MR. MATTHEW PATRICK MCKENNA (NPI# 1043427412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043427412 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW PATRICK MCKENNA |
| Other Name | MR. MATTHEW PATRICK MCKENNA |
| Credential | OT |
| Practice Address |
62 Lewis Rd Belmont MA 02478 |
| Practice Telephone | 6174848921 |
| Mailing Telephone | 6174848921 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225CA2400X |
Rehabilitation Counselor Specialization: Assistive Technology Practitioner |
8949 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568082659 | Matthew John Mckenna | Student in an Organized Health Care Education/Training Program | 1044 Lincoln Ln, Elk Grove Village, IL 60007-3461 | 2020-04-20 |
| 1063577211 | Matthew Thomas Mckenna | Family Medicine | 99 Jesse Hill Jr Drive, Se, Atlanta, GA 30303 | 2006-12-27 |
| 1649898693 | Matthew D Mckenna | Physical Therapist | 1818 E 23rd Ave, Hutchinson, KS 67502-1106 | 2020-07-07 |
| 1285297523 | Matthew Thomas Mckenna | Student in an Organized Health Care Education/Training Program | 1161 21st Avenue South, Ccc-4322aa Mcn, Nashville, TN 37232-2730 | 2019-04-22 |
| 1154836112 | Matthew Francis Mckenna | Counselor | 5130 E Main Street Rd Ste 2, Batavia, NY 14020-3444 | 2017-12-12 |
| 1992225882 | Matthew Mckenna | Family Medicine | G3230 Beecher Rd Ste 1, Flint, MI 48532-3604 | 2017-06-22 |
| 1578729588 | Matthew Thomas Mckenna | Psychiatry & Neurology | 1801 16th St, Suite B, Bakersfield, CA 93301-5002 | 2008-07-30 |
| 1538191879 | Matthew John Mckenna | Orthopaedic Surgery | 3102 N Croatan Hwy, Kill Devil Hills, NC 27948-9200 | 2006-07-07 |
| Street Address |
62 LEWIS RD |
| City | BELMONT |
| State | MA |
| Zip Code | 02478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089924 | Emily Boyko | Physical Therapist | 413 Trapelo Rd, 2, Belmont, MA 02478 | 2020-10-01 |
| 1326695636 | Kristen Perrelli | Social Worker | 115 Mill Street Mail Stop 207, Belmont, MA 02478 | 2019-08-21 |
| 1265905210 | Deborah J Fenn | Social Worker | 88 Palfrey Rd, Belmont, MA 02478 | 2019-01-02 |
| 1922578855 | The Psych Garden LLC | Counselor | 25 Flanders Road, Belmont, MA 02478 | 2018-12-04 |
| 1083199855 | Wendi Goldberg | Social Worker | 1 15 Mill Street, Belmont, MA 02478 | 2018-09-27 |
| 1124514146 | Ann Polcari | Clinical Nurse Specialist | Service Building Mc Lean Hospital, 115 Mill Street, Belmont, MA 02478 | 2018-07-02 |
| 1245722701 | Jeremy Stewart | Psychologist | Mclean Hospital, 115 Mill Street, Mailstop 331, Belmont, MA 02478 | 2018-05-31 |
| 1295257848 | Stephanie Boyer | Psychologist | Mclean Hospital, 115 Mill St., Mail Stop 131, Belmont, MA 02478 | 2017-07-14 |
| 1497281893 | The Meraki Center for Therapeutic Arts | Community/Behavioral Health | 431 Trapelo Rd, Belmont, MA 02478 | 2017-05-04 |
| 1275908063 | Alex Jordan | Psychologist | 115 Mill Street, Mail Stop 217, Mclean Hospital, Belmont, MA 02478 | 2015-12-05 |
| Find all providers in zip 02478 | ||||
| Taxonomy Code | 225CA2400X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Counselor |
| Specialization | Assistive Technology Practitioner |
| Definition to come... |
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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.