Kelli A Cossaboom (NPI# 1932382637, PAC ID# 1254383862) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL NURSE SPECIALIST.
| Nation Provider ID (NPI) | 1932382637 |
| PAC ID by PECOS | 1254383862 |
| Professional Enrollment ID | I20050211000286 |
| Full Name | Kelli A Cossaboom |
| Organization Legal Name | NEWTON SQUARE HEALTH CENTER PC |
| Address |
338 Highland St Worcester MA 01602-2143 |
| Phone Number | 5087525880 |
| Gender | F |
| Credential | CNS |
| Medical School | UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL |
| Graduation Year | 1988 |
| Primary Specialty | CLINICAL NURSE SPECIALIST |
| Group Practice PAC ID | 4183665615 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220012 | CAPE COD HOSPITAL |
| 220077 | BAYSTATE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 460 W Main St, Hyannis, MA 02601-3999 | 5087903375250 | CAPE COD HUMAN SERVICES |
| 338 Highland St, Worcester, MA 01602-2143 | 5087525880 | NEWTON SQUARE HEALTH CENTER PC |
| Organization Legal Name | NEWTON SQUARE HEALTH CENTER PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zamir Nestelbaum | Psychiatry | Newton Square Health Center PC | 338 Highland St, Worcester, MA 01602-2143 |
| Mary Barbato | Certified Clinical Nurse Specialist (cns) | Newton Square Health Center PC | 338 Highland St, Worcester, MA 01602-2143 |
| Street Address |
338 HIGHLAND ST |
| City | WORCESTER |
| State | MA |
| Zip | 01602-2143 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas W Counts | Clinical Social Worker | 338 Highland St, Worcester, MA 01602-2143 | |
| Zamir Nestelbaum | Psychiatry | Newton Square Health Center PC | 338 Highland St, Worcester, MA 01602-2143 |
| Mary Barbato | Certified Clinical Nurse Specialist (cns) | Newton Square Health Center PC | 338 Highland St, Worcester, MA 01602-2143 |
| Jennifer H Barris | Clinical Social Worker | 338 Highland St, Worcester, MA 01602-2143 | |
| Christopher A Cimmino | Clinical Social Worker | 338 Highland St, Worcester, MA 01602-2143 | |
| Marilyn J Lisker Birnbaum | Clinical Psychologist | 338 Highland St, Worcester, MA 01602-2143 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Reinhard H. Bartelmann | Chiropractic | 8 Drexel St, Worcester, MA 01602-1227 | |
| Joyce S Murphy | Clinical Social Worker | 21 Annisquam St, Worcester, MA 01602-1701 | |
| Neil R Castronovo | Psychologist, Clinical | 19 Marwood Rd, Worcester, MA 01602-1716 | |
| James J Convery | Chiropractic | 877 Pleasant St, Worcester, MA 01602-1908 | |
| Michael T Finnegan | Chiropractic | 546 Mill St, Worcester, MA 01602-2445 | |
| John M Madonna Jr. | Psychologist, Clinical | 469 Chandler St, Worcester, MA 01602-2529 | |
| Vito Giacalone | Chiropractic | Newton Square Chiro LLC | 688 Pleasant St, Worcester, MA 01602-2751 |
| Maura A Hogan | Clinical Social Worker | 100 June St, Worcester, MA 01602-2959 | |
| Jeffrey D Levine | Ophthalmology | 372 Chandler St, Worcester, MA 01602-3300 | |
| Kristi D Vargas | Clinical Social Worker | Hri Clinics, Inc. | 411 Chandler St, Worcester, MA 01602-3339 |
| Find all physicians in zip 01602 | |||
| City | WORCESTER |
| Zip Code | 01602 |
| Specialty | CLINICAL NURSE SPECIALIST |
| City + Specialty | WORCESTER + CLINICAL NURSE SPECIALIST |
Please comment or provide details below to improve the information on Kelli A Cossaboom.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.