DR. FREDERICK SCOTT KADUSHIN (NPI# 1104037670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104037670 |
Entity Type | Individual |
Full Name | DR. FREDERICK SCOTT KADUSHIN |
Credential | PH.D. |
Practice Address |
136 Dwight Rd Longmeadow MA 01106-1759 |
Mailing Address |
84 Ellington St Longmeadow MA 01106-1430 |
Practice Telephone | 4135672008 |
Practice Fax Number | 4134510020 |
Mailing Telephone | 4135672008 |
Mailing Fax Number | 4134510020 |
Enumeration Date | 2007-05-25 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | 5067 | MA | Behavioral Health & Social Service Providers |
Street Address |
136 DWIGHT RD |
City | LONGMEADOW |
State | MA |
Zip Code | 01106-1759 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538136908 | Bri Eir Mccarroll | Social Worker | 136 Dwight Rd, Longmeadow, MA 01106-1759 | 2006-03-03 |
1811021421 | Allison Ruth Schlachter | Social Worker | 136 Dwight Rd, Longmeadow, MA 01106-1759 | 2007-03-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831797646 | Paula Arrigg | Counselor | 175 Dwight Road, Longmeadow, MA 01106 | 2020-10-14 |
1003429010 | Optimal Therapy Solutions, LLC | Clinic/Center | 127 Bel Air Drive, Longmeadow, MA 01106 | 2020-08-28 |
1164840666 | Erin Feller | Pediatrics | 123 Dwight Rd., Longmeadwod, MA 01106 | 2014-04-01 |
1255611299 | Christina Rose Lalime | Community Health Worker | 206 Bel Air Dive, Longmeadow, MA 01106 | 2011-08-22 |
1851503742 | Andrew M. Oxman | Counselor | 1200 Converse Street, Longmeadow, MA 01106 | 2007-05-04 |
1093833048 | Lilly Gaev | Social Worker | Therapeutic Associates PC, 167 Dwight Rd #104, Longmeadow, MA 01106 | 2007-03-27 |
1093840530 | Julie A Cox | Psychologist | 167 Dwight Rd #104, Therapeutic Associates PC, Longmeadow, MA 01106 | 2007-02-23 |
1932252897 | Karen Elizabeth Marsian | Podiatrist | 123 Dwight Road, Suite 13 W1, Longmeadow, MA 01106 | 2007-01-22 |
1386700227 | Visions of Longmeadow | Eyewear Supplier (Equipment, not the service) | 471 Longmeadow Street, Visions of Longmeadow, Longmeadow, MA 01106 | 2006-12-28 |
1437226701 | Richard T. Longo | Psychologist | 167 Dwight Road, Suite #104, Longmeadow, MA 01106 | 2006-11-29 |
Find all providers in zip 01106 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366460891 | Mark Randolph Elin | Clinical Neuropsychologist | 1200 Converse St, Suite 102, Longmeadow, MA 01106-1760 | 2006-07-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154949873 | Erica Rose Appleman | Clinical Neuropsychologist | 134 Horace St, Boston, MA 02128-1581 | 2020-07-09 |
1578187613 | Nancy Schneider-pruett | Clinical Neuropsychologist | The Neuropsychology Service, 100 Cummings Center, Beverly, MA 01982 | 2020-06-04 |
1194365312 | Erin Grace Kitchener | Clinical Neuropsychologist | 1 Wells Ave Fl 4, Newton, MA 02459-3211 | 2020-01-15 |
1407330509 | Coastal Psychological Center, LLC. | Clinical Neuropsychologist | 36 Woburn St Ste 6, Reading, MA 01867-2903 | 2018-09-24 |
1881102515 | Matthew S Conway | Clinical Neuropsychologist | 26 Chestnut St Ste 2e, Andover, MA 01810-3600 | 2018-01-16 |
1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
1346792637 | Margaret Alice Mcphee | Clinical Neuropsychologist | 29 Regina Dr, Chelmsford, MA 01824-4540 | 2016-11-02 |
1154870814 | Jessica Pan | Clinical Neuropsychologist | 1 Bowdoin St, 7th Floor, Boston, MA 02114-4201 | 2016-09-22 |
1508217506 | Donald Bearden | Clinical Neuropsychologist | 30 Iroquois St, Unit 33, Roxbury Crossing, MA 02120-2848 | 2016-06-30 |
1497115612 | Susan Magocsi | Clinical Neuropsychologist | 13 Meetinghouse Ln, Milton, MA 02186-2415 | 2016-03-01 |
Find all providers with the same taxonomy |
City | LONGMEADOW |
Zip Code | 01106 |
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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.