DAPHNE ROLLANDE CLAUDOMIR (NPI# 1063714384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063714384 |
| Entity Type | Individual |
| Full Name | DAPHNE ROLLANDE CLAUDOMIR |
| Credential | M. ED. |
| Practice Address |
4 Frank Leary Way Unit 4 Randolph MA 02368 |
| Mailing Address |
4 Frank Leary Way Unit 4 Randolph MA 02368-4512 |
| Practice Telephone | 7818857530 |
| Mailing Telephone | 7818857530 |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2020-02-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1115 W Chestnut St, Brockton, MA 023017501 | 5085804691 | |
| 1500 Gateway Blvd Ste 220, Boynton Beach, FL 334267233 | 7814377507 | 7813945884 |
| Street Address |
4 FRANK LEARY WAY UNIT 4 |
| City | RANDOLPH |
| State | MA |
| Zip Code | 02368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326503418 | Alexander Moreno Lynn | Counselor | 4 Frank Leary Way Unit 4, Randolph, MA 02368-4512 | 2019-02-04 |
| 1023580362 | Barbara Ann Bowe | Counselor | 4 Frank Leary Way Unit 4, Randolph, MA 02368-4512 | 2018-12-27 |
| 1861968646 | Donniece Marchell Watson | Counselor | 4 Frank Leary Way Unit 4, Randolph, MA 02368-4512 | 2018-10-18 |
| 1275079097 | Randolph Behavioral Health Services, Inc. | Counselor | 4 Frank Leary Way Unit 4, Randolph, MA 02368-4512 | 2017-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016444 | Kadiatou Djindji Bah | Behavior Technician | 75 N Main St Suite 628, Randolph, MA 02368 | 2020-09-02 |
| 1194334490 | Madison Murphy | Behavior Technician | 75 North Main Street, Ma, Suite #628, Randolph, MA 02368 | 2020-07-23 |
| 1255995049 | Daniel Joseph Bellistri | Social Worker | Daniel Bellistri, 70 Memorial Pkwy., Randolph, MA 02368 | 2019-04-26 |
| 1992291124 | Ashley Lauren Davis | Licensed Practical Nurse | 11 Mcdonnell Drive, Randolph, MA 02368 | 2018-07-11 |
| 1023503943 | Jean Rony Mesalon | Licensed Practical Nurse | 8 Reynolds Ave, Randolph, MA 02368 | 2018-06-22 |
| 1154829208 | Tatianna Lovette Hendren | Behavioral Analyst | 28 Liberty Place, Apartment C, Randolph, MA 02368 | 2018-01-24 |
| 1841709698 | Gerica Barbosa | Counselor | 37 Sarah St, Randolph, MA 02368 | 2017-09-25 |
| 1437508629 | Julie A Panchamsingh-barakat | Social Worker | 400-, 402 N Main St, Randolph, MA 02368 | 2016-06-08 |
| 1497109789 | Grace Dorcas Pokuah | Counselor | 24 Nelson Dr, #1a, Randolph, MA 02368 | 2016-04-22 |
| 1194185868 | Heavenly Home Care | Home Health | 9 William Morrison Drive, Randolph, MA 02368 | 2016-02-24 |
| Find all providers in zip 02368 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174067508 | Paula Yetman | Counselor | 386 N Main St # R, Randolph, MA 02368-4178 | 2016-12-04 |
| 1477891745 | Gary S. Brennan | Counselor | 362 Quaker Church Rd, Randolph, NJ 07869-1455 | 2013-01-22 |
| 1396003372 | Edythe B. Holzman | Counselor | 9 Fieldstone Ct, Randolph, NJ 07869-4502 | 2012-04-27 |
| 1982989638 | Judith M Mcdonough | Counselor | 158 Pond St, Randolph, MA 02368-2621 | 2011-10-13 |
| 1043341852 | Tanya L Taylor | Counselor | 25 Morse St, Randolph, MA 02368-2222 | 2007-03-07 |
| 1104306992 | Kara Rebecca Toms | Counselor | 11 N Main St, Randolph, VT 05060-1126 | 2018-08-21 |
| 1770069676 | Wanda Casillas | Counselor | 400 N Main St, Randolph, MA 02368-4104 | 2018-07-13 |
| 1275998437 | Morgan Dion | Counselor | 44 S Main St, Randolph, VT 05060-1381 | 2015-12-15 |
| 1336513423 | Sarah K Roberts | Counselor | 11 N Main St, Randolph, VT 05060-1126 | 2015-11-30 |
| 1952712002 | Laurina D Holt | Counselor | 11 N Main St, Randolph, VT 05060-1126 | 2014-05-12 |
| Find all providers in RANDOLPH | ||||
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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.