DR. LUZ EVANGELINE SALUD DIZON (NPI# 1902891724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902891724 |
| Entity Type | Individual |
| Full Name | DR. LUZ EVANGELINE SALUD DIZON |
| Credential | M.D. |
| Practice Address |
235 N Pearl St Good Samaritan Hospital Brockton MA 02301-1794 |
| Mailing Address |
Po Box 260 Moak Associates Westborough MA 01581-0260 |
| Practice Telephone | 5084272525 |
| Mailing Telephone | 5088988650 |
| Mailing Fax Number | 5088709397 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2008-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
81052 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CARD | J24338 | 01 |
| MA | BC/BS OF MASSACHUSETTS | J24338 | 01 |
| MA | NEIGHBORHOOD HEALTH PLAN | 0026396 | 01 |
| MA | O159140 | 05 | |
| MA | FEDERAL BC/BS | J24338 | 01 |
| MA | HEALTHNET/BMC | 000000026002 | 01 |
| Street Address |
235 N PEARL ST GOOD SAMARITAN HOSPITAL |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-1794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275527020 | Mark S Dichter | Internal Medicine | 235 N Pearl St, Brockton, MA 02301-1794 | 2005-09-08 |
| 1811523913 | Paige Graham | Physician Assistant | 235 N Pearl St, Brockton, MA 02301-1794 | 2020-03-20 |
| 1477109627 | Nathaniel Minh Dang | Nurse Practitioner | 235 N Pearl St, Brockton, MA 02301-1794 | 2019-08-14 |
| 1457811846 | Joliane Charlotin | Social Worker | 235 N Pearl St, Brockton, MA 02301-1794 | 2019-03-21 |
| 1437614229 | Julia Louis | Advanced Practice Midwife | 235 N Pearl St, Brockton, MA 02301-1700 | 2019-02-05 |
| 1124502497 | Guy A Fleuette | Social Worker | 235 N Pearl St, Brockton, MA 02301-1794 | 2018-09-21 |
| 1114408275 | Jacqueline Gail Donahue | Social Worker | 235 N Pearl St, Brockton, MA 02301-1794 | 2018-08-27 |
| 1326529652 | Christie E. Culbert | Social Worker | 235 N Pearl St, Brockton, MA 02301-1794 | 2018-08-24 |
| 1316425770 | Karyn Smart-strobert | Social Worker | 235 N Pearl St, Brockton, MA 02301-1794 | 2018-07-29 |
| 1982101192 | Eva Gougian | Physician Assistant | 235 N Pearl St, Brockton, MA 02301-1794 | 2018-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730444274 | Edwin R Raffi | Psychiatry & Neurology | 940 Belmont St # 116a7, Brockton, MA 02301-5596 | 2012-07-11 |
| 1780816843 | Fawad Taj | Psychiatry & Neurology | 940 Belmont St, Building 5, Rm116a7, Va Boston Healthcare, Brockton, MA 02301 | 2009-08-21 |
| 1922198431 | Ronald J. Gurrera | Psychiatry & Neurology | 940 Belmont St # 116a, Brockton, MA 02301-5596 | 2006-10-13 |
| 1740386689 | Miriam Tankiang Villanueva | Psychiatry & Neurology | 30 Meadowbrook Rd, Brockton, MA 02301-7122 | 2006-09-16 |
| 1124134069 | Dimitris Gerothanassis | Psychiatry & Neurology | 529 Pearl St, Brockton, MA 02301-2825 | 2006-08-22 |
| 1376555276 | Joseph Aaron Shrand | Psychiatry & Neurology | 20 Meadowbrook Rd, Castle, Brockton, MA 02301-7122 | 2006-08-12 |
| 1326086638 | Alejandro Y Mendoza | Psychiatry & Neurology | 235 North Pearl Street, Caritas Good Samaritan Med Ctr, Brockton, MA 02301 | 2006-06-02 |
| 1700873999 | Lyudmila Rakita | Psychiatry & Neurology | 1342 Belmont St, Suite 103, Brockton, MA 02301-4436 | 2005-10-03 |
| 1780181636 | Frank Copeli | Psychiatry & Neurology | 940 Belmont St Bldg 5, Brockton, MA 02301-5596 | 2018-04-08 |
| 1922516053 | Steward Good Samaritan Medical Center, Inc. | Psychiatry & Neurology | 235 N Pearl St, Brockton, MA 02301-1794 | 2018-01-10 |
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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.