MARK A SCHROEDER (NPI# 1013436609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013436609 |
| Entity Type | Individual |
| Full Name | MARK A SCHROEDER |
| Credential | LADCII |
| Practice Address |
1226 Columbia Rd # A South Boston MA 02127-3978 |
| Mailing Address |
1010 Massachusetts Ave Boston MA 02118-2600 |
| Practice Telephone | 6175349500 |
| Practice Fax Number | 6175349151 |
| Mailing Telephone | 6174193408 |
| Mailing Fax Number | 6175342611 |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2017-09-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255544680 | Mark Andrew Schroeder | Internal Medicine | 10 Barnes West Dr Ste 100, Ste 100, Saint Louis, MO 63141-6350 | 2007-05-08 |
| 1548301815 | Mark Andrew Schroeder | Physical Therapist | 1388 Plummer St Presidio of Monterey, Cpac, Bldg 277, Monterey, CA 93944-5006 | 2007-02-09 |
| 1881019354 | Mark Schroeder | Technician, Health Information | 3700 Saint Charles Ave, New Orleans, LA 70115-4637 | 2014-02-20 |
| 1861540858 | Mark Alan Schroeder | Nurse Anesthetist, Certified Registered | 6901 S Olympia Ave, Tulsa, OK 74132-1843 | 2007-01-08 |
| 1417011198 | Mark Schroeder | Psychiatry & Neurology | 354 Warrenville Rd, Mansfield Center, CT 06250-1130 | 2006-12-20 |
| 1952492506 | Mark T Schroeder | Internal Medicine | 353 Fairmont Blvd., Rapid City, SD 57701 | 2006-09-27 |
| 1487615639 | Mark D Schroeder | Internal Medicine | 104 Selma Dr, Winchester, VA 22601-3834 | 2006-03-29 |
| 1508832015 | Mark E Schroeder | Anesthesiology | 600 Highland Ave, Madison, WI 53792 | 2006-02-24 |
| 1932174091 | Mark Edward Schroeder | Internal Medicine | 1005 College Blvd W, Suite C, Niceville, FL 32578-1053 | 2006-02-22 |
| Street Address |
1226 COLUMBIA RD # A |
| City | SOUTH BOSTON |
| State | MA |
| Zip Code | 02127-3978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841328630 | Andrew Ward | Social Worker | 1226 Columbia Rd # A, South Boston, MA 02127-3978 | 2007-03-01 |
| 1366040925 | Brianne Roche | Social Worker | 1226 Columbia Rd # A, South Boston, MA 02127-3978 | 2020-10-15 |
| 1801494885 | Turner Block | Social Worker | 1226 Columbia Rd # A, South Boston, MA 02127-3978 | 2020-10-13 |
| 1629620810 | Sophie Claire Staton | Social Worker | 1226 Columbia Rd # A, South Boston, MA 02127-3978 | 2019-07-09 |
| 1609312289 | Danielle L Pinals | Counselor | 1226 Columbia Rd # A, South Boston, MA 02127-3978 | 2017-01-06 |
| 1548712631 | Cameron Mustin | Counselor | 1226 Columbia Rd # A, South Boston, MA 02127-3978 | 2016-10-25 |
| 1568914653 | Ciara Claffey | Social Worker | 1226 Columbia Rd # A, South Boston, MA 02127-3978 | 2016-10-25 |
| 1457808263 | Catherine B Harvey | Social Worker | 1226 Columbia Rd # A, South Boston, MA 02127-3978 | 2016-09-09 |
| 1801127287 | Lori-anne Troilo Mcelmoyle | Social Worker | 1226 Columbia Rd # A, South Boston, MA 02127-3978 | 2010-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370629 | Peaceful Healing Soul Counseling Center, LLC | Counselor | Online Therapy, Boston, MA 02127 | 2020-09-15 |
| 1568964914 | Phuong Luu | Nurse Practitioner | 606 E Fourth St, Unit 204, Boston, MA 02127 | 2018-03-01 |
| 1700304367 | Kelsey L Donovan | Physician Assistant | 431 E 3rd Street Apt 2, Boston, MA 02127 | 2017-09-05 |
| 1255873733 | Janet Villafane | Social Worker | 23 Mcdonough Way, 691, Boston, MA 02127 | 2016-11-15 |
| 1083088470 | Katie Ryan | Counselor | 8 Rev Burke Street #151, South Boston, MA 02127 | 2015-11-23 |
| 1184005514 | Keith A Lombard | Counselor | 1226a Columbia Rd., South Boston, MA 02127 | 2015-06-11 |
| 1609213917 | Nicole Ashley Vandermay | Student in an Organized Health Care Education/Training Program | 9 Woodward St, Apt. 3, Boston, MA 02127 | 2013-05-28 |
| 1922359777 | Elizabeth Raggi | Counselor | 49 L Street, South Boston, MA 02127 | 2012-09-19 |
| 1205181021 | Massachusetts General Hospital | General Acute Care Hospital | 256 West Sixth Street Apt 2, South Boston, MA 02127 | 2012-07-18 |
| 1154602126 | Madeline F Brisotti | Counselor | 8 Reverend Burke Steet, South Boston, MA 02127 | 2011-09-06 |
| Find all providers in zip 02127 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083088470 | Katie Ryan | Counselor | 8 Rev Burke Street #151, South Boston, MA 02127 | 2015-11-23 |
| 1184005514 | Keith A Lombard | Counselor | 1226a Columbia Rd., South Boston, MA 02127 | 2015-06-11 |
| 1154602126 | Madeline F Brisotti | Counselor | 8 Reverend Burke Steet, South Boston, MA 02127 | 2011-09-06 |
| 1962701656 | Peter J Barbuto | Counselor | 8 Burke Street, South Boston, MA 02127 | 2011-03-21 |
| 1730310749 | Alexander Macleod Cohen | Counselor | 8 Burke St, South Boston, MA 02127-3328 | 2009-08-07 |
| 1679628358 | Barbara J Samek | Counselor | 54 Old Colony Ave, South Boston, MA 02127-2014 | 2007-01-24 |
| 1265598031 | Carol A Gramm | Counselor | 255 Gold St, #2, South Boston, MA 02127-2628 | 2006-12-28 |
| 1306345483 | Jeanne Mary Internicola | Counselor | 210 Old Colony Ave, South Boston, MA 02127-2413 | 2018-02-05 |
| 1932642147 | Evangelos Nomikos | Counselor | 210 Old Colony Ave, South Boston, MA 02127-2413 | 2016-11-21 |
| 1548712631 | Cameron Mustin | Counselor | 1226 Columbia Rd # A, South Boston, MA 02127-3978 | 2016-10-25 |
| Find all providers in SOUTH BOSTON | ||||
| City | SOUTH BOSTON |
| Zip Code | 02127 |
Please comment or provide details below to improve the information on MARK A SCHROEDER.
| 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.