TIMOTHY JAMES O'FARRELL (NPI# 1962590091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962590091 |
| Entity Type | Individual |
| Full Name | TIMOTHY JAMES O'FARRELL |
| Credential | PH.D. |
| Practice Address |
940 Belmont St Vamc - 116b1 Brockton MA 02301-5596 |
| Practice Telephone | 5085834500 |
| Practice Fax Number | 7748261087 |
| Mailing Telephone | 5085834500 |
| Mailing Fax Number | 7748261087 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2012-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0000X |
Psychologist Specialization: Family |
1807 | MA | Behavioral Health & Social Service Providers |
| Street Address |
940 BELMONT ST VAMC - 116B1 |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-5596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992779011 | Paul Moitoso | Social Worker | 940 Belmont St, 122 - Bldg 3, A-504a, Brockton, MA 02301-5596 | 2006-02-15 |
| 1255938262 | Matthew Janson | Recreation Therapist | 940 Belmont St, Brockton, MA 02301-5596 | 2020-10-02 |
| 1861099020 | Erin A Lawrence | Recreation Therapist | 940 Belmont St, Brockton, MA 02301-5596 | 2020-10-01 |
| 1720698442 | Ifeoma Laurietta Ugbo | Registered Nurse | 940 Belmont St, Brockton, MA 02301-5596 | 2020-08-06 |
| 1255959961 | Abigail Lauraine Munroe | Registered Nurse | 940 Belmont St, Brockton, MA 02301-5568 | 2020-07-09 |
| 1225653173 | Bryanna Morgan Caron | Optometrist | 940 Belmont St, Brockton, MA 02301-5596 | 2020-06-16 |
| 1134744675 | Marie Eva Dely | Registered Nurse | 940 Belmont St, Brockton, MA 02301-5596 | 2020-06-10 |
| 1255955142 | Daniel Salazar | Registered Nurse | 940 Belmont St, Brockton, MA 02301-5596 | 2020-06-05 |
| 1982227146 | Amelia Colby Rohan | Student in an Organized Health Care Education/Training Program | 940 Belmont St, Brockton, MA 02301-5596 | 2020-05-22 |
| 1952923526 | Amy Felicia Jones | Student in an Organized Health Care Education/Training Program | 940 Belmont St, Brockton, MA 02301-5596 | 2020-05-17 |
| 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 | 103TF0000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982124988 | Shavon Franks | Psychologist | 30 Downey Rd, Brockton, MA 02302 | 2017-06-21 |
| 1740627249 | Ariane M. Pina | Psychologist | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2013-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215574272 | Jeff Beauvil Jr. | Psychologist | 66l Veterans Ave, Everett, MA 02149-4157 | 2019-12-09 |
| 1457900037 | Terrel Newton | Psychologist | 695 Truman Hwy # 201-202, Boston, MA 02136-3552 | 2019-09-06 |
| 1487171443 | Kristen Lee Jernberg | Psychologist | 18 Anselm Terrace, Brighton, MA 02135 | 2017-08-29 |
| 1720458094 | Jada Evans | Psychologist | 18 Sturtevant Ave, Apt. 1, Norwood, MA 02062 | 2015-09-30 |
| 1093028144 | Denise Yvonne Grace-singleton | Psychologist | 304 Amory St, Jamaica Plain, MA 02130-2310 | 2010-07-19 |
| 1912121674 | David Wilson Mcgill | Psychologist | 4 Wright St, Cambridge, MA 02138-1704 | 2007-04-12 |
| 1740378678 | Jane N Appell | Psychologist | Damonmill Square Suite 3-1a, 9 Pond Lane, Concord, MA 01742-2858 | 2006-10-10 |
| 1710901749 | Tanya B. White | Psychologist | 9 Doran Farm Ln, Lexington, MA 02420-2128 | 2006-07-26 |
| 1851370787 | Robert George Goodman | Psychologist | 83 Franklin St, Watertown, MA 02472-4020 | 2006-01-10 |
| 1891355533 | Jodi Blythe Perry | Psychologist | 200 Ter Heun Dr, Falmouth, MA 02540-2525 | 2019-06-15 |
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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.