DR. DAVID PAYNE BULLIS (NPI# 1760445977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760445977 |
| Entity Type | Individual |
| Full Name | DR. DAVID PAYNE BULLIS |
| Credential | PHD |
| Practice Address |
639 Granite St Suite Ll15 Braintree MA 02184-5366 |
| Mailing Address |
20 Austin St Milton MA 02186-1104 |
| Practice Telephone | 6176808096 |
| Practice Fax Number | 7818439199 |
| Mailing Telephone | 6176981778 |
| Mailing Fax Number | 7818439199 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6826 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0526592 | 05 | |
| MA | BCBS | W10653 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013938927 | David Wrisley Bullis | Orthopaedic Surgery | 1151 Robeson St, Fall River, MA 02720-5565 | 2006-07-23 |
| 1295772036 | David Bryan Bullis | Family Medicine | 560 W Macphail Rd, Bel Air, MD 21014-4320 | 2006-06-01 |
| Street Address |
639 GRANITE ST SUITE LL15 |
| City | BRAINTREE |
| State | MA |
| Zip Code | 02184-5366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169852 | Kaitlin Freyermuth | Behavior Technician | 639 Granite St, Braintree, MA 02184-5366 | 2020-09-21 |
| 1356957120 | Christina Rose Berlen | Behavior Technician | 639 Granite St, Braintree, MA 02184-5366 | 2020-09-17 |
| 1538788435 | Kara Arico | Behavior Technician | 639 Granite St, Braintree, MA 02184 | 2020-04-10 |
| 1962042762 | Kathleen Steele | Behavioral Analyst | 639 Granite St, Braintree, MA 02184-5366 | 2020-01-09 |
| 1437710225 | Brianna Leigh Grieco | Behavioral Analyst | 639 Granite St, Braintree, MA 02184-5366 | 2019-06-24 |
| 1073089132 | Kelsey Musto | Behavioral Analyst | 639 Granite St, Braintree, MA 02184-5366 | 2018-10-16 |
| 1497279160 | Amanda Marie Bullard | Behavioral Analyst | 639 Granite St, Braintree, MA 02184-5366 | 2017-08-03 |
| 1730622325 | Sweeney Dawley Recovery Center, LLC. | Clinical Nurse Specialist | 639 Granite St, Suite 310, Braintree, MA 02184-5366 | 2016-11-30 |
| 1346783503 | Bayada Home Health Care, Inc. | Home Health | 639 Granite St, Suite 415, Braintree, MA 02184-5366 | 2016-11-21 |
| 1215378674 | South Shore Child and Family Counseling, LLC | Social Worker | 639 Granite St, Suite 108, Braintree, MA 02184-5366 | 2013-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342234 | Albert Jusu | Counselor | Arbour Counseling Services, 400 Washington Street, Braintree, MA 02184 | 2020-10-05 |
| 1356952378 | Samantha Taylor O'malley | Student in an Organized Health Care Education/Training Program | 639 Granite Street, N/a, Brainetree, MA 02184 | 2020-08-13 |
| 1184104499 | Andrea Boudreau | Social Worker | Coastal Dcf, 220 R Forbes Road, Braintree, MA 02184 | 2018-08-16 |
| 1144747221 | Mina Schafft Dmd Pllc | Dentist | 321 Washington Street, Unit 101, Westwood, MA 02184 | 2017-08-29 |
| 1922520592 | Samson Michel | Counselor | 400 Washington St. Suite 106, Braintree, MA 02184 | 2017-07-14 |
| 1760912653 | Shannon R Harvey | Behavioral Analyst | 501 Commerce Dr 4207, Braintree, MA 02184 | 2017-06-14 |
| 1275074429 | Colleen Dalton | Behavioral Analyst | 32 Powder Hill Dr, Braintree, MA 02184 | 2017-03-20 |
| 1295273266 | Jessica Morris | Occupational Therapist | 16 Kensington Street, Braintree, MA 02184 | 2017-02-09 |
| 1568834562 | Lisa Morrill | Counselor | 400 Washington St Ste 106, Braintree, MA 02184 | 2015-10-29 |
| 1831560382 | Dr Dental of Braintree PC | Dentist | 284 Grove St, Braintree, MA 02184 | 2015-10-09 |
| Find all providers in zip 02184 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679068001 | Joel Weston Haycock | Psychologist | 35 Braintree Hill Park Ste 100, Braintree, MA 02184-8726 | 2018-06-27 |
| 1619153673 | Carol A Mckenna | Psychologist | 140 Wood Rd, Ste 101, Braintree, MA 02184-2512 | 2008-01-21 |
| 1528267291 | Gateway Consultation and Counseling Services LLC | Psychologist | 639 Granite St, Suite Ll15, Braintree, MA 02184-5366 | 2007-07-13 |
| 1891997615 | Mary E. Brolly | Psychologist | 985 Washington St, Braintree, MA 02184-5434 | 2007-06-04 |
| 1154450468 | Pamela Alessandra Raskin | Psychologist | 985 Washington St, Braintree, MA 02184-5434 | 2007-03-04 |
| 1083768790 | Virginia A. Kelty | Psychologist | 8 Washington Pl, Suite 104, Braintree, MA 02184-3259 | 2007-01-22 |
| 1699826842 | John Philippe Kelty | Psychologist | 8 Washington Pl, Suite 104, Braintree, MA 02184-3258 | 2007-01-15 |
| 1528121431 | Ronald S Ebert | Psychologist | 222 Forbes Rd, Suite 105, Braintree, MA 02184-2706 | 2006-12-19 |
| 1952475139 | John Christopher Fahey | Psychologist | 250 Pond St, Braintree, MA 02184-5351 | 2006-11-20 |
| 1093751208 | Robert G Lasky | Psychologist | 639 Granite St, Suite Ll15, Braintree, MA 02184-5366 | 2006-06-22 |
| Find all providers in BRAINTREE | ||||
Please comment or provide details below to improve the information on DR. DAVID PAYNE BULLIS.
| 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.