WOBURN PEDIATRIC PSYCHOLOGICAL SERVICES PLLC (NPI# 1053716829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053716829 |
| Entity Type | Organization |
| Organization Name | WOBURN PEDIATRIC PSYCHOLOGICAL SERVICES PLLC |
| Practice Address |
7 Alfred St Baldwin Park II Woburn MA 01801-1976 |
| Practice Telephone | 7819336236 |
| Mailing Telephone | 7819336236 |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2014-10-23 |
| Authorized Official Name | JOHN PETRARCA (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7816381020 |
| Is Organization Subpart | Y |
| Parent Organization Name | WOBURN PEDIATRIC ASSOCIATES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
7 ALFRED ST BALDWIN PARK II |
| City | WOBURN |
| State | MA |
| Zip Code | 01801-1976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659353076 | Manora Szeto | Pediatrics | 7 Alfred St, Woburn, MA 01801-1976 | 2005-11-20 |
| 1598046351 | Lindsay Weinstein | Nurse Practitioner | 7 Alfred St, Baldwin Park II, Woburn, MA 01801-1976 | 2011-09-07 |
| 1063713337 | Fanikos Salib Dental Associates PC | Dentist | 7 Alfred St, Suite 125, Woburn, MA 01801-1976 | 2010-11-03 |
| 1114235694 | Lindsay Mccarthy | Nurse Practitioner | 7 Alfred St, Baldwin Park II, Woburn, MA 01801-1976 | 2010-09-19 |
| 1710202668 | Daniel P Fanikos | Dentist | 7 Alfred St, Suite 125, Woburn, MA 01801-1976 | 2010-04-05 |
| 1043451289 | Pediatric&family Dentistry of Woburn | Dentist | 7 Alfred St, Suite 210, Woburn, MA 01801-1976 | 2009-03-18 |
| 1679727762 | Kelly M Galvin | Nurse Practitioner | 7 Alfred St, Baldwin Park II, Woburn, MA 01801-1976 | 2008-11-17 |
| 1760639348 | Caroline Reilley | Nurse Practitioner | 7 Alfred St, Baldwin Park II, Woburn, MA 01801-1976 | 2008-08-26 |
| 1174770754 | Mary Raymond | Nurse Practitioner | 7 Alfred St, Balwin Park II, Woburn, MA 01801-1976 | 2008-08-26 |
| 1780849307 | Bernadette Lane | Nurse Practitioner | 7 Alfred St, Baldwin Park II, Woburn, MA 01801-1976 | 2008-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267684 | Leticia Siqueiros | Counselor | Health Care Resource Center Woburn, 9 Forbes Rd, Woburn, MA 01801 | 2019-10-28 |
| 1144882739 | Sarah Martino | Registered Nurse | 7 Alfred Street, Baldwin Park II, Woburn, MA 01801 | 2019-07-03 |
| 1780154005 | Julie Paster-kinnicutt | Social Worker | Lahey Accountable Care Unit, 12 Alfred Street, Suite 207, Woburn, MA 01801 | 2018-11-29 |
| 1164906418 | Amanda Chryslan Scippa | Dietitian, Registered | 2 Oak Knoll Drive, Woburn, MA 01801 | 2018-09-22 |
| 1902383276 | Winchester Physician Associates, Inc. | Occupational Therapist | 100 Unicorn Park, Suite 102, Woburn, MA 01801 | 2018-07-19 |
| 1104317494 | Pauline P Reilly | Dentist | 90 Pleasant Street, Dental Health Care of Woburn, P. C., Woburn, MA 01801 | 2018-05-23 |
| 1134628027 | Caroline Rose Scheck | Behavior Technician | 331 Montvale Ave 5th Floor, Woburn, MA 01801 | 2018-02-06 |
| 1396252425 | Sabrina Voegelin | Social Worker | 410 Russell St, Woburn, MA 01801 | 2018-01-10 |
| 1467975730 | Francine Forbes | Behavior Technician | 10 Gill St., J, Woburn, MA 01801 | 2017-07-19 |
| 1568985851 | Lukasiewicz and Bellavance LLC | Dentist | 3 Baldwin Green Common Suite 101, Woburn, MA 01801 | 2017-07-19 |
| Find all providers in zip 01801 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477550754 | Peter A Orlov | Psychiatry & Neurology | 12 Alfred St, Suite 200, Woburn, MA 01801-1972 | 2005-07-01 |
| 1013277656 | Justin Michael Mortimer | Psychiatry & Neurology | 12 Alfred St Ste 200, Woburn, MA 01801-1915 | 2012-05-16 |
| 1609919257 | Joseph Ratner | Psychiatry & Neurology | 2 Rehabilitation Way, Woburn, MA 01801-6003 | 2007-02-14 |
| 1861566671 | Lawrence James Fuhrman | Psychiatry & Neurology | 8 Cedar St, Suite 58, Woburn, MA 01801-6362 | 2006-11-20 |
| 1326053786 | Melrose-wakefield Behavorial Health Center, P.C. | Psychiatry & Neurology | 800 W Cummings Park, Suite 4700, Woburn, MA 01801-6372 | 2006-07-31 |
| 1487609806 | Lalith M Tissera | Psychiatry & Neurology | 800 W Cummings Park, Suite 4700, Woburn, MA 01801-6372 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046148 | Kripa Behavioral Health, P.C. | Psychiatry & Neurology | 415 Elsbree St Ste 1a, Fall River, MA 02720-7297 | 2020-09-08 |
| 1588273320 | Measured Wellness LLC | Psychiatry & Neurology | 47 Seaverns Ave # 5, Boston, MA 02130-2876 | 2020-07-28 |
| 1942819784 | Bluesky Telepsych, Inc. | Psychiatry & Neurology | 125 Cambridge Park Drive, Suite 306, Cambridge, MA 02140 | 2020-07-28 |
| 1689291304 | Zion Health & Wellness LLC | Psychiatry & Neurology | 209 W Central St Ste 216, Natick, MA 01760-3716 | 2020-06-29 |
| 1447875984 | Charles Clifford Engel Jr. | Psychiatry & Neurology | Home Base Program, Massachusetts General Hospital, 1 Constitution Road, Charlestown, MA 02129 | 2020-06-10 |
| 1447874284 | Suburban Psychiatric Specialists | Psychiatry & Neurology | 7 Condor Rd, Sharon, MA 02067-2905 | 2020-06-07 |
| 1669096996 | East Boston Behavioral Health and Medicine LLC | Psychiatry & Neurology | 464 Bremen St Ste 4, East Boston, MA 02128-1430 | 2020-06-02 |
| 1144853250 | Jamii Wellness and Behavioral Medicine, LLC | Psychiatry & Neurology | 360 W Boylston St Rm 207, West Boylston, MA 01583-2384 | 2020-02-17 |
| 1568092476 | Premier Medical LLC | Psychiatry & Neurology | 400 Foxborough Blvd Apt 4208, Foxborough, MA 02035-3807 | 2020-01-20 |
| 1972149367 | Deirdre O Arvidson | Psychiatry & Neurology | 32 Harold Ln, Chatham, MA 02633-1643 | 2019-11-21 |
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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.