MICHAEL FELLMAN (NPI# 1063648962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063648962 |
| Entity Type | Individual |
| Full Name | MICHAEL FELLMAN |
| Practice Address |
165 Westgate Dr Brockton MA 02301-1821 |
| Practice Telephone | 5085835800 |
| Practice Fax Number | 5082761852 |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2009-06-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 495 | MA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 5102189 | 05 |
| Street Address |
165 WESTGATE DR |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-1821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780667303 | W.l. Collins Corp. | Durable Medical Equipment & Medical Supplies | 165 Westgate Dr, Brockton, MA 02301-1821 | 2005-11-29 |
| 1750933867 | Anna Ee Sing Wong | Dentist | 165 Westgate Dr, Brockton, MA 02301-1821 | 2019-07-10 |
| 1346725843 | Shobhit Agarwal | Dentist | 165 Westgate Dr, Brockton, MA 02301-1821 | 2018-10-01 |
| 1093137366 | Gary Moody | Hearing Instrument Specialist | 165 Westgate Dr, Brockton, MA 02301-1821 | 2014-01-06 |
| 1841612116 | Ronald Quintiliani | Hearing Instrument Specialist | 165 Westgate Dr, Brockton, MA 02301-1821 | 2014-01-06 |
| 1912346669 | Lauren Warburton | Hearing Instrument Specialist | 165 Westgate Dr, Brockton, MA 02301-1821 | 2013-06-17 |
| 1992047880 | Michael Schmit | Hearing Instrument Specialist | 165 Westgate Dr, Brockton, MA 02301-1821 | 2013-03-19 |
| 1891090650 | Matthew Waters | Hearing Instrument Specialist | 165 Westgate Dr, Brockton, MA 02301-1821 | 2011-01-25 |
| 1134424211 | James Collins | Hearing Instrument Specialist | 165 Westgate Dr, Brockton, MA 02301-1821 | 2011-01-20 |
| 1386949485 | Mary Corbett | Hearing Instrument Specialist | 165 Westgate Dr, Brockton, MA 02301-1821 | 2011-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306977277 | Mary M Keith | Audiologist | 1324 Belmont St, Suite 204, Brockton, MA 02301-4435 | 2007-03-09 |
| 1962400036 | Julie Perry Breton | Audiologist | 824 Oak St, Suite 102, Brockton, MA 02301-1180 | 2005-07-12 |
| 1790343820 | Bridget Elizabeth Kosilla | Audiologist | 35 Pearl St, Brockton, MA 02301-2866 | 2019-06-04 |
| 1699175307 | Diana Russell Murphy | Audiologist | 35 Pearl St Ste 100, Brockton, MA 02301-2866 | 2014-08-29 |
| 1639583016 | David S. Robinson | Audiologist | 35 Pearl St Ste 100, Brockton, MA 02301 | 2014-06-13 |
| 1598031916 | Vicki Wilson | Audiologist | 35 Pearl St, Brockton, MA 02301-2866 | 2012-03-29 |
| 1508061441 | Advanced Hearing Care,inc | Audiologist | 824 Oak St, Suite 102, Brockton, MA 02301-1180 | 2007-06-20 |
| 1043332737 | Carrie J Dluhy | Audiologist | 35 Pearl St, Brockton, MA 02301-2866 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111498 | Alyssa Marie Smith | Audiologist | 100 Pier 4 Blvd Unit 1703, Boston, MA 02210-1966 | 2020-10-16 |
| 1821605577 | Holly Botzum | Audiologist | 501 North St Ste 6, Pittsfield, MA 01201-4101 | 2020-09-28 |
| 1639782337 | Susan Beatch Tilden | Audiologist | 14 Gibbs Valley Path, Framingham, MA 01701-2849 | 2020-08-24 |
| 1083223689 | Jenna Fenton | Audiologist | 3 Meeting House Rd Ste 19, Chelmsford, MA 01824-2739 | 2020-07-29 |
| 1629695325 | Andrew Edward Gallagher | Audiologist | 600 Worcester Rd Lowr Level, Framingham, MA 01702-5303 | 2020-06-29 |
| 1649825753 | Alice M Bassen | Audiologist | 510 North St Ste 6, Pittsfield, MA 01201-4117 | 2019-08-06 |
| 1225680283 | Kerrilyn Mcgowan | Audiologist | 490 Shrewsbury St Ste 2, Worcester, MA 01604-1607 | 2019-07-10 |
| 1831751684 | Meredith Mcghee | Audiologist | 736 Cambridge Street Smc-8, Brighton, MA 02135 | 2019-07-02 |
| 1578123592 | Taylor Chabot | Audiologist | 990 Paradise Rd Ste 3a, Swampscott, MA 01907-1309 | 2019-06-20 |
| 1528625068 | Sarah Louise Hill | Audiologist | 435 King St Ste 2, Littleton, MA 01460-1275 | 2019-05-21 |
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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.