DANIEL RUTRICK MD PC (NPI# 1851500151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851500151 |
| Entity Type | Organization |
| Organization Name | DANIEL RUTRICK MD PC |
| Practice Address |
617 Broadway Everett MA 02149-3712 |
| Practice Telephone | 6173872220 |
| Practice Fax Number | 6173940538 |
| Mailing Telephone | 6173872220 |
| Mailing Fax Number | 6173940538 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | EILEEN MCCLELLAN (OFFICE MANGER) |
| Authorized Official Telephone | 6173872220 |
| Authorized Official Credential | OFFICE MANAGER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
36462 | MA | Allopathic & Osteopathic Physicians |
| X | 103T00000X | Psychologist | 2351 | MA | Behavioral Health & Social Service Providers |
| X | 103TC1900X |
Psychologist Specialization: Counseling |
8277 | MA | Behavioral Health & Social Service Providers |
| X | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
142070 | MA | Nursing Service Providers |
| X | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
164216 | MA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | TUFTS GROUP NUMBER | 036462 | 01 |
| MA | RUTRICK GROUP PSYCHOLOGIS | 500019 | 01 |
| MA | TUFTS CERTIFIED NURSE SPE | 50064 | 01 |
| MA | BLUE SHIELD GROUP NUMBER | M13835 | 01 |
| Street Address |
617 BROADWAY |
| City | EVERETT |
| State | MA |
| Zip Code | 02149-3712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336341502 | Daniel Rutrick, Md, PC | Psychologist | 617 Broadway, Everett, MA 02149-3712 | 2007-06-01 |
| 1306979497 | Janice Tedford | Psychologist | 617 Broadway, Everett, MA 02149-3712 | 2007-03-14 |
| 1518042621 | Evelyn Luchs Savitz | Registered Nurse | 617 Broadway, Everett, MA 02149 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336550 | Berthonya Joas | Physical Therapy Assistant | 62 Lawrence St, Everett, MA 02149 | 2020-11-03 |
| 1053940031 | Sarah Ann Bottiglio | Pharmacist | Whidden Hospital, 103 Garland Street, Everett, MA 02149 | 2020-04-02 |
| 1417494139 | Tsering Dolkar | Registered Nurse | Department of Surgery 103 Garland Street, Everett Hospital, Everett, MA 02149 | 2017-01-20 |
| 1073060190 | Egenie Desir | Registered Nurse | 102 Edith St, Everett, MA 02149 | 2016-09-07 |
| 1295113215 | Tracy Guan | Speech-Language Pathologist | 213 Springvale Ave, Everett, MA 02149 | 2015-05-11 |
| 1386075562 | Maritza Andrea Romano | Licensed Practical Nurse | 77 Clark Street, Everett, MA 02149 | 2013-12-12 |
| 1619221454 | Nicole Marie Shanahan | Social Worker | 23 Union Street, Apartment 2, Everett, MA 02149 | 2012-11-01 |
| 1760764997 | Ashish Agarwal | Pharmacist | 317 Ferry Street, Everett, MA 02149 | 2011-09-14 |
| 1851684856 | Jocelyn Ronda | Internal Medicine | Mgh Everett Family Care, 19 Norwood St, Everett, MA 02149 | 2011-05-24 |
| 1720292204 | Geraldine Chandra Martin | Optometrist | 2 Mystic View Road, Everett, MA 02149 | 2007-05-10 |
| Find all providers in zip 02149 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467095810 | Siere Jennifer Alkee | Psychiatry & Neurology | 68 N.front St, New Bedford, MA 02740 | 2019-10-17 |
| 1881015337 | Norton Health Care PC | Psychiatry & Neurology | 85 E Main St Ste A, Norton, MA 02766-2307 | 2014-01-01 |
| 1104185586 | Adam Bied | Psychiatry & Neurology | 339 Massachusetts Ave, Arlington, MA 02474-6718 | 2012-05-07 |
| 1598809287 | Nestore J D'angelo | Psychiatry & Neurology | 18 Woodholm Rd, Manchester, MA 01944-1042 | 2007-02-16 |
| 1245392513 | Roger N Chabra | Psychiatry & Neurology | 284 Starboard Ln, Osterville, MA 02655-1451 | 2006-12-14 |
| 1487754974 | Amjad Bahnassi | Psychiatry & Neurology | 435 Shrewsbury St Ste 1, Worcester, MA 01604-1691 | 2006-09-24 |
| 1205934924 | Boston Psychiatry Group, Inc. | Psychiatry & Neurology | 20 Hope Ave Ste G05, Waltham, MA 02453-2781 | 2006-09-20 |
| 1265446157 | Elliott Gerald Segal | Psychiatry & Neurology | 126b Sewall Ave, Brookline, MA 02446-5327 | 2006-07-28 |
| 1043239270 | Alan Fisch | Psychiatry & Neurology | 872 Massachusetts Ave., Ste. 2-2, 2-7, Cambridge, MA 02139 | 2006-07-19 |
| 1093789083 | Michael Joshua Ostacher | Psychiatry & Neurology | 50 Staniford St Ste 580, Massachusetts General Hospital, Boston, MA 02114-2540 | 2006-02-15 |
| 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.