MS. KATHLEEN BRENNAN (NPI# 1104114024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104114024 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN BRENNAN |
| Credential | BA, MA, ED.M |
| Practice Address |
180 Centre St Brockton MA 02302-2733 |
| Mailing Address |
677 Quincy Shore Dr Apt 107 Quincy MA 02170-2200 |
| Practice Telephone | 5083140016 |
| Mailing Telephone | 6177860271 |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-07-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720624984 | Kathleen Brennan | Occupational Therapist | The Osborn, 101 Theall Rd., Rye, NY 10580 | 2019-11-22 |
| 1033353610 | Kathleen Brennan | Pediatrics | 321 W 90th St Apt 2b, New York, NY 10024-1626 | 2009-04-27 |
| 1710373113 | Kathleen Brennan | Nurse Practitioner | 25 4th St Nw, Pulaski, VA 24301-4613 | 2015-04-13 |
| 1164853958 | Kathleen G Brennan | Occupational Therapist | 206 Page Ave, Jackson, MI 49201-2418 | 2013-12-05 |
| 1922444900 | Kathleen Elizabeth Brennan | Family Medicine | 22 Bramhall St, Portland, ME 04102-3134 | 2013-05-16 |
| 1649409004 | Kathleen R Brennan | Counselor | 3139 N Lincoln Ave, Suite 205, Chicago, IL 60657-3114 | 2009-07-07 |
| 1568636942 | Kathleen Elizabeth Brennan | Counselor | 8720 Georgia Ave Ste 308, Silver Spring, MD 20910-3614 | 2008-04-16 |
| 1306033741 | Kathleen Marie Brennan | Obstetrics & Gynecology | 200 Medical Plz, Ste 430, Los Angeles, CA 90095-0001 | 2007-10-01 |
| 1447450036 | Kathleen Ann Brennan | Nurse Practitioner | 2239 N School St, Honolulu, HI 96819-2539 | 2007-07-20 |
| 1356552954 | Kathleen Burke Brennan | Physician Assistant | 2100 Pfingsten Rd, Department of Neurology, Suite 3000, Glenview, IL 60026-1301 | 2007-05-24 |
| Street Address |
180 CENTRE ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02302-2733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114547536 | Mark Anthony Delaney | Counselor | 180 Centre St, Brockton, MA 02302-2733 | 2020-04-27 |
| 1720627201 | Tathianna Debrito | Counselor | 180 Centre St, Brockton, MA 02302-2733 | 2019-12-31 |
| 1144877002 | Raquel Fabroski | Counselor | 180 Centre St, Brockton, MA 02302-2733 | 2019-08-24 |
| 1245886183 | Kathleen Anne Flannery | Counselor | 180 Centre St, Brockton, MA 02302-2733 | 2019-08-15 |
| 1225592488 | Caitlin Mary Doherty | Counselor | 180 Centre St, Brockton, MA 02302-2733 | 2019-01-22 |
| 1689151193 | Carre Farron Little | Counselor | 180 Centre St, Brockton, MA 02302-2733 | 2018-07-26 |
| 1285110197 | Sante Melaku | Counselor | 180 Centre St, Brockton, MA 02302-2733 | 2018-07-13 |
| 1144716804 | Alexander Miklave | Counselor | 180 Centre St, Brockton, MA 02302-2733 | 2018-07-06 |
| 1194248559 | Nancy Patricia Edwards | Physician Assistant | 180 Centre St, Brockton, MA 02302-2733 | 2017-07-18 |
| 1568904944 | Emily Horowitz | Counselor | 180 Centre St, Brockton, MA 02302-2733 | 2016-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427513373 | Miriam Monteiro | Social Worker | 688 Plain Street, Brockton, MA 02302 | 2019-02-05 |
| 1619432523 | Shirley Elefson | Social Worker | 330 Crescent Street, Brockton, MA 02302 | 2019-02-05 |
| 1578055505 | Steigmward Desir | Specialist | 472 E Ashland St, Brockton, MA 02302 | 2018-06-05 |
| 1114417797 | Katherine Douglas Van Schaik | Student in an Organized Health Care Education/Training Program | Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700376365 | Emmanuel Carrodeguas | Student in an Organized Health Care Education/Training Program | Brockton Hospital, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700303856 | My Care, LLC | Home Health | 307 Field Street, Brockton, MA 02302 | 2017-08-29 |
| 1982124988 | Shavon Franks | Psychologist | 30 Downey Rd, Brockton, MA 02302 | 2017-06-21 |
| 1831629286 | Kings & Queens Empowered | Religious Nonmedical Health Care Institution | 312 Carl Ave, Brockton, MA 02302 | 2017-06-18 |
| 1487193389 | Roseline Eliezer | Licensed Practical Nurse | 17 Simeon Avenue, Brockton, MA 02302 | 2017-02-13 |
| 1184008989 | Danielle Parker | Student in an Organized Health Care Education/Training Program | 23 Grinnell Rd, Brockton, MA 02302 | 2015-07-13 |
| Find all providers in zip 02302 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1720540156 | Nicilda Dejesus | Counselor | 204 Chatham West Dr, Brockton, MA 02301-1314 | 2019-04-04 |
| 1285160838 | Maria Atherton Jr. | Counselor | 17 Snell St, Brockton, MA 02301-1644 | 2017-05-02 |
| 1467726398 | Carin Rhodes | Counselor | 1115 W Chestnut St Ste 101, Brockton, MA 02301-7501 | 2012-02-23 |
| 1073817573 | Daniel Mendes Depina | Counselor | 682 North Main Street, Apt. 308, Brockton, MA 02301-3626 | 2010-12-27 |
| 1063713402 | Judith R Chaskes | Counselor | 30 Meadowbrook Road, Brockton, MA 02301 | 2010-11-16 |
| 1093957185 | Jerome P Posey | Counselor | 1311 Main St, Brockton, MA 02301-7109 | 2009-04-03 |
| 1548441587 | Sylvester Pereira Fortes | Counselor | 20 Hope St, Brockton, MA 02302-3415 | 2007-11-19 |
| 1184817579 | George Hamilton Brickhouse Jr. | Counselor | 108 Centre Street, Brockton, MA 02302 | 2007-08-20 |
| 1720282130 | Kathleen Mary Mckenna | Counselor | 225 Liberty St, Brockton, MA 02301-5571 | 2007-06-12 |
| Find all providers in BROCKTON | ||||
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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.