MR. BRIAN STEPHEN BANKS (NPI# 1780067645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780067645 |
| Entity Type | Individual |
| Full Name | MR. BRIAN STEPHEN BANKS |
| Credential | PMHNP-BC |
| Practice Address |
28 Riverside Dr Ste 260 Pembroke MA 02359-4947 |
| Practice Telephone | 5089933000 |
| Practice Fax Number | 5089933009 |
| Mailing Telephone | 7814277070 |
| Mailing Fax Number | 7814277071 |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2020-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN2291563 | MA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN2291563 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770831430 | Brian Glen Banks | Dentist | 2500 S Power Rd Ste 128, Mesa, AZ 85209 | 2012-08-28 |
| 1962963587 | Brian Banks | Registered Nurse | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-03-27 |
| 1205176278 | Brian Banks | Counselor | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2013-02-27 |
| 1952584435 | Brian K Banks | Case Manager/Care Coordinator | 526 S San Pedro St, Los Angeles, CA 90013-2102 | 2007-12-07 |
| Street Address |
28 RIVERSIDE DR STE 260 |
| City | PEMBROKE |
| State | MA |
| Zip Code | 02359-4947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427667229 | Meagan Kim | Student in an Organized Health Care Education/Training Program | 28 Riverside Dr Ste 260, Pembroke, MA 02359-4947 | 2020-07-28 |
| 1821564790 | Lighthouse Mental Wellness Pllc | Nurse Practitioner | 28 Riverside Dr Ste 260, Pembroke, MA 02359-4947 | 2018-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487294559 | Timothy Clynch | Nurse Practitioner | 296 Old Oak St, Pembroke, MA 02359 | 2020-01-07 |
| 1457902892 | Convenientmd LLC | Clinic/Center | 296 Old Oak Street, Pembroke, MA 02359 | 2019-09-26 |
| 1578126298 | Snezhana Voynova | Nurse Practitioner | Harbor Medical Associates, 15 Corporate Park Drive, Pembroke, MA 02359 | 2019-04-18 |
| 1669943452 | Rachel Elizabeth Fletcher | Counselor | Pembroke Partial Hospital Program, 20 Winter Street, Pembroke, MA 02359 | 2018-12-06 |
| 1780116236 | Annmarie Cummings | Behavioral Analyst | 15 Furnace Lane, Pembroke, MA 02359 | 2017-04-03 |
| 1558659680 | Rachel S Cohen | Social Worker | 20 Winter Street, Pembroke, MA 02359 | 2011-07-11 |
| 1659552974 | Kirsten Leah Evans | Registered Nurse | 7 Bartlett St, Pembroke, MA 02359 | 2007-11-15 |
| 1154516862 | Timothy A Kaufman | Physical Therapist | 31 Schoosett Street, Suite 300, Pembroke, MA 02359 | 2007-09-06 |
| 1912128463 | Mary A Marek | Social Worker | 2 Columibia Road, Pembroke, MA 02359 | 2007-05-01 |
| 1437287448 | Frederick James White Jr. | Dentist | 19a Mattakeesett St, Pembroke, MA 02359 | 2007-03-01 |
| Find all providers in zip 02359 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821564790 | Lighthouse Mental Wellness Pllc | Nurse Practitioner | 28 Riverside Dr Ste 260, Pembroke, MA 02359-4947 | 2018-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639552 | Kelly Ann Hancock | Nurse Practitioner | 6 Margot Ln, East Bridgewater, MA 02333-1689 | 2020-11-03 |
| 1366042715 | Jacqueline Ann Owens | Nurse Practitioner | 32 Hammond Ave, Cohasset, MA 02025-1928 | 2020-10-27 |
| 1144829177 | Amiee N Caruso | Nurse Practitioner | 26 Queen St Ste 4, Worcester, MA 01610-2473 | 2020-10-21 |
| 1629676234 | Sandpiper Wellness, LLC | Nurse Practitioner | 345 Union St Unit 5, New Bedford, MA 02740-3679 | 2020-10-15 |
| 1912505777 | Samantha Deglaoui | Nurse Practitioner | 1 Clarks Hl Ste 302, Framingham, MA 01702-8172 | 2020-10-14 |
| 1699372235 | Square Behavioral Health, LLC | Nurse Practitioner | 733 Turnpike St # 162, North Andover, MA 01845-6137 | 2020-10-06 |
| 1184221046 | Abdonne Ngo Nyele Mbouadeu | Nurse Practitioner | 34 Tannery Rd, Sturbridge, MA 01518-1171 | 2020-10-05 |
| 1013524164 | Atlee Quarrier | Nurse Practitioner | 29 Birch Meadow Rd, Merrimac, MA 01860-1826 | 2020-09-23 |
| 1669086997 | Unique Psych Services LLC | Nurse Practitioner | 10 Mazzeo Dr Ste 201f, Randolph, MA 02368-3433 | 2020-09-03 |
| 1457961138 | Savina Nicole Setze | Nurse Practitioner | 15 N Beacon St Apt 914, Allston, MA 02134-1941 | 2020-08-06 |
| Find all providers with the same taxonomy | ||||
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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.