DR. KENNETH A LARSEN (NPI# 1053343707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053343707 |
| Entity Type | Individual |
| Full Name | DR. KENNETH A LARSEN |
| Credential | DMIN, PHD, ABMP |
| Practice Address |
20 Guest St Ste 225 Brighton MA 02135-2065 |
| Mailing Address |
162 Dodge Rd Rowley MA 01969-2211 |
| Practice Telephone | 6177545160 |
| Practice Fax Number | 6177505444 |
| Mailing Telephone | 6174132328 |
| Mailing Fax Number | 6177545444 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2016-07-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2944 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952406027 | Kenneth Theodore Larsen Jr. | Emergency Medicine | 500 Hospital Dr, Warrenton, VA 20186-3027 | 2006-09-14 |
| 1588767081 | Kenneth S Larsen | Obstetrics & Gynecology | 9600 S 1300 E, #308, Sandy, UT 84094-3766 | 2006-09-07 |
| 1619089778 | Kenneth David Larsen | Anesthesiology | 10180 Se Sunnyside Rd, Department of Anesthesiology, Clackamas, OR 97015-8970 | 2006-08-31 |
| 1003894940 | Kenneth Robert Larsen | Emergency Medicine | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2005-12-31 |
| Street Address |
20 GUEST ST STE 225 |
| City | BRIGHTON |
| State | MA |
| Zip Code | 02135-2065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114985348 | Glen Ross | Orthopaedic Surgery | 20 Guest St, Ste 225, Brighton, MA 02135-2065 | 2006-05-04 |
| 1437670361 | Always Strong Fitness | Dietitian, Registered | 20 Guest St, Brighton, MA 02135-2040 | 2017-06-30 |
| 1578005286 | Westley A White | Physician Assistant | 20 Guest St, Suite 225, Brighton, MA 02135-2040 | 2016-11-11 |
| 1861934549 | Stephanie J Laurer | Physician Assistant | 20 Guest St, Suite 225, Brighton, MA 02135-2040 | 2016-11-10 |
| 1659829323 | Pro Sports Orthopedics, LLC | Orthopaedic Surgery | 20 Guest St, Suite 225, Brighton, MA 02135 | 2016-09-12 |
| 1639624794 | Lauren Sharifi | Dietitian, Registered | 20 Guest St, Brighton, MA 02135-2040 | 2016-08-18 |
| 1801023254 | Marwa A Ahmed | Physical Medicine & Rehabilitation | 20 Guest St, Suite 150, Brighton, MA 02135-2040 | 2009-06-12 |
| 1477581437 | Michael Doyle Mason | Orthopaedic Surgery | 20 Guest St, Suite 225, Brighton, MA 02135-2040 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699392944 | Nur Zeynep Ay | Student in an Organized Health Care Education/Training Program | 736 Cambridge Street St Elizabeths Medical Center, Graduate Medical Education (diane Giacalone), Boston, MA 02135 | 2020-07-02 |
| 1104470673 | Domenique Delucia | Counselor | 77f Warren Street, Brighton, MA 02135 | 2019-08-01 |
| 1831751684 | Meredith Mcghee | Audiologist | 736 Cambridge Street Smc-8, Brighton, MA 02135 | 2019-07-02 |
| 1730645847 | Delphine Alignol | Family Medicine | 330 Mount St, Cambridge, MA 02135 | 2019-02-13 |
| 1124501960 | Ellen Elizabeth Miller | Social Worker | 44 Mt Vernon St, Brighton, MA 02135 | 2018-09-07 |
| 1710466180 | Sharon Pae | Acupuncturist | 135 Chiswick Rd Bsmt, Brighton, MA 02135 | 2018-08-07 |
| 1750877155 | Leonid Sigal | Counselor | 9 South St Apt 2, Brighton, MA 02135 | 2018-07-09 |
| 1689165425 | Brian George Mcguire | Dentist | 24 Sidlaw Rd, Brighton, MA 02135 | 2018-05-29 |
| 1619467214 | Ashley Marie Arbuckle | Counselor | 77 Waren Street, Building 9, Brighton, MA 02135 | 2018-05-18 |
| 1871098962 | Arina Sorokina | Dentist | Charles River Community Health Center, 495 Western Avenue, Allston, MA 02135 | 2018-03-29 |
| Find all providers in zip 02135 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154849339 | Neuropsychology Partners, LLC | Psychologist | 7305 Grand River Rd Ste 300, Brighton, MI 48114-7378 | 2017-09-07 |
| 1063860955 | Samantha Rae Breneman | Psychologist | 7600 Grand River Rd Ste 290, Brighton, MI 48114-7340 | 2016-06-01 |
| 1407214232 | Ellen I Koch | Psychologist | 2040 Grand River Anx Ste 300, Brighton, MI 48114-5313 | 2016-02-08 |
| 1619360047 | Reema S Beri | Psychologist | 10327 East Grand River Avenue, Suite 406, Brighton, MI 48116 | 2015-03-10 |
| 1033534235 | Frank Rubino | Psychologist | 6709 Kilberry Ct, Brighton, MI 48114-7423 | 2014-02-25 |
| 1548695604 | Brittney Briggs | Psychologist | 2200 Genoa Business Park Dr Ste 100, Brighton, MI 48114-5328 | 2013-09-09 |
| 1508209479 | Bryce Hella | Psychologist | 10524 Grand River Rd Ste 100, Brighton, MI 48116-9559 | 2013-04-10 |
| 1043547821 | Roberta Anne Hitt | Psychologist | 10524 Grand River Rd Ste 107b, Brighton, MI 48116-9559 | 2009-11-16 |
| 1871743385 | Melissa Bochicchio Meyer | Psychologist | 288 Summit Ave # 2, Brighton, MA 02135-7607 | 2008-09-22 |
| 1891972279 | Ruthann Davis | Psychologist | 2900 Dunsary Ln, Suite A, Brighton, MI 48114-9447 | 2008-01-28 |
| Find all providers in BRIGHTON | ||||
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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.