REBECCA MATCH (NPI# 1003282286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003282286 |
| Entity Type | Individual |
| Full Name | REBECCA MATCH |
| Practice Address |
20 Meadowbrook Rd Brockton MA 02301-7122 |
| Practice Telephone | 5086386006 |
| Mailing Telephone | 5086386006 |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2017-01-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN2264485 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
20 MEADOWBROOK RD |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-7122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376555276 | Joseph Aaron Shrand | Psychiatry & Neurology | 20 Meadowbrook Rd, Castle, Brockton, MA 02301-7122 | 2006-08-12 |
| 1649886912 | Haley Anne Vradenburg | Student in an Organized Health Care Education/Training Program | 20 Meadowbrook Rd, Brockton, MA 02301-7122 | 2020-09-21 |
| 1972003226 | Andrew William Mccall | Counselor | 20 Meadowbrook Rd, Brockton, MA 02301-7122 | 2018-02-13 |
| 1285146308 | Andy Derolus Edouard | Counselor | 20 Meadowbrook Rd, Brockton, MA 02301-7122 | 2017-10-30 |
| 1235651217 | Ashley Marie Potts | Counselor | 20 Meadowbrook Rd, Brockton, MA 02301-7122 | 2017-07-12 |
| 1568902435 | Ashley D'acci | Counselor | 20 Meadowbrook Rd, Brockton, MA 02301-7122 | 2017-02-27 |
| 1346782935 | Molly Benoit | Counselor | 20 Meadowbrook Rd, Brockton, MA 02301-7122 | 2016-11-14 |
| 1033651740 | Amanda Hoeg | Counselor | 20 Meadowbrook Rd, Brockton, MA 02301-7122 | 2016-11-11 |
| 1639622004 | Nell Woodworth | Counselor | 20 Meadowbrook Rd, Brockton, MA 02301-7122 | 2016-08-02 |
| 1588013304 | Bryan Urday | Counselor | 20 Meadowbrook Rd, Brockton, MA 02301-7122 | 2016-06-13 |
| 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 | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694361 | Abigail Nganye | Nurse Practitioner | 88 Arthur St, Brockton, MA 02302-1803 | 2020-03-12 |
| 1922574946 | Jennifer Ann Livesley | Nurse Practitioner | 22 Christys Dr, Brockton, MA 02301-1839 | 2018-10-17 |
| 1871091553 | Care4us Wellness Center LLC | Nurse Practitioner | 17 Clarence St, Brockton, MA 02301-1607 | 2018-01-26 |
| 1700439536 | Ogo George | Nurse Practitioner | 529 Pearl St, Brockton, MA 02301-2825 | 2019-07-21 |
| 1568971547 | Sana Muqqadus | Nurse Practitioner | 680 Centre St, Brockton, MA 02302-3308 | 2017-09-22 |
| 1235654534 | Kevin Diguglielmo | Nurse Practitioner | 940 Belmont St, Brockton, MA 02301-5596 | 2017-08-08 |
| 1225551674 | Lorraine Wiley | Nurse Practitioner | 940 Belmont St, Brockton, MA 02301-5596 | 2017-07-18 |
| 1386198067 | Michelle Gibson | Nurse Practitioner | 940 Belmont St, Brockton, MA 02301-5596 | 2016-08-10 |
| 1598168189 | Monahan Mental Health Group, PC | Nurse Practitioner | 820 Pearl St, Brockton, MA 02301-4411 | 2014-09-26 |
| 1467854406 | Elena Mascarenhas | Nurse Practitioner | 231 Main St, Suite 300, Brockton, MA 02301-4342 | 2014-09-22 |
| Find all providers in BROCKTON | ||||
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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.