DR. CHARLES EDWARD STREFF (NPI# 1114029733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114029733 |
| Entity Type | Individual |
| Full Name | DR. CHARLES EDWARD STREFF |
| Credential | PH.D. |
| Practice Address |
532 Great Rd Acton MA 01720-3415 |
| Practice Telephone | 9782630439 |
| Practice Fax Number | 9784863140 |
| Mailing Telephone | 9782630439 |
| Mailing Fax Number | 9784863140 |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2084 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | STATE LICENSE FOR PSYCHOL | 2084 | 01 |
| MA | BLUE CROSS/BLUE SHIELD | W02302 | 01 |
| Street Address |
532 GREAT RD |
| City | ACTON |
| State | MA |
| Zip Code | 01720-3415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245229988 | Elaine Mcgrane Olmstead | Clinical Nurse Specialist | 532 Great Rd, Acton, MA 01720-3415 | 2005-10-16 |
| 1013419381 | Acton Psychological Associates LLC | Psychologist | 532 Great Rd, Acton, MA 01720-3415 | 2018-03-02 |
| 1003368937 | Streff Associates, LLC | Social Worker | 532 Great Rd, Acton, MA 01720-3415 | 2016-10-26 |
| 1285006734 | Eleanor Kent Fulton | Psychologist | 532 Great Rd, Acton, MA 01720-3415 | 2015-10-23 |
| 1992128086 | Streff Associates | Psychologist | 532 Great Rd, Acton, MA 01720-3415 | 2014-01-27 |
| 1780870527 | Susan Valente | Social Worker | 532 Great Rd, Acton, MA 01720-3415 | 2007-09-14 |
| 1073705927 | Christopher Richard Marobella | Social Worker | 532 Great Rd, Acton, MA 01720-3415 | 2007-08-14 |
| 1700921673 | Charles E. Streff | Psychologist | 532 Great Rd, Acton, MA 01720-3415 | 2007-02-20 |
| 1558389445 | Daniel A. Sanford | Psychologist | 532 Great Rd, Acton, MA 01720-3415 | 2006-07-18 |
| 1932130598 | Michael Macht-greenberg | Psychologist | 532 Great Rd, Acton, MA 01720-3415 | 2006-07-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346872322 | Gianpiero De Mari | Behavior Technician | 8 Post Office Square Suite 204, Acton, MA 01720 | 2020-02-07 |
| 1871134890 | Rachel Vinicor | Social Worker | 171 Pope Rd., Acton, MA 01720 | 2019-10-01 |
| 1295387991 | Manman Zhang | Nurse Practitioner | Apt B9, 9 Davis Road, Acton, MA 01720 | 2019-07-12 |
| 1215595608 | Karen Weeks | Clinical Medical Laboratory | 526 Main St, One Acton Pl, Suite 102, Acton, MA 01720 | 2019-05-31 |
| 1689165151 | Richard J. Cowen | Psychologist | 16 Charter Road, Acton, MA 01720 | 2018-05-21 |
| 1265929798 | Angela Madge | Psychologist | 525 Massachusetts Ave Ste 101g, Acton, MA 01720 | 2018-04-19 |
| 1811404544 | B-xi Operations Holding Company LLC | Assisted Living Facility | Benchmark At Robbins Brook, 10 Devon Drive, Acton, MA 01720 | 2018-01-03 |
| 1396265211 | Kristen Devenezia | Counselor | 360 Massachusetts Avenue, Suite 201, Acton, MA 01720 | 2017-06-21 |
| 1760886592 | Waybond Pllc | Clinic/Center | 31 Powder Mill Rd, Acton, MA 01720 | 2014-10-22 |
| 1760802797 | Kimberly Greene Murachver | Dietitian, Registered | 525 Massachusetts Ave Ste 101c, Acton, MA 01720 | 2014-04-17 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972097053 | Michael Diianni Madera | Psychologist | 17 Half Moon Hl, Acton, MA 01720-2448 | 2018-06-21 |
| 1689165151 | Richard J. Cowen | Psychologist | 16 Charter Road, Acton, MA 01720 | 2018-05-21 |
| 1235237363 | Steven R Michelson | Psychologist | 289 Great Rd, # G01, Acton, MA 01720-4766 | 2006-09-20 |
| 1689977878 | Philip Luber | Psychologist | 245 School St, Acton, MA 01720-5316 | 2010-12-10 |
| 1700921673 | Charles E. Streff | Psychologist | 532 Great Rd, Acton, MA 01720-3415 | 2007-02-20 |
| 1093866949 | Jessica Irene Pecchenino | Psychologist | 4 Strawberry Hill Rd, Level 2, Acton, MA 01720-5757 | 2007-01-16 |
| 1376600270 | Abby Jill Shuman | Psychologist | 4 Strawberry Hill Rd, Suite 2, Acton, MA 01720-5757 | 2007-01-02 |
| 1477617306 | Professional Counseling Services Inc | Psychologist | 518 Great Road, Acton, MA 01720-3415 | 2006-12-22 |
| 1023181021 | Kathryn Yamartino | Psychologist | 930 Main St, Suite 201, Acton, MA 01720-5885 | 2006-11-16 |
| 1932130598 | Michael Macht-greenberg | Psychologist | 532 Great Rd, Acton, MA 01720-3415 | 2006-07-05 |
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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.