DR. JOEL ROSENBAUM (NPI# 1821025800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821025800 |
| Entity Type | Individual |
| Full Name | DR. JOEL ROSENBAUM |
| Credential | PH.D. |
| Practice Address |
114 Whitwell St Quincy Medical Center, Suite B618 Quincy MA 02169-1870 |
| Mailing Address |
36 Halvorsen Ave Hull MA 02045-2020 |
| Practice Telephone | 6173762095 |
| Practice Fax Number | 6173765413 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103G00000X | Clinical Neuropsychologist | 05087 | MA | Behavioral Health & Social Service Providers |
| X | 103T00000X | Psychologist | 05087 | MA | Behavioral Health & Social Service Providers |
| X | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
05087 | MA | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
05087 | MA | Behavioral Health & Social Service Providers |
| X | 103TR0400X |
Psychologist Specialization: Rehabilitation |
05087 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS PROVIDER ID | 403324 | 01 |
| MA | BLUE CROSS/BLUE SHIELD ID | W05943 | 01 |
| MA | 0526894 | 05 |
| Street Address |
114 WHITWELL ST QUINCY MEDICAL CENTER, SUITE B618 |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-1870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619972445 | Quincy Medical Center | General Acute Care Hospital | 114 Whitwell St, Quincy, MA 02169-1870 | 2005-06-17 |
| 1033513122 | Unquity Podiatry | Podiatrist | 114 Whitwell St, Quincy, MA 02169-1870 | 2014-10-17 |
| 1679981377 | Bridget Schoeneck | Nurse Practitioner | 114 Whitwell St, Quincy, MA 02169-1870 | 2014-07-25 |
| 1134530447 | Thien Van V Cai | Physician Assistant | 114 Whitwell St, Quincy, MA 02169-1870 | 2014-05-09 |
| 1215362058 | Sheila Murphy | Physician Assistant | 114 Whitwell St, Quincy, MA 02169-1870 | 2013-09-12 |
| 1598001984 | Lauren Elizabeth Hufnagle | Physician Assistant | 114 Whitwell St, Quincy, MA 02169-1870 | 2012-12-12 |
| 1114273612 | Greater Boston Orthopedic Associates LLC | Orthopaedic Surgery | 114 Whitwell St, Floor A-4, Quincy, MA 02169-1870 | 2012-08-02 |
| 1912275017 | Quincy Medical Center, A Steward Family Hospital Inc | General Acute Care Hospital | 114 Whitwell St, Quincy, MA 02169-1870 | 2011-12-05 |
| 1720369036 | Quincy Medical Center, A Steward Family Hospital, Inc. | Psychiatric Unit | 114 Whitwell St, Quincy, MA 02169-1870 | 2011-08-31 |
| 1972882231 | Quincy Medical Center, A Steward Family Hospital, Inc. | General Acute Care Hospital | 114 Whitwell St, Quincy, MA 02169-1870 | 2011-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346387834 | Janice Plunkett D'avignon | Clinical Neuropsychologist | 111 Willard St Ste 1c, Quincy, MA 02169-1200 | 2007-01-31 |
| 1881744209 | Edward T Heck | Clinical Neuropsychologist | 1261 Furnace Brook Pkwy, Quincy, MA 02169-4721 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949873 | Erica Rose Appleman | Clinical Neuropsychologist | 134 Horace St, Boston, MA 02128-1581 | 2020-07-09 |
| 1578187613 | Nancy Schneider-pruett | Clinical Neuropsychologist | The Neuropsychology Service, 100 Cummings Center, Beverly, MA 01982 | 2020-06-04 |
| 1194365312 | Erin Grace Kitchener | Clinical Neuropsychologist | 1 Wells Ave Fl 4, Newton, MA 02459-3211 | 2020-01-15 |
| 1407330509 | Coastal Psychological Center, LLC. | Clinical Neuropsychologist | 36 Woburn St Ste 6, Reading, MA 01867-2903 | 2018-09-24 |
| 1881102515 | Matthew S Conway | Clinical Neuropsychologist | 26 Chestnut St Ste 2e, Andover, MA 01810-3600 | 2018-01-16 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1346792637 | Margaret Alice Mcphee | Clinical Neuropsychologist | 29 Regina Dr, Chelmsford, MA 01824-4540 | 2016-11-02 |
| 1154870814 | Jessica Pan | Clinical Neuropsychologist | 1 Bowdoin St, 7th Floor, Boston, MA 02114-4201 | 2016-09-22 |
| 1508217506 | Donald Bearden | Clinical Neuropsychologist | 30 Iroquois St, Unit 33, Roxbury Crossing, MA 02120-2848 | 2016-06-30 |
| 1497115612 | Susan Magocsi | Clinical Neuropsychologist | 13 Meetinghouse Ln, Milton, MA 02186-2415 | 2016-03-01 |
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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.