MA 01742-3302 | 2018-04-24 |
| 1548704190 | Allison Schettini Evans, Phd | Clinical Neuropsychologist | 747 Main St, Suite 307, Concord, MA 01742-3302 | 2016-12-15 |
| 1386187599 | Coastal Lab Partners LLC | Clinical Medical Laboratory | 747 Main St, Suite 112, Concord, MA 01742-3302 | 2016-11-21 |
| 1558720532 | Paul D. Lafontaine, M.d., P.C. | Urology | 747 Main St, Suite 214, Concord, MA 01742-3302 | 2016-02-18 |
| 1538530472 | Michael J Cassella | Psychologist | 747 Main St, Suite 319, Concord, MA 01742-3302 | 2015-10-19 |
| 1992131809 | Bullock-lawton, Inc | Home Health | 747 Main St, Suite 316, Concord, MA 01742-3302 | 2013-09-24 |
| 1023371408 | Alpha Medical Associates, PC | Preventive Medicine | 747 Main St, Suite 201, Concord, MA 01742-3302 | 2012-06-20 |
| 1891060174 | Jill Lin Reiter | Social Worker | 747 Main St, Suite 304, Concord, MA 01742-3302 | 2012-03-20 |
| 1588937916 | Alpha Medical Associates PC | Internal Medicine | 747 Main St, Suite 201, Concord, MA 01742-3302 | 2012-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674348 | Camille Arcidi | Dentist | 747 Main Street, Suite 221, Concord, MA 01742 | 2020-09-17 |
| 1851916936 | Paige Hamilton-read | Psychologist | 333 Thoreau Street, Concord, MA 01742 | 2020-06-14 |
| 1467926113 | Judith Segal | Psychologist | 844 Sudbury Road, Concord, MA 01742 | 2019-01-16 |
| 1316422983 | Lisa Colagiovanni | Social Worker | 54 Hillside Ave., Concord, MA 01742 | 2018-09-30 |
| 1932699907 | Margaret C O'hearn-curran | Psychologist | 178 Silver Hill Rd, Concord, MA 01742 | 2018-05-15 |
| 1205358678 | Eva Moen | Pharmacist | 19 Nathan Pratt Drive, Unit 308, Concord, MA 01742 | 2017-07-07 |
| 1215475421 | Hengameh Lavasanifar | Pharmacist | Jcb;131 Ornac Suite 200;, Mgh Cancer Center At Emerson Hospital, Concord, MA 01742 | 2017-02-08 |
| 1255882684 | Stephanie Randazzo | Counselor | 20 Nathan Pratt Drive Unit 209, Concord, MA 01742 | 2016-10-20 |
| 1871943704 | Marjorie E. Cahn | Social Worker | 634 Walden Street, Concord, MA 01742 | 2016-06-22 |
| 1063873842 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | 2284 Main Street, Lahey Health Primary Care, Concord, Concord, MA 01742 | 2016-03-08 |
| Find all providers in zip 01742 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916936 | Paige Hamilton-read | Psychologist | 333 Thoreau Street, Concord, MA 01742 | 2020-06-14 |
| 1396394359 | Gary S. Rose Ph.d. LLC | Psychologist | 45 Walden St Ste 1, Concord, MA 01742-2513 | 2019-09-11 |
| 1689230872 | Julian Heath | Psychologist | 1001 Grand Summit Blvd Apt 1043, Concord, NC 28027-3732 | 2019-05-14 |
| 1013401595 | Karen Jo Giammusso Shapiro | Psychologist | 59 N Branch Rd, Concord, MA 01742-3807 | 2018-06-19 |
| 1558809335 | Tara Mcbride Afonso | Psychologist | 10 Ferry St Ste 313, Medoptions of New Hampshire, LLC., Concord, NH 03301-5004 | 2017-02-01 |
| 1053664524 | Elizabeth Lavenson Myers | Psychologist | 1157 Fair Weather Cir, Concord, CA 94518-1939 | 2012-10-22 |
| 1447528633 | Debra Ying Fah Tong | Psychologist | 1868 Clayton Rd Ste 126, Concord, CA 94520-2552 | 2011-12-02 |
| 1013202381 | Lauren J Brown | Psychologist | 81 Commonwealth Ave, Suite 8, Concord, MA 01742-2977 | 2011-06-15 |
| 1518274851 | Allison C Flynn | Psychologist | 281 Monsen Rd, Concord, MA 01742-1941 | 2010-09-08 |
| 1932330073 | Avninder Singh Anand | Psychologist | 1470 Civic Court, Suite 100, Concord, CA 94520 | 2009-08-06 |
| Find all providers in CONCORD | ||||
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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.