DR. JOHN CHARLES PAKSTIS (NPI# 1003351388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003351388 |
Entity Type | Individual |
Full Name | DR. JOHN CHARLES PAKSTIS |
Credential | PH.D. |
Practice Address |
3 Dundee Park Dr Suite 203 Andover MA 01810-3751 |
Mailing Address |
27 Lincoln St Andover MA 01810-2953 |
Practice Telephone | 9784753590 |
Mailing Telephone | 9784753312 |
Enumeration Date | 2016-12-22 |
Last Update Date | 2016-12-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
4892 | MA | Behavioral Health & Social Service Providers |
Street Address |
3 DUNDEE PARK DR SUITE 203 |
City | ANDOVER |
State | MA |
Zip Code | 01810-3751 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871534685 | Subhash Mukherjee | Psychologist | 3 Dundee Park Dr, Ste B05, Andover, MA 01810-3723 | 2006-06-10 |
1487030029 | Colleen M Ballerini | Counselor | 3 Dundee Park Dr, Suite 203, Andover, MA 01810-3751 | 2015-08-05 |
1902037278 | Patrice A. Blanchette | Counselor | 3 Dundee Park Dr, Suite 202a, Andover, MA 01810-3751 | 2009-08-04 |
1366689531 | Jillian Solivan | Social Worker | 3 Dundee Park Dr, 203, Andover, MA 01810-3751 | 2009-01-09 |
1164602041 | Sandra Dorros | Social Worker | 3 Dundee Park Dr, Suite 203, Andover, MA 01810-3751 | 2007-11-08 |
1912107830 | Susan Ashby Toleos | Psychologist | 3 Dundee Park Dr, Ste 203, Andover, MA 01810-3751 | 2007-07-19 |
1336207463 | Courtney Gail Vareschi | Psychologist | 3 Dundee Park Dr, Suite 203, Andover, MA 01810-3751 | 2006-12-04 |
1184797474 | Josephine Finocchiaro | Clinical Nurse Specialist | 3 Dundee Park Dr, General Psychological Associates Ste 203, Andover, MA 01810-3723 | 2006-11-16 |
1811076128 | Adrienne Dussault | Social Worker | 3 Dundee Park Dr, General Psychological Associates Ste 203, Andover, MA 01810-3723 | 2006-11-06 |
1043398084 | Sonia Dettmann | Social Worker | 3 Dundee Park Dr, General Psych Assoc Ste 203, Andover, MA 01810-3723 | 2006-11-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871123513 | Jill Katherine Priestley | Registered Nurse | 251 South Main Street, Andover, MA 01810 | 2020-01-22 |
1023672086 | Diane Marie Gallant | Occupational Therapy Assistant | 5606 80 Andover Street, Andover, MA 01810 | 2019-04-25 |
1932677473 | Jessica Howie | Physician Assistant | 28 Andover St Fl 1, Andover, MA 01810 | 2018-11-02 |
1972087138 | Mia Cloonan | Social Worker | 1 Punchard Avenue, Apt. 3 Rear, Andover, MA 01810 | 2018-09-23 |
1063995462 | Janet Suleski | Social Worker | 10 Stevens St, Andover, MA 01810 | 2018-09-11 |
1942794706 | Alison Catherine Lynch | Optometrist | 7 Parthenon Cir, Andover, MA 01810 | 2018-06-15 |
1740773647 | Wandajune Bishop-towle | Psychologist | 75 Wild Rose Dr., Andover, MA 01810 | 2018-06-14 |
1235689860 | Jo-ann Elizabeth Newcomb | Registered Nurse | 12 Hemlock Rd, Andover, MA 01810 | 2016-10-06 |
1922476712 | Marianela Rivera | Physical Therapist | 32 Osgood St., Andover, MA 01810 | 2015-09-10 |
1447535935 | Kathleen L Mccracken | Occupational Therapy Assistant | 200 Brickstone Square, 3rd Floor, Genesis Rehab Services, Andover, MA 01810 | 2011-10-15 |
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Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346739208 | Raymond Francis Dlugos | Psychologist | 196 Elm St, Andover, MA 01810-1637 | 2018-05-07 |
1629508171 | Fresh Start Psychological Services LLC | Psychologist | 18 Railroad St Ste 1, Andover, MA 01810-3570 | 2017-06-18 |
1700810025 | General Psychological Associates | Psychologist | 3 Dundee Park Dr, Suite 203, Andover, MA 01810-3723 | 2006-07-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043817489 | Trevor Allan Cote | Psychologist | 137 Newbury St # 6b, Boston, MA 02116-2912 | 2020-10-08 |
1942840244 | Joshua Michael Edwards | Psychologist | 200 Southwick Rd Apt 12, Westfield, MA 01085-4797 | 2020-01-14 |
1235787045 | Joy Victoria Albiani | Psychologist | 500 Amory St Ste 300, Jamaica Plain, MA 02130-2775 | 2019-08-27 |
1144882234 | Barbara Fritts Phd Licensed Psychologist | Psychologist | 23 Water St # 105, Holliston, MA 01746-2364 | 2019-06-28 |
1114496031 | Melanie Cadet | Psychologist | 440 Hancock St Ste 8-248, Quincy, MA 02171-2442 | 2018-11-20 |
1710466685 | Denise A Green | Psychologist | 21 Matoon St, Amherst, MA 01002-2107 | 2018-08-10 |
1639663065 | Martha Hardy Lamb | Psychologist | 7 Commonwealth Ave, Dedham, MA 02026-1403 | 2018-06-19 |
1740773977 | Jennifer Grossman | Psychologist | 192 Carlton Rd, Waban, MA 02468-1836 | 2018-06-12 |
1467945022 | Carmen M Torres | Psychologist | 21 Fenwood Rd Apt 2, Boston, MA 02115-6101 | 2018-06-08 |
1144712936 | Jacqueline Bearce | Psychologist | 132 Pondview Dr, Amherst, MA 01002-3258 | 2018-06-06 |
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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.