JENNIFER ANNE BOUTIN (NPI# 1033456595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033456595 |
| Entity Type | Individual |
| Full Name | JENNIFER ANNE BOUTIN |
| Other Name | JENNIFER ANNE MCCLAM |
| Credential | MA |
| Practice Address |
90 New State Hwy Raynham MA 02767-5460 |
| Practice Telephone | 5088806868 |
| Practice Fax Number | 5088806848 |
| Mailing Telephone | 5088806868 |
| Mailing Fax Number | 5088806848 |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346674504 | Jennifer Michelle Boutin | Dietitian, Registered | 918 Lucerne Ter, Orlando, FL 32806-1013 | 2013-08-23 |
| Street Address |
90 NEW STATE HWY |
| City | RAYNHAM |
| State | MA |
| Zip Code | 02767-5460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679531610 | Boston University Eye Associates, Inc. | Clinic/Center | 90 New State Hwy, Raynham, MA 02767-1433 | 2006-05-01 |
| 1790215663 | Lindsay Tasse | Counselor | 90 New State Hwy, Raynham, MA 02767-5460 | 2017-06-14 |
| 1093167967 | Allison Puliafico | Social Worker | 90 New State Hwy, Suite 6, Raynham, MA 02767-5460 | 2016-07-05 |
| 1053775460 | Dcs Mental Health, Inc | Social Worker | 90 New State Hwy, Suite 6, Raynham, MA 02767-5460 | 2016-04-12 |
| 1578927901 | Cynthia Leduc | Social Worker | 90 New State Hwy, Suite 6, Raynham, MA 02767-5460 | 2016-04-12 |
| 1093126963 | Lauren Coughlin | Social Worker | 90 New State Hwy, Suite 6, Raynham, MA 02767-5460 | 2014-05-14 |
| 1265707517 | Mary Ellen Carlson | Counselor | 90 New State Hwy, Raynham, MA 02767-5460 | 2012-03-20 |
| 1396016788 | Lucita C Clondas | Social Worker | 90 New State Hwy, Suite Six, Raynham, MA 02767-5460 | 2012-01-18 |
| 1255609442 | Irmgard M Aidoo | Social Worker | 90 New State Hwy, Suite Six, Raynham, MA 02767-5460 | 2011-12-02 |
| 1962787978 | Michaela Kate Bileau | Counselor | 90 New State Hwy, Suite Six, Raynham, MA 02767-1433 | 2011-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265044069 | Heather Dubose | Social Worker | 329 King Philip Street, Raynham, MA 02767 | 2020-08-21 |
| 1801115654 | Wanda L Meyer | Registered Nurse | 257 Prospect Hill St., Raynham, MA 02767 | 2010-05-19 |
| 1033386099 | Choice Dental Inc | Dentist | 606 North Main Streeet, Raynham, MA 02767 | 2008-05-09 |
| 1639378482 | Laura Eddy | Counselor | 90 New State Highway Rte 44, Dcs Mental Health, Inc., Raynham, MA 02767 | 2007-07-12 |
| 1861617524 | Charlene A Remillard | Social Worker | 90 New State Highway, Raynham, MA 02767 | 2007-04-16 |
| 1437287166 | Sandra Diaz | Psychologist | 90 New State Hwy, Rte 44, Dcs Mental Health, Inc., Raynham, MA 02767 | 2007-03-02 |
| 1629115688 | Luis Moncada | Dentist | 500 Raynham Street West, Raynham, MA 02767 | 2007-01-31 |
| 1942300371 | Cvs Pharmacy Inc | Pharmacy | 252 Broadway, Raynham, MA 02767 | 2006-09-25 |
| 1912004524 | Mrudula Patel | Family Medicine | 302 Broadway Ste 8, Hines Dermatology Associates, Raynham, MA 02767 | 2006-09-19 |
| 1447271374 | Mary Ann Garcia Dds PC | Dentist | 166 Paramount Dr, Raynham, MA 02767 | 2006-07-23 |
| Find all providers in zip 02767 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114413796 | Laurie Ann Gregory | Counselor | 36 Temi Rd, Raynham, MA 02767-1225 | 2018-07-06 |
| 1639378482 | Laura Eddy | Counselor | 90 New State Highway Rte 44, Dcs Mental Health, Inc., Raynham, MA 02767 | 2007-07-12 |
| 1265575674 | Michelle Theresa Clark | Counselor | 10 Commerce Way, Raynham, MA 02767-1071 | 2007-02-15 |
| 1962571075 | Doretta Jean Lowney | Counselor | 534 Route 44, Suite #4, Raynham, MA 02767-5116 | 2006-11-06 |
| 1265518641 | Susan R. Curtiss | Counselor | 90 New State Hwy Ste 6, Raynham, MA 02767-5461 | 2006-10-28 |
| 1417200403 | Holistic Counseling Center | Counselor | 825 Broadway, Raynham, MA 02767-1734 | 2012-10-16 |
| 1265707517 | Mary Ellen Carlson | Counselor | 90 New State Hwy, Raynham, MA 02767-5460 | 2012-03-20 |
| 1487938817 | Donna M Theodore | Counselor | 90 New State Hwy, Suite Six, Raynham, MA 02767-1433 | 2011-10-04 |
| 1124308218 | Richard L Uva | Counselor | 90 New State Hwy, Suite Six, Raynham, MA 02767-1433 | 2011-08-22 |
| 1598045684 | Heather Lynn Larkin | Counselor | 90 New State Hwy, Suite Six, Raynham, MA 02767-1433 | 2011-08-22 |
| Find all providers in RAYNHAM | ||||
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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.