DANIEL CLARK (NPI# 1790267516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790267516 |
| Entity Type | Individual |
| Full Name | DANIEL CLARK |
| Practice Address |
30 Warren St Brighton MA 02135-3680 |
| Practice Telephone | 6172543800 |
| Mailing Telephone | 6172543800 |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336771955 | Daniel Lee Clark | Contractor | 2151 Harvey Mitchell Pkwy S Ste 227, College Station, TX 77840-5242 | 2020-02-11 |
| 1043613649 | Daniel Clark | Nurse Practitioner | 3451 Bald Mountain Rd, Lake Orion, MI 48360-2401 | 2014-09-27 |
| 1124212345 | Daniel Curtis Clark | Chiropractor | 860 E. Remington Drive, Suite C, Sunnyvale, CA 94087-2913 | 2007-08-30 |
| 1619168796 | Daniel W Clark | Psychologist | 1405 Harrison Ave Nw Ste 205, Olympia, WA 98502-5327 | 2007-08-05 |
| 1275757130 | Daniel Charles Clark | Social Worker | 3829 S Duquesne Rd, Joplin, MO 64804-5409 | 2007-04-12 |
| 1851308472 | Daniel John Clark | Dentist | 624 S High St, Hillsboro, OH 45133 | 2006-08-03 |
| 1184669210 | Daniel Stewart Clark | Chiropractor | 41060 Hayes Road, Clinton Township, MI 48038 | 2006-06-20 |
| 1548219256 | Daniel M Clark | Obstetrics & Gynecology | 4333 S Lowes Creek Rd, Eau Claire, WI 54701-7405 | 2006-05-09 |
| 1225093891 | Daniel Curtis Clark | Psychologist | 3196 Parliament Cir, Suite 400, Montgomery, AL 36116-7271 | 2006-04-18 |
| 1700487360 | Daniel Clark | Pharmacist | 660 S 1750 W, Springville, UT 84663-3071 | 2020-11-02 |
| Street Address |
30 WARREN ST |
| City | BRIGHTON |
| State | MA |
| Zip Code | 02135-3680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063418085 | Wendy Ruth Cheney | Dentist | 30 Warren St, Brighton, MA 02135-3602 | 2005-06-23 |
| 1316545262 | Kimberly Paquette | Social Worker | 30 Warren St, Brighton, MA 02135-3602 | 2020-10-13 |
| 1154936318 | Annabelle M Collins | Student in an Organized Health Care Education/Training Program | 30 Warren St, Brighton, MA 02135-3602 | 2020-09-14 |
| 1881209047 | Natalie Gallo | Student in an Organized Health Care Education/Training Program | 30 Warren St, Brighton, MA 02135-3602 | 2020-09-14 |
| 1821603093 | Virginia Mahoney | Student in an Organized Health Care Education/Training Program | 30 Warren St, Brighton, MA 02135-3602 | 2020-09-14 |
| 1982217535 | Erin Straughn | Dietitian, Registered | 30 Warren St, Brighton, MA 02135-3602 | 2020-08-24 |
| 1992317101 | Jane Carper | Social Worker | 30 Warren St, Brighton, MA 02135-3602 | 2020-08-19 |
| 1235740473 | Ashley King | Social Worker | 30 Warren St, Brighton, MA 02135-3602 | 2020-08-12 |
| 1902417181 | Angelica Francesca Emery-fertitta | Social Worker | 30 Warren St, Brighton, MA 02135-3680 | 2020-08-12 |
| 1740891969 | Margaret Cecelia Vineis | Social Worker | 30 Warren St, Brighton, MA 02135-3602 | 2020-08-11 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 02135 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144748757 | Devon Oosting | Psychologist | 42 Strathmore Rd. Apt. 6, Brighton, MA 02135 | 2017-09-04 |
| 1174951768 | Katelyn Marie Reed | Psychologist | 10327 Grand River Rd, Suite 406, Brighton, MI 48116-6500 | 2013-10-17 |
| 1801404389 | Paige Landau | Psychologist | 30 Warren St, Brighton, MA 02135-3602 | 2020-07-21 |
| 1437767076 | Jenna Campagna | Psychologist | 30 Warren St, Brighton, MA 02135-3680 | 2020-07-20 |
| 1326656901 | Joshua Min | Psychologist | 30 Warren St, Brighton, MA 02135-3680 | 2020-07-20 |
| 1386268837 | Molly Ilane Schofield | Psychologist | 10524 Grand River Rd, Brighton, MI 48116-9597 | 2020-06-01 |
| 1861046989 | Sophia Odeh | Psychologist | 30 Warren St, Brighton, MA 02135-3602 | 2019-07-26 |
| 1104481977 | Kira Boneff | Psychologist | 10524 Grand River Rd Ste 100, Brighton, MI 48116-9559 | 2019-05-07 |
| 1043738610 | Alexander Wheeler | Psychologist | 30 Warren St, Brighton, MA 02135 | 2017-09-05 |
| 1912454125 | Gail N Kemp | Psychologist | 30 Warren St, Brighton, MA 02135-3602 | 2016-09-06 |
| Find all providers in BRIGHTON | ||||
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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.