MR. ERIK O. MUTEN (NPI# 1861643173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861643173 |
Entity Type | Individual |
Full Name | MR. ERIK O. MUTEN |
Credential | PSYD |
Practice Address |
73 Russell Rd Huntington MA 01050-9777 |
Practice Telephone | 4136673009 |
Mailing Telephone | 4136673009 |
Enumeration Date | 2008-10-06 |
Last Update Date | 2009-02-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
4293 | MA | Behavioral Health & Social Service Providers |
Y | 103TC0700X |
Psychologist Specialization: Clinical |
4293 | MA | Behavioral Health & Social Service Providers |
N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
4293 | MA | Behavioral Health & Social Service Providers |
N | 103TH0004X |
Psychologist Specialization: Health |
4293 | MA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | MASSACHUSETTS PSYCHOLOGY LICENSE | 4293 | 01 |
Street Address |
73 RUSSELL RD |
City | HUNTINGTON |
State | MA |
Zip Code | 01050-9777 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750368080 | Melissa A. Greenspan | Family Medicine | 73 Russell Rd, Huntington, MA 01050-9777 | 2005-12-28 |
1588113328 | Brenda Lee Chaloux | Nurse Practitioner | 73 Russell Rd, Huntington, MA 01050-9777 | 2016-09-21 |
1437552668 | Leah King | Student in an Organized Health Care Education/Training Program | 73 Russell Rd, Huntington, MA 01050-9777 | 2014-10-02 |
1124429147 | Jillian Mcbride | Social Worker | 73 Russell Rd, Huntington, MA 01050-9777 | 2014-09-09 |
1568871325 | Marisela Andrea Fermin-schon | Nurse Practitioner | 73 Russell Rd, Huntington, MA 01050-9777 | 2014-08-06 |
1114288750 | Carol L Owen | Social Worker | 73 Russell Rd, Huntington, MA 01050-9777 | 2012-05-30 |
1053618330 | Julia Ann Goncalves | Counselor | 73 Russell Rd, Huntington, MA 01050-9777 | 2011-02-22 |
1366746315 | Diana Jean Johnson | Nurse Practitioner | 73 Russell Rd, Huntington, MA 01050-9777 | 2011-01-05 |
1508053216 | Deviprasad M Makonahally | Dentist | 73 Russell Rd, Huntington, MA 01050-9777 | 2007-09-26 |
1720005283 | Michael A Purdy | Optometrist | 73 Russell Rd, Huntington, MA 01050-9777 | 2006-07-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134186620 | Charles Michael Simmons | Emergency Medicine | 20 Cullen Hill Road, Huntington, MA 01050 | 2006-04-27 |
1356341242 | Anne G Fine | Nurse Practitioner | Hilltown Community Health Center - School-based Program, 12 Littleville Road, Huntington, MA 01050 | 2005-07-21 |
1386834455 | Doreen Michele Kruger | Occupational Therapist | 10 Birchwood Dr, Huntington, MA 01050-9623 | 2007-07-25 |
1457682254 | Doreen Kruger | Occupational Therapist | 10 Birchwood Dr, Huntington, MA 01050-9623 | 2010-01-19 |
1093953846 | Angela Mary Pucino | Occupational Therapist | 10 Birchwood Dr, Huntington, MA 01050-9623 | 2009-02-02 |
1659521284 | Safe At Home | Occupational Therapist | 10 Birchwood Dr, Huntington, MA 01050-9623 | 2008-09-18 |
1164821609 | Susan Dion | Dietitian, Registered | 77 Worthington Rd, Huntington, MA 01050-9671 | 2014-08-21 |
1194706648 | Hilltown Community Ambulance Association Inc | Ambulance | 1 Bromley Rd, Huntington, MA 01050-9675 | 2005-11-10 |
1871954834 | Deborah Ann Wyand | Behavioral Analyst | 19 Pleasant St, Huntington, MA 01050-9758 | 2016-03-17 |
1922645480 | Karen Lucas | Student in an Organized Health Care Education/Training Program | 69 Worthington Rd, Huntington, MA 01050-9759 | 2019-12-04 |
Find all providers in zip 01050 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
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1285085837 | Marshall University H.e.l.p. Program | Psychologist | 520 18th St, Myers Hall, Huntington, WV 25755-2195 | 2016-06-24 |
1487025763 | Natalie Suzanne Osburn | Psychologist | 3375 Us Route 60, East, Huntington, WV 25705-2837 | 2015-10-13 |
1912181272 | Deborah Joan Porter | Psychologist | 115 Chichester Rd, Huntington, NY 11743-6340 | 2007-12-21 |
1447454913 | Ash Psychological Services LLC | Psychologist | 44 Elm St Ste 8, Huntington, NY 11743-3403 | 2007-06-11 |
1508088006 | Nancy Bodi | Psychologist | 755 New York Ave Ste 200, Huntington, NY 11743-4240 | 2007-05-03 |
1992826275 | Valerie Gaus | Psychologist | 64 E Gate Dr, Huntington, NY 11743-5109 | 2007-04-03 |
1760509731 | Judith Terry Davis | Psychologist | 27 Old Hickory Ln, Huntington, NY 11743-2526 | 2007-03-23 |
1457491458 | Wendy Gail Goldblatt | Psychologist | 356 New York Ave, Suite 7, Huntington, NY 11743-3304 | 2007-02-07 |
1912057597 | Carmen Perlata | Psychologist | 4 Huntington Rd, Huntington, NY 11743-1703 | 2007-01-12 |
Find all providers in HUNTINGTON |
City | HUNTINGTON |
Zip Code | 01050 |
Please comment or provide details below to improve the information on MR. ERIK O. MUTEN.
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.