BAY STATE COUNSELING AND WELLNESS CENTER


Address: 572 Boston Rd, Suite 24, Billerica, MA 01821-3776
Phone: 7815724550

BAY STATE COUNSELING AND WELLNESS CENTER (NPI# 1013331388) 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) 1013331388
Entity Type Organization
Organization Name BAY STATE COUNSELING AND WELLNESS CENTER
Practice Address 572 Boston Rd
Suite 24
Billerica
MA 01821-3776
Mailing Address 14 Good St
Billerica
MA 01821-1807
Practice Telephone 7815724550
Enumeration Date 2014-02-07
Last Update Date 2015-09-29
Authorized Official Name DR. GINA AGUAYO (OWNER/PSYCHOLOGIST)
Authorized Official Telephone 7815724550
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 8678 MA Behavioral Health & Social Service Providers

Office Location

Street Address 572 BOSTON RD
SUITE 24
City BILLERICA
State MA
Zip Code 01821-3776

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NPI Name Taxonomy Address Enumeration
1477522852 Lawrence Newman Md & Penelope Hall Md Internal Medicine 572 Boston Rd, Billerica, MA 01821-3776 2006-03-16
1417353962 Christine Kensicki Social Worker 572 Boston Rd, Suite 24, Billerica, MA 01821-3776 2014-11-11
1003059254 Laurel T Ashcraft Counselor 572 Boston Rd, Suite 14, Billerica, MA 01821-3776 2009-04-16
1811169238 Billerica Counseling Center Psychologist 572 Boston Rd, Suite 14, Billerica, MA 01821-3776 2008-03-26
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1073671327 Dina S Guyetsky Internal Medicine 572 Boston Rd, Billerica, MA 01821 2006-12-05
1700803749 Robert Viti Psychologist 572 Boston Rd, Suite 14, Billerica, MA 01821-3776 2006-07-16
1306892898 William Douglas Gammon Psychologist 572 Boston Rd, Suite 14, Billerica, MA 01821-3776 2006-05-26

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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

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1659351815 Paul Sandler Psychologist 505 Middlesex Tpke, Billerica, MA 01821-3584 2006-01-21

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Competitor

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City BILLERICA
Zip Code 01821

Improve Information

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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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