COREY BAECHEL


Address: 26 Beacon St, Apt 47a, Burlington, MA 01803-3803
Phone: 6172515867

COREY BAECHEL (NPI# 1003149972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003149972
Entity Type Individual
Full Name COREY BAECHEL
Credential PSYD
Practice Address 26 Beacon St
Apt 47a
Burlington
MA 01803-3803
Mailing Address 60 Kendrick St
Suite 204
Needham
MA 02494-2726
Practice Telephone 6172515867
Mailing Telephone 8003703651
Enumeration Date 2009-09-10
Last Update Date 2014-11-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
9989 MA Behavioral Health & Social Service Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 26 BEACON ST
APT 47A
City BURLINGTON
State MA
Zip Code 01803-3803

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NPI Name Taxonomy Address Enumeration
1871901314 Melissa Przybysz Dietitian, Registered 26 Beacon St, #33e, Burlington, MA 01803-3803 2014-07-29

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871119412 Krista Reincke, Psy.d., LLC Psychologist 86 Saint Paul St Ste 307, Burlington, VT 05401-4958 2020-06-19
1346706322 Adoria Senning Psychologist 1 Main St Ste 308, Burlington, VT 05401-8480 2019-02-14
1104215243 Alexandra Mizrahi Psychologist 148 College St Ste 202c, Burlington, VT 05401-8476 2015-01-13
1437394129 Neil R Metzner Psychologist 851 Pine Street, Burlington, VT 05401-3898 2008-12-09
1710183801 Ene Piirak Psychologist 196 Battery St, Burlington, VT 05401-5287 2007-06-25
1407972334 Mary Ellen Atkins Psychologist 92 Adams Street, Burlington, VT 05401 2007-03-22
1326179078 Stephanie Joy Katzman Psychologist 101 Cambridge St Ste 230, Burlington, MA 01803-3767 2007-03-07
1902935372 William M. Butler Psychologist 125 College St, Burlington, VT 05401-8444 2007-03-03
1952442907 Valerie Ruth Padgett Psychologist 2971 Crouse Ln Ste D, Burlington, NC 27215-8446 2007-02-12
1821153594 Tim Caufield, Phd LLC Psychologist 484 N Pine St, Burlington, WI 53105-1417 2006-12-23
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Competitor

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City BURLINGTON
Zip Code 01803

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Dataset Information

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.

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