JENNIE VAUGHAN HOLLYDAY


Address: 77 Warren St, Brighton, MA 02135-3601
Phone: 6172541271

JENNIE VAUGHAN HOLLYDAY (NPI# 1770101586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770101586
Entity Type Individual
Full Name JENNIE VAUGHAN HOLLYDAY
Practice Address 77 Warren St
Brighton
MA 02135-3601
Practice Telephone 6172541271
Practice Fax Number 6177877668
Mailing Telephone 6172541271
Mailing Fax Number 6177877668
Enumeration Date 2020-07-08
Last Update Date 2020-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 77 WARREN ST
City BRIGHTON
State MA
Zip Code 02135-3601

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235131194 Roger F Cohen Clinical Neuropsychologist 77 Warren St, Suite 453, Brighton, MA 02135-3601 2005-08-11
1699383489 Rhianna Candido Registered Nurse 77 Warren St, Brighton, MA 02135-3601 2020-07-17
1922620863 Jonathan Kolodziej Social Worker 77 Warren St, Brighton, MA 02135-3601 2020-05-14
1114401098 Hayley Youngstrom Social Worker 77 Warren St, Brighton, MA 02135-3601 2018-09-18
1548744436 Kelsey Elizabeth Connolly Social Worker 77 Warren St, Brighton, MA 02135-3601 2018-09-18
1629551585 Caitlyn Burns Counselor 77 Warren St, Brighton, MA 02135-3601 2018-09-07
1790294981 Evan Moran Queenan Counselor 77 Warren St, Brighton, MA 02135 2017-09-20
1609395615 Hannah Goehner Student in an Organized Health Care Education/Training Program 77 Warren St, Brighton, MA 02135-3601 2017-09-12
1669990727 Yasmin A Santos Registered Nurse 77 Warren St, Brighton, MA 02135 2017-09-08
1043734510 Jennifer Marie Deangelis Registered Nurse 77 Warren St, Brighton, MA 02135-3601 2017-07-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699392944 Nur Zeynep Ay Student in an Organized Health Care Education/Training Program 736 Cambridge Street St Elizabeths Medical Center, Graduate Medical Education (diane Giacalone), Boston, MA 02135 2020-07-02
1104470673 Domenique Delucia Counselor 77f Warren Street, Brighton, MA 02135 2019-08-01
1831751684 Meredith Mcghee Audiologist 736 Cambridge Street Smc-8, Brighton, MA 02135 2019-07-02
1730645847 Delphine Alignol Family Medicine 330 Mount St, Cambridge, MA 02135 2019-02-13
1124501960 Ellen Elizabeth Miller Social Worker 44 Mt Vernon St, Brighton, MA 02135 2018-09-07
1710466180 Sharon Pae Acupuncturist 135 Chiswick Rd Bsmt, Brighton, MA 02135 2018-08-07
1750877155 Leonid Sigal Counselor 9 South St Apt 2, Brighton, MA 02135 2018-07-09
1689165425 Brian George Mcguire Dentist 24 Sidlaw Rd, Brighton, MA 02135 2018-05-29
1619467214 Ashley Marie Arbuckle Counselor 77 Waren Street, Building 9, Brighton, MA 02135 2018-05-18
1871098962 Arina Sorokina Dentist Charles River Community Health Center, 495 Western Avenue, Allston, MA 02135 2018-03-29
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Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1861010043 Christopher Solomon Peer Specialist 8201 Inwood Dr, Woburn, MA 01801-5161 2020-07-14
1346878725 Dynamicare Health Peer Specialist 288 Norfolk St Ste 4, Cambridge, MA 02139-1430 2020-03-31
1114553989 Theresa Buccico Peer Specialist 284 Union Ave, Framingham, MA 01702-6318 2020-03-12
1235762741 Peter Douglas Mantell IIi Peer Specialist 130 Millers Falls Rd, Turners Falls, MA 01376-2250 2020-02-13
1083259154 Darlene Cruz Peer Specialist 5121 Crane Brook Way, Peabody, MA 01960-8526 2019-11-13
1700437571 Edith Silva Peer Specialist 131 W Main St Ste 101, Orange, MA 01364-1157 2019-09-24
1225505720 Stephanie Wamback Peer Specialist 20 Green St # 2, Dudley, MA 01571-3210 2018-11-01
1366918724 Coretta Mcgill Peer Specialist 12 Montague St, Worcester, MA 01603-3125 2018-10-23
1902380017 Choice Recovery Coaching Inc. Peer Specialist 155 Maple St., Suite 305, Springfield, MA 01105 2018-09-24
1891219747 Daniel Robert Proulx Peer Specialist 2 Endicott Ave, Marblehead, MA 01945-1617 2017-08-02
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Competitor

Search similar providers

City BRIGHTON
Zip Code 02135

Improve Information

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Dataset Information

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.

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