Sandra Ann Theodor (NPI# 1891911749, PAC ID# 7315128170) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1891911749 |
| PAC ID by PECOS | 7315128170 |
| Professional Enrollment ID | I20110228000056 |
| Full Name | Sandra Ann Theodor |
| Organization Legal Name | DCS MENTAL HEALTH, INC |
| Address |
151 Mystic Ave Suite 6 Medford MA 02155-4632 |
| Phone Number | 7813961199 |
| Gender | F |
| Graduation Year | 1994 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 8820992456 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 151 Mystic Ave, Suite 6, Medford, MA 02155-4632 | 7813961199 | DCS MENTAL HEALTH, INC |
| Organization Legal Name | DCS MENTAL HEALTH, INC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allison J Puliafico | Clinical Social Worker | Dcs Mental Health, Inc | 90 New State Hwy Rte 44, Suite 6, Raynham, MA 02767-5460 |
| Geoffrey L Whitley | Nurse Practitioner | Dcs Mental Health, Inc | 151 Mystic Ave, Suite 6, Medford, MA 02155-4632 |
| Amanda Jeanna Fata | Clinical Social Worker | Dcs Mental Health, Inc | 151 Mystic Ave, Suite 6, Medford, MA 02155-4632 |
| Ernst Manigat | Psychiatry | Dcs Mental Health, Inc | 151 Mystic Ave, Suite 6, Medford, MA 02155-4632 |
| Lucita C Clondas | Clinical Social Worker | Dcs Mental Health, Inc | 151 Mystic Ave, Suite 6, Medford, MA 02155-4632 |
| Janis Monat | Clinical Social Worker | Dcs Mental Health, Inc | 151 Mystic Ave, Suite 6, Medford, MA 02155-4632 |
| Ann E Carpenter | Clinical Social Worker | Dcs Mental Health, Inc | 151 Mystic Ave, Suite 6, Medford, MA 02155-4632 |
| Timothy A Mckenzie | Psychologist, Clinical | Dcs Mental Health, Inc | 151 Mystic Ave, Suite 6, Medford, MA 02155-4632 |
| Mary T Wisniewski | Clinical Social Worker | Dcs Mental Health, Inc | 151 Mystic Ave, Suite 6, Medford, MA 02155-4632 |
| Deborah Max Reisman | Clinical Social Worker | Dcs Mental Health, Inc | 151 Mystic Ave, Suite 6, Medford, MA 02155-4632 |
| Street Address |
151 MYSTIC AVE SUITE 6 |
| City | MEDFORD |
| State | MA |
| Zip | 02155-4632 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Geoffrey L Whitley | Nurse Practitioner | Dcs Mental Health, Inc | 151 Mystic Ave, Suite 6, Medford, MA 02155-4632 |
| Amanda Jeanna Fata | Clinical Social Worker | Dcs Mental Health, Inc | 151 Mystic Ave, Suite 6, Medford, MA 02155-4632 |
| Ernst Manigat | Psychiatry | Dcs Mental Health, Inc | 151 Mystic Ave, Suite 6, Medford, MA 02155-4632 |
| Lucita C Clondas | Clinical Social Worker | Dcs Mental Health, Inc | 151 Mystic Ave, Suite 6, Medford, MA 02155-4632 |
| Janis Monat | Clinical Social Worker | Dcs Mental Health, Inc | 151 Mystic Ave, Suite 6, Medford, MA 02155-4632 |
| Ann E Carpenter | Clinical Social Worker | Dcs Mental Health, Inc | 151 Mystic Ave, Suite 6, Medford, MA 02155-4632 |
| Timothy A Mckenzie | Psychologist, Clinical | Dcs Mental Health, Inc | 151 Mystic Ave, Suite 6, Medford, MA 02155-4632 |
| Mary T Wisniewski | Clinical Social Worker | Dcs Mental Health, Inc | 151 Mystic Ave, Suite 6, Medford, MA 02155-4632 |
| Deborah Max Reisman | Clinical Social Worker | Dcs Mental Health, Inc | 151 Mystic Ave, Suite 6, Medford, MA 02155-4632 |
| Berni Zisserson | Clinical Social Worker | Dcs Mental Health, Inc | 151 Mystic Ave, Suite 6, Medford, MA 02155-4632 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miriam T Dougherty | Ophthalmology | 77 Playstead Rd, Medford, MA 02155-1451 | |
| Elizabeth Marie Gingerich X | Psychiatry | 219 Ashcroft Rd, Medford, MA 02155-1602 | |
| Ellen D Klee | Nurse Practitioner | Hallmark Health Medical Associates Inc | 170 Governors Ave, Medford, MA 02155-1643 |
| Ann-marie E Sullivan | Nurse Practitioner | Massachusetts Acute Care Specialists PC | 170 Governors Ave, Medford, MA 02155-1643 |
| Jessica L Johanson | Nurse Practitioner | Massachusetts Acute Care Specialists PC | 170 Governors Ave, Medford, MA 02155-1643 |
| Andrea M Messina | Nurse Practitioner | Melrosewakefield Healthcare, Inc | 170 Governors Ave, Medford, MA 02155-1643 |
| Patricia A Sereno | Family Medicine | Hallmark Health Medical Associates Inc | 170 Governors Ave, Medford, MA 02155-1643 |
| Josephine M Gaviola | Nurse Practitioner | Hallmark Health Medical Associates Inc | 170 Governors Ave, Medford, MA 02155-1643 |
| Paula M Fang | Internal Medicine | Hallmark Health Medical Associates Inc | 170 Governors Ave, Medford, MA 02155-1643 |
| Daniel J Carlat | Psychiatry | Melrosewakefield Healthcare, Inc | 170 Governors Ave, Medford, MA 02155-1643 |
| Find all physicians in zip 02155 | |||
| City | MEDFORD |
| Zip Code | 02155 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | MEDFORD + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Sandra Ann Theodor.
| 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.