DR. MANUEL S VALENCIA (NPI# 1083683197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083683197 |
| Entity Type | Individual |
| Full Name | DR. MANUEL S VALENCIA |
| Credential | MD |
| Practice Address |
83 Baldpate Rd Georgetown MA 01833-2303 |
| Practice Telephone | 9783532131 |
| Practice Fax Number | 9783526755 |
| Mailing Telephone | 9783532131 |
| Mailing Fax Number | 9783526755 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2007-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
204279 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0191931 | 05 |
| Street Address |
83 BALDPATE RD |
| City | GEORGETOWN |
| State | MA |
| Zip Code | 01833-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902253347 | Brittany Eideh | Registered Nurse | 83 Baldpate Rd, Georgetown, MA 01833-2303 | 2016-05-16 |
| 1225181860 | Baldpate Hospital | Psychiatric Hospital | 83 Baldpate Rd, Georgetown, MA 01833-2303 | 2007-01-18 |
| 1841393998 | Baldpate, Inc. | Psychiatric Hospital | 83 Baldpate Rd, Georgetown, MA 01833-2303 | 2006-09-06 |
| 1578670881 | Baldpate Psychiatric Associates | Psychologist | 83 Baldpate Rd, Georgetown, MA 01833 | 2006-08-23 |
| 1053322164 | Rajendra M Trivedi | Psychiatry & Neurology | 83 Baldpate Rd, Georgetown, MA 01833-2303 | 2006-08-11 |
| 1154361681 | Richard R Cooper | Psychiatry & Neurology | 83 Baldpate Rd, Georgetown, MA 01833-2303 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013494731 | Elizabeth Anne Carroll | Social Worker | Penn Brook School 68 Elm St, Georgetown, MA 01833 | 2018-07-25 |
| 1316259773 | North Shore Psychodiagnostics | Psychologist | One East Main Street, Georgetown, MA 01833 | 2010-07-13 |
| 1437344140 | Irene V Kelley | Physical Therapist | 1 Marlboro Road, Georgetown, MA 01833 | 2007-09-06 |
| 1790991115 | Gerri Spector-brady | Occupational Therapy Assistant | 1 Emily Ln, Georgetown, MA 01833 | 2007-05-15 |
| 1952513061 | Debra Ann Johnson | Registered Nurse | 9 Village Lane, Georgetown, MA 01833 | 2007-05-03 |
| 1912122664 | Maureen Sherry-bianco | Registered Nurse | 17 Larkspur Circle, Georgetown, MA 01833 | 2007-04-16 |
| 1336255207 | Pamela M Waggoner | Social Worker | 65 Central St., Georgetown, MA 01833 | 2006-08-22 |
| 1841243375 | Marjorie Jean Talacko | Occupational Therapist | 25 Summer St, Georgetown, MA 01833 | 2006-05-18 |
| 1225671068 | Cassidy Troy | Student in an Organized Health Care Education/Training Program | 33 Thurlow St, Georgetown, MA 01833-1129 | 2019-10-24 |
| 1255646469 | Paula Anne Ellison | Pharmacist | 5 Brook Meadow Ln, Georgetown, MA 01833-1150 | 2010-08-11 |
| Find all providers in zip 01833 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538211941 | Keith Caramelli | Psychiatry & Neurology | 3101 S Austin Ave, Georgetown, TX 78626-7541 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881203701 | Hoffman Psychiatric Services | Psychiatry & Neurology | 144a Mount Auburn St Ste 2a, Cambridge, MA 02138-5776 | 2020-07-27 |
| 1639603566 | Chayanin Foongsathaporn | Psychiatry & Neurology | Tufts Medical Center 800 Washington Street #1007, Boston, MA 02111 | 2017-04-18 |
| 1922386887 | Firas Abdussalam Nakshabandi | Psychiatry & Neurology | 940 Belmont St Bldg 5, (116a7) Psychiatry Education Attn: Marie, Brockton, MA 02301-5596 | 2011-07-26 |
| 1548556046 | Barton S Herskovitz Md PC | Psychiatry & Neurology | 460 Hillside Ave, Suite 3e, Needham, MA 02494-1279 | 2011-06-22 |
| 1326368325 | Circle of Life Md LLC | Psychiatry & Neurology | 203 Willow St Bldg B, South Hamilton, MA 01982-2292 | 2010-06-02 |
| 1740505353 | Erica Lisa Greenberg | Psychiatry & Neurology | 185 Cambridge St Ste 2000, Boston, MA 02114 | 2010-04-07 |
| 1245461714 | Ronald Geraty | Psychiatry & Neurology | 295 Ocean Ave, Marblehead, MA 01945-3728 | 2009-08-01 |
| 1023252459 | Kyu Won Lee | Psychiatry & Neurology | 19 Kendall Ter, Newton, MA 02458-2021 | 2009-04-29 |
| 1851534788 | Serena Fernandes | Psychiatry & Neurology | 300 Longwood Ave # Fegan8, Boston, MA 02115-5724 | 2009-04-07 |
| 1114190097 | Dana B Sarvey | Psychiatry & Neurology | 115 Mill St # Ms 129, Belmont, MA 02478-1048 | 2008-04-10 |
| Find all providers with the same taxonomy | ||||
| City | GEORGETOWN |
| Zip Code | 01833 |
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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.