CALLY MARY LILLEY


Address: 16 Blossom St, R101, Boston, MA 02114-3104
Phone: 6176436409

CALLY MARY LILLEY (NPI# 1811140007) 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) 1811140007
Entity Type Individual
Full Name CALLY MARY LILLEY
Credential PMHCNS-BC
Practice Address 16 Blossom St
R101
Boston
MA 02114-3104
Practice Telephone 6176436409
Practice Fax Number 6172480070
Mailing Telephone 6176436409
Mailing Fax Number 6172480070
Enumeration Date 2008-10-31
Last Update Date 2011-07-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SP0809X Clinical Nurse Specialist
Specialization: Psych/Mental Health, Adult
274284 MA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 16 BLOSSOM ST
R101
City BOSTON
State MA
Zip Code 02114-3104

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255322616 Martha Tougaw Kane Psychologist 16 Blossom St, Weh 1 Psychiatry Associates, Boston, MA 02114-3104 2005-11-03
1760030407 Angelina F Gomez Student in an Organized Health Care Education/Training Program 16 Blossom St, Mgh West End Clinic, Boston, MA 02114-3104 2019-08-27
1871944355 Daniel Peter Johnson Psychologist 16 Blossom St, Mgh West End Clinic, Boston, MA 02114-3104 2016-06-27
1346606332 Toby Lynch Psychologist 16 Blossom St, Boston, MA 02114-3104 2016-01-07
1336555267 Christoforos Iraklis Giakoumatos Psychiatry & Neurology 16 Blossom St, Boston, MA 02114-3104 2014-07-11
1326467911 Jennifer Grace Blewett Social Worker 16 Blossom St, West End Clinic, Boston, MA 02114-3104 2014-04-10
1588081673 Rachel Steere Psychiatry & Neurology 16 Blossom St, Boston, MA 02114 2014-03-26
1962745117 Alicia Ventresca Psychologist 16 Blossom St, Boston, MA 02114-3104 2013-04-05
1215215637 Michelle Davids Psychiatry & Neurology 16 Blossom St, Boston, MA 02114-3104 2011-08-02
1922321538 Melissa Rae Kelly Social Worker 16 Blossom St, 1st Floor, Boston, MA 02114-3104 2010-03-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588276281 Guoliang Qiao Student in an Organized Health Care Education/Training Program Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 2020-08-24
1881223741 Alexander Wesley Zirulnik Student in an Organized Health Care Education/Training Program 55 Fruit St. Boston, Boston, MA 02114 2020-04-03
1376170548 Mia Yu Bothwell Student in an Organized Health Care Education/Training Program Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 2020-03-26
1225661036 David Dongkyung Kim Student in an Organized Health Care Education/Training Program 6 Whittier Place, Apartment 15b, Boston, MA 02114 2020-02-20
1124651658 Madeleine Sertic Student in an Organized Health Care Education/Training Program Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 2020-02-12
1285274498 Jiuk James Jung Student in an Organized Health Care Education/Training Program 15 Parkman Ave, Wang 4-460, Boston, MA 02114 2020-01-15
1831740448 Jennifer Hughes Physician Assistant 55 Fruit Street, Founders 110, Boston, MA 02114 2019-09-25
1558827220 Aluma Chovel Sella Student in an Organized Health Care Education/Training Program Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 2019-02-18
1083187140 Henry Oliveras Massage Therapist 102 Charles Street, Boston, MA 02114 2019-01-10
1720550031 Nicole M Price Social Worker 29 Staniford St, Boston, MA 02114 2018-12-27
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Taxonomy Information

Taxonomy Code 364SP0809X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Psych/Mental Health, Adult

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396854394 Georgianna K. Marks Clinical Nurse Specialist 14 Cushing Ave, St Mary's Church, Boston, MA 02125 2006-08-30
1457759367 Mary Lussier-cushing Clinical Nurse Specialist 55 Fruit St, Massachusetts General Hospital, Boston, MA 02114-2621 2014-12-09
1396944732 Nancy Crouse Clinical Nurse Specialist 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 2007-07-16
1821296492 Anne Rossi Clinical Nurse Specialist 253 Summer St, 5th Flr - Cma, Boston, MA 02210-1114 2007-07-05
1518090711 Meredith Peterson Waites Clinical Nurse Specialist 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 2007-03-14
1932232006 Carol Ann Cahill Clinical Nurse Specialist 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 2007-03-14
1891827580 Jennifer A Kushmerek Clinical Nurse Specialist 1 Boston Medical Center Place, Boston, MA 02118 2007-03-09

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1306467139 Kathleen Mary Daly Clinical Nurse Specialist 22 Priscilla Ln, Duxbury, MA 02332-5101 2020-05-04
1407325541 New Directions Behavioral Health LLC Clinical Nurse Specialist 10 Ash St, Danvers, MA 01923-2749 2018-11-19
1457894628 Psyche1001 Learn Grow Change LLC Clinical Nurse Specialist 638 Adamsville Rd, Suite 1001, Westport, MA 02790-5031 2016-11-21
1841642725 Joyce Daqnal Shields Clinical Nurse Specialist 132 Oakley Rd, Belmont, MA 02478-2734 2016-07-05
1386004075 Jane Bloom Clinical Nurse Specialist 95 Golden Hill, Lee, MA 01238-9132 2016-02-24
1255722716 Carol Vivori Clinical Nurse Specialist 132 Mass Moca Way, North Adams, MA 01247-2446 2015-02-05
1982995262 Linda Louise Darbyshire Clinical Nurse Specialist 60 Munson Meeting Way Ste I, Psychiatric Collaborative, Chatham, MA 02633-1992 2011-04-21
1093020091 Suzanne Elizabeth Bergeron Clinical Nurse Specialist 2 Administration Rd, Bridgewater, MA 02324-3230 2010-08-13
1467774356 Mindful Wellbeing, LLC Clinical Nurse Specialist 11 Jillson Way, East Sandwich, MA 02537-1265 2010-02-19
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Competitor

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City BOSTON
Zip Code 02114

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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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