DR. DEBORAH JANE WOODFORD (NPI# 1013003011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013003011 |
| Entity Type | Individual |
| Full Name | DR. DEBORAH JANE WOODFORD |
| Credential | PH.D. |
| Practice Address |
675 Massachusetts Ave Cambridge MA 02139-3309 |
| Practice Telephone | 6174911269 |
| Practice Fax Number | 6178648586 |
| Mailing Telephone | 6174911269 |
| Mailing Fax Number | 6178648586 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
4173 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS/BLUE SHIELD | W04360 | 01 |
| MA | 0518085 | 05 |
| Street Address |
675 MASSACHUSETTS AVE |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02139-3309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396979100 | Jaime R Suvak | Counselor | 675 Massachusetts Ave, Floor 11, Psychotherapy Suite, Cambridge, MA 02139-3309 | 2009-05-07 |
| 1053552422 | Katherine Patton Regal | Social Worker | 675 Massachusetts Ave, Cambridge, MA 02139-3309 | 2009-03-16 |
| 1801031943 | Stacy Michelle Rodriguez | Counselor | 675 Massachusetts Ave, 11th Floor, Cambridge, MA 02139-3309 | 2008-12-03 |
| 1841325784 | Hollis Herman | Physical Therapist | 675 Massachusetts Ave, 9th Floor Hollis Herman Healthywomen, Cambridge, MA 02139-3309 | 2007-02-22 |
| 1316004450 | Kumiko Ide | Marriage & Family Therapist | 675 Massachusetts Ave, Cambridge, MA 02139-3309 | 2007-01-01 |
| 1083776652 | Mary R Harvey | Psychologist | 675 Massachusetts Ave, Eleventh Floor, Cambridge, MA 02139-3309 | 2006-12-13 |
| 1316019755 | Cynthia Joy Berman II | Psychologist | 675 Massachusetts Ave, 11th Floor, Cambridge, MA 02139-3309 | 2006-11-14 |
| 1144399452 | Thomas Matthew Dallamora | Social Worker | 675 Massachusetts Ave, Cambridge, MA 02139 | 2006-11-08 |
| 1285715276 | Jennifer Brill | Social Worker | 675 Massachusetts Ave, Cambridge, MA 02139-3309 | 2006-10-18 |
| 1235234436 | Voncile M. White | Psychologist | 675 Massachusetts Ave, 9th Floor, Cambridge, MA 02139-3309 | 2006-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316044 | Diane Greenleaf | Registered Nurse | Cha Windsor Clinic, 119 Windsor St, Cambridge, MA 02139 | 2019-09-26 |
| 1730738345 | Martin Bednar | Student in an Organized Health Care Education/Training Program | 350 Massachusetts Avenue, Cambridge, MA 02139 | 2019-09-06 |
| 1861050049 | Rebecca Marie Addison | Dietitian, Registered | 75 Auburn St, Cambridge, MA 02139 | 2019-06-03 |
| 1285103051 | Jenna Halloran | Social Worker | 929 Massaschusetts Ave, Cambridge, MA 02139 | 2018-11-21 |
| 1750859286 | Lisa Marie Keovongsa | Dietitian, Registered | 186 1/2 Hampshire St., Cambridge, MA 02139 | 2018-11-02 |
| 1245714237 | Eleanor Coffin | Occupational Therapist | 1483 Cambridge St, Cambridge, MA 02139 | 2018-09-17 |
| 1649758277 | Sariya Idriss | Social Worker | Cambridge Health Alliance, 1493 Cambridge St., Cambridge, MA 02139 | 2018-08-06 |
| 1538647151 | Ari Pehkonen | Social Worker | Cambridge Health Alliance, Cambridge Hospital, 1493 Cambridge St., Cambridge, MA 02139 | 2018-08-06 |
| 1972080893 | Esther Cazeau | Counselor | 237 Hampshire St., Cambridge, MA 02139 | 2018-07-24 |
| 1528596533 | Adam Liebling | Acupuncturist | 11 Fiske Pl., Cambridge, MA 02139 | 2017-06-03 |
| Find all providers in zip 02139 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114537131 | Annemarie Baldauf, Psyd, Pllc | Psychologist | 49 Hancock St Ste 104, Cambridge, MA 02139-3188 | 2020-08-04 |
| 1881216588 | Massomeh Namavar | Psychologist | 221 Mount Auburn St Apt 104, Cambridge, MA 02138-4848 | 2020-05-15 |
| 1396367736 | Laura Genelle Meza Valencia | Psychologist | One Mifflin Place, Suite 400, Cambridge, MA 02138-4946 | 2020-05-07 |
| 1033672100 | Dr Kerrie LLC | Psychologist | 10 Hawthorne Park, Cambridge, MA 02138-2104 | 2019-04-07 |
| 1912481227 | Mary E. Ford | Psychologist | 195 Harvey St, Cambridge, MA 02140-1765 | 2018-09-21 |
| 1871089227 | Ellsworth Fersch | Psychologist | 70 Richdale Ave Apt 2, Cambridge, MA 02140-2640 | 2018-07-09 |
| 1134610751 | Jill Hooley | Psychologist | 33 Kirkland St, Cambridge, MA 02138-2044 | 2018-05-21 |
| 1053836080 | Kim Michael Woynowskie Jr. | Psychologist | 625 Mount Auburn St Ste 102, Cambridge, MA 02138-4555 | 2017-08-10 |
| 1306383351 | Elise I Welton | Psychologist | 22 Water St, Apt. 411, Cambridge, MA 02141-1257 | 2017-01-30 |
| 1174984827 | Jenna Mezin Schmid | Psychologist | 75 Mt Auburn St 4 East, Harvard University Health Services, Cambridge, MA 02138 | 2016-03-09 |
| Find all providers in CAMBRIDGE | ||||
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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.