MS. DWYLA J ANGELOS (NPI# 1023171998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023171998 |
| Entity Type | Individual |
| Full Name | MS. DWYLA J ANGELOS |
| Credential | MA, LMHC |
| Practice Address |
1613 Blue Hill Ave. Priority Professional Care Suite 302 Mattapan MA 02126 |
| Practice Telephone | 8575984774 |
| Practice Fax Number | 8575984816 |
| Mailing Telephone | 8575984774 |
| Mailing Fax Number | 8575984816 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2012-09-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
603 | MA | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
LMHC 603 | MA | Behavioral Health & Social Service Providers |
| Street Address |
1613 BLUE HILL AVE. PRIORITY PROFESSIONAL CARE SUITE 302 |
| City | MATTAPAN |
| State | MA |
| Zip Code | 02126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184280646 | Covil Home Care LLC | In Home Supportive Care | 1549 Blue Hill Ave, Mattapan, MA 02126 | 2019-05-10 |
| 1902374069 | Kasha Sarette | Social Worker | 37 Babson St, Mattapan, MA 02126 | 2018-11-07 |
| 1093231359 | Danielle Christian | Behavior Technician | 73 Catbird Ct, Mattapan, MA 02126 | 2017-08-18 |
| 1609314681 | Regis College | Hospice, Inpatient | 19 Southmere Road, Mattapan, MA 02126 | 2017-02-09 |
| 1437606001 | Betsy-lynn Ngole | Community Health Worker | 137 Savannah Ave, Boston, MA 02126 | 2016-09-01 |
| 1437535440 | Rosel Forwang Lewis | Registered Nurse | 42 Hallowell St, Mattapan, MA 02126 | 2015-08-03 |
| 1033596895 | Quality Home Care & Transportation | Transportation Broker | 93 W Selden St, Mattapan, MA 02126 | 2015-04-30 |
| 1205101565 | Clayton Mark Sandiford | Contractor | 22 Banfield Ave, Boston, MA 02126 | 2012-03-19 |
| 1790093128 | Richard Christopher Mitchell Jr. | Counselor | 32 Wellington Hill St, Mattapan, MA 02126 | 2010-09-20 |
| 1972630622 | Gemima St. Louis | Psychologist | 255 River St, Spark Center-bmc, Mattapan, MA 02126 | 2007-02-28 |
| Find all providers in zip 02126 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467091074 | Grandhalbert Norvin | Counselor | 504 River St, Mattapan, MA 02126-2211 | 2019-12-30 |
| 1538624671 | Shadawn S Hopkins | Counselor | 451 Norfolk St Apt 15, Mattapan, MA 02126-2467 | 2019-02-03 |
| 1598231953 | Maria King-bynoe | Counselor | 32 Tennis Rd, Mattapan, MA 02126-1450 | 2018-10-23 |
| 1649634148 | Valerie Pruitt | Counselor | 629 Walk Hill St, Mattapan, MA 02126-3107 | 2016-04-11 |
| 1982044541 | Monique S White | Counselor | 23 Clarkwood St, Mattapan, MA 02126-1807 | 2013-06-27 |
| 1689962771 | Evan Dana Knight Sr. | Counselor | 116 River St, 25, Mattapan, MA 02126-2973 | 2011-07-11 |
| 1518254101 | Maude Bouquet | Counselor | 15 Suncrest Rd, Mattapan, MA 02126-2011 | 2011-07-01 |
| 1720387707 | Archer Angels Family Services LLC | Counselor | 23 Wilmore St, Suite 1, Mattapan, MA 02126-1811 | 2011-03-16 |
| 1053626911 | Kristin M Dame | Counselor | 46 River St, Mattapan, MA 02126-2952 | 2010-08-16 |
| 1023336880 | Osman Yusuf | Counselor | 124 Woodbole Ave, Apt 151, Mattapan, MA 02126-2632 | 2010-05-04 |
| Find all providers in MATTAPAN | ||||
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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.