MRS. ELAINE MARIE STIEHL (NPI# 1104996321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104996321 |
| Entity Type | Individual |
| Full Name | MRS. ELAINE MARIE STIEHL |
| Credential | NP, RN/PC |
| Practice Address |
178 Savin St Suite 200 Malden MA 02148-2329 |
| Practice Telephone | 7813387250 |
| Practice Fax Number | 7813387245 |
| Mailing Telephone | 7813387250 |
| Mailing Fax Number | 7813387245 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2014-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
106849 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1211978 | 05 |
| Street Address |
178 SAVIN ST SUITE 200 |
| City | MALDEN |
| State | MA |
| Zip Code | 02148-2329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154310076 | Patricia Ann Sereno | Family Medicine | 178 Savin St, Malden Family Health Center, Malden, MA 02148-2329 | 2005-10-14 |
| 1245716851 | Christina Marie Perez | Registered Nurse | 178 Savin St, Malden, MA 02148-2329 | 2018-07-17 |
| 1700287893 | Olena Kushnarenko Murthy | Nurse Practitioner | 178 Savin St, Malden, MA 02148-2329 | 2014-09-09 |
| 1912266982 | Jessica Danielle Stevenson | Family Medicine | 178 Savin St, Suite 100, Malden, MA 02148-2329 | 2012-05-11 |
| 1700164167 | Victoria J. Gurfolino | Nurse Practitioner | 178 Savin St, Malden, MA 02148-2329 | 2011-08-02 |
| 1003111493 | Claire Donahue | Clinical Nurse Specialist | 178 Savin St, Suite 200, Malden, MA 02148-2329 | 2011-01-17 |
| 1154637882 | Sarah Ione Hillios | Nurse Practitioner | 178 Savin St, Suite 100, Malden, MA 02148-2329 | 2010-08-18 |
| 1366623290 | Ma'ayan D. Winter | Counselor | 178 Savin St, Community Counseling Service, Flr 2, Malden, MA 02148-2329 | 2007-11-20 |
| 1285788695 | Brian O'sullivan | Social Worker | 178 Savin St, Suite 200, Malden, MA 02148-2329 | 2007-01-22 |
| 1902996572 | Mohit Chopra | Psychiatry & Neurology | 178 Savin St, Suite 200, Malden, MA 02148-2329 | 2006-10-13 |
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|---|---|---|---|---|
| 1427680743 | Cambridge Public Health Commission | Pharmacy | 350 Main Street Suite 640, Malden, MA 02148 | 2020-02-05 |
| 1568932192 | Stephanie L Octave | Behavior Technician | 28 Wolcott St, Malden, MA 02148 | 2018-11-27 |
| 1477036549 | Fabienne Odney | Registered Nurse | 41 Alpine St, Malden, MA 02148 | 2018-09-13 |
| 1972085322 | Donna Watson | Social Worker | 33 Goodwin Avenue, Malden, MA 02148 | 2018-09-02 |
| 1588144505 | Michael William Sage | Physician Assistant | Cha Malden Care Center, 195 Canal Street, Malden, MA 02148 | 2018-08-20 |
| 1255827432 | Martineau Louine | Internal Medicine | 11 Dennis Road, Malden, MA 02148 | 2018-07-10 |
| 1700378098 | Catherine Grieves | Social Worker | 785 Main St Apt. 6, Malden, MA 02148 | 2018-06-01 |
| 1215427901 | Leam Thomas | Counselor | 175 Summer Street, Apt204, Malden, MA 02148 | 2018-05-17 |
| 1629593637 | David Acuna | Counselor | 22 Plesant Street, Malden, MA 02148 | 2017-08-10 |
| 1295258580 | Judith P Phillips | Physician Assistant | 24 Auburn Street, Malden, MA 02148 | 2017-07-19 |
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| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
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|---|---|---|---|---|
| 1962037473 | Precious Mind Behavioral Health Services & Consulting, LLC | Nurse Practitioner | 40 Eastern Ave Ste 313, Malden, MA 02148-5030 | 2020-03-04 |
| 1700164167 | Victoria J. Gurfolino | Nurse Practitioner | 178 Savin St, Malden, MA 02148-2329 | 2011-08-02 |
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| 1013524164 | Atlee Quarrier | Nurse Practitioner | 29 Birch Meadow Rd, Merrimac, MA 01860-1826 | 2020-09-23 |
| 1669086997 | Unique Psych Services LLC | Nurse Practitioner | 10 Mazzeo Dr Ste 201f, Randolph, MA 02368-3433 | 2020-09-03 |
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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.