MARK NICKOLAS (NPI# 1851656458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851656458 |
| Entity Type | Individual |
| Full Name | MARK NICKOLAS |
| Practice Address |
872 Massachusetts Ave Suite 2-2 Cambridge MA 02139-3073 |
| Practice Telephone | 6173955806 |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
7926 | MA | Behavioral Health & Social Service Providers |
| Street Address |
872 MASSACHUSETTS AVE SUITE 2-2 |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02139-3073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740282094 | Wayne Edward Brunell | Psychiatry & Neurology | 872 Massachusetts Ave, Ste 1-4, Cambridge, MA 02139-3013 | 2005-06-01 |
| 1821631995 | Juliet Pellicane | Counselor | 872 Massachusetts Ave, Cambridge, MA 02139-3073 | 2019-10-22 |
| 1770912610 | Francis Guerriero | Social Worker | 872 Massachusetts Ave, Suite 2-2, Cambridge, MA 02139-3073 | 2013-11-01 |
| 1487913406 | Teresa Lynn Blevins | Psychologist | 872 Massachusetts Ave, Suite 2-2, 2-7, Cambridge, MA 02139-3073 | 2012-05-11 |
| 1518277573 | Rebecca Lawrence | Social Worker | 872 Massachusetts Ave, Suite 2-1, Cambridge, MA 02139-3073 | 2010-10-08 |
| 1881923043 | Blumit Shmolak | Counselor | 872 Massachusetts Ave, Cambridge, MA 02139-3073 | 2009-12-17 |
| 1851557789 | Brittany J Hartman | Counselor | 872 Massachusetts Ave, Suite 2-7, Cambridge, MA 02139-3073 | 2008-07-30 |
| 1538340591 | Jennifer Strong | Psychologist | 872 Massachusetts Ave, Suite 2-7, Cambridge, MA 02139 | 2007-11-19 |
| 1801952841 | Seymour H Andrus | Dentist | 872 Massachusetts Ave, Suite 2-6, Cambridge, MA 02139-3073 | 2006-12-27 |
| 1447315049 | Vikki L Brown | Psychologist | 872 Massachusetts Ave, Ste 2-1, Cambridge, MA 02139-3072 | 2006-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316044 | Diane Greenleaf | Registered Nurse | Cha Windsor Clinic, 119 Windsor St, Cambridge, MA 02139 | 2019-09-26 |
| 1730738345 | Martin Bednar | Student in an Organized Health Care Education/Training Program | 350 Massachusetts Avenue, Cambridge, MA 02139 | 2019-09-06 |
| 1861050049 | Rebecca Marie Addison | Dietitian, Registered | 75 Auburn St, Cambridge, MA 02139 | 2019-06-03 |
| 1285103051 | Jenna Halloran | Social Worker | 929 Massaschusetts Ave, Cambridge, MA 02139 | 2018-11-21 |
| 1750859286 | Lisa Marie Keovongsa | Dietitian, Registered | 186 1/2 Hampshire St., Cambridge, MA 02139 | 2018-11-02 |
| 1245714237 | Eleanor Coffin | Occupational Therapist | 1483 Cambridge St, Cambridge, MA 02139 | 2018-09-17 |
| 1649758277 | Sariya Idriss | Social Worker | Cambridge Health Alliance, 1493 Cambridge St., Cambridge, MA 02139 | 2018-08-06 |
| 1538647151 | Ari Pehkonen | Social Worker | Cambridge Health Alliance, Cambridge Hospital, 1493 Cambridge St., Cambridge, MA 02139 | 2018-08-06 |
| 1972080893 | Esther Cazeau | Counselor | 237 Hampshire St., Cambridge, MA 02139 | 2018-07-24 |
| 1528596533 | Adam Liebling | Acupuncturist | 11 Fiske Pl., Cambridge, MA 02139 | 2017-06-03 |
| Find all providers in zip 02139 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285240614 | Ruthann Corrie Hewett | Counselor | 15 Ellery St Apt 8, Cambridge, MA 02138-5321 | 2020-09-21 |
| 1730798489 | Talk Therapy Tuebingen LLC | Counselor | 10 Michael Way, Cambridge, MA 02141-1436 | 2020-07-29 |
| 1407491962 | Alex Henry Newman | Counselor | 929 Massachusetts Ave Ste 103, Cambridge, MA 02139-3134 | 2019-11-08 |
| 1790343259 | Arielle Klein | Counselor | 872 Massachusetts Ave Ste 2-2, Cambridge, MA 02139-3072 | 2019-05-30 |
| 1144887696 | Stephanie Gray | Counselor | 1066 Cambridge St Apt 303, Cambridge, MA 02139-1463 | 2019-05-21 |
| 1952878233 | Wendy Elizabeth Shifflet | Counselor | Tri Valley Medical, 1305 Hwy 6/34, Cambridge, NE 69022 | 2018-10-25 |
| 1144796327 | Dorchester County Health Department - Sbwc-mh-csd | Counselor | 2475 Cambridge Beltway, Cambridge, MD 21613-3680 | 2018-10-16 |
| 1295201515 | Dorchester County Health Department - Sbwc-mh - Sandy Hill | Counselor | 1503 Glasgow St, Cambridge, MD 21613-1350 | 2018-10-15 |
| 1265917850 | Gail Nunes | Counselor | 872 Mass Ave Ste 2-2, Cambridge, MA 02139-3072 | 2018-09-28 |
| 1972080893 | Esther Cazeau | Counselor | 237 Hampshire St., Cambridge, MA 02139 | 2018-07-24 |
| Find all providers in CAMBRIDGE | ||||
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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.