PETER LEONARD CORDARO (NPI# 1114158607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114158607 |
| Entity Type | Individual |
| Full Name | PETER LEONARD CORDARO |
| Credential | M.ED |
| Practice Address |
11 Circle Ave Habit Opco Lynn MA 01902 |
| Practice Telephone | 9783955575 |
| Mailing Telephone | 6175231594 |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2009-07-31 |
| Gender Code | M |
| 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 |
| Street Address |
11 CIRCLE AVE HABIT OPCO |
| City | LYNN |
| State | MA |
| Zip Code | 01902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972655082 | Sarah Elizabeth Pellini | Counselor | 11 Circle Ave, Lynn, MA 01905-3050 | 2007-01-17 |
| 1578181129 | Patricia Ann Marino | Counselor | 11 Circle Ave, Lynn, MA 01905-3050 | 2020-07-10 |
| 1588206403 | Kimberly Ann Abisso | Counselor | 11 Circle Ave, Lynn, MA 01905-3050 | 2019-10-11 |
| 1689216814 | Hillary Coughlin | Counselor | 11 Circle Ave, Lynn, MA 01905-3050 | 2019-10-09 |
| 1619525615 | Sarah Goldberg | Social Worker | 11 Circle Ave, Lynn, MA 01905-3050 | 2019-09-03 |
| 1750938940 | Richard Louis Thibault Jr. | Counselor | 11 Circle Ave, Lynn, MA 01905-3050 | 2019-08-22 |
| 1124670617 | Elizabeth Kelley | Counselor | 11 Circle Ave, Lynn, MA 01905-3050 | 2019-07-15 |
| 1386200129 | Cindi M Mumbauer | Registered Nurse | 11 Circle Ave, Lynn, MA 01905-3050 | 2019-05-17 |
| 1477118792 | Michael Andrew Priestman | Counselor | 11 Circle Ave, Lynn, MA 01905-3050 | 2019-05-02 |
| 1194287797 | Debra Jean Nicholson | Counselor | 11 Circle Ave, Lynn, MA 01905-3050 | 2019-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093291130 | Top Care Physical Therapy Rehab | Clinic/Center | 373 Chatham St # 2, Lynn, MA 01902 | 2018-07-12 |
| 1407343726 | Patricia De Leon | Developmental Therapist | 176 Franklin St., Lynn, MA 01902 | 2018-04-23 |
| 1578076725 | Janice S. Baltoumas | Dietitian, Registered | Element Care Inc., 37 Friend Street, Lynn, MA 01902 | 2017-11-09 |
| 1396263174 | Jayna Kathryn Doherty-kinloch | Social Worker | 31 Clark Street, Lynn, MA 01902 | 2017-08-31 |
| 1891219416 | Omobolanle O. Akinyemi | Licensed Practical Nurse | 9 Buffum St, Element Care Inc, Lynn, MA 01902 | 2017-07-26 |
| 1003330523 | Jessica Lee Crowley | Registered Nurse | 9 Buffum St., Element Care Inc, Lynn, MA 01902 | 2017-07-26 |
| 1689198228 | Shannon Gomatos | Registered Nurse | 20 School St., Lynn, MA 01902 | 2017-07-26 |
| 1578087193 | Josephine P. Cooke | Registered Nurse | 62 Market St., Element Care Inc, Lynn, MA 01902 | 2017-07-26 |
| 1316471568 | Ujunwa Okwukaogu | Registered Nurse | 118 Franklin Street #3, Lynn, MA 01902 | 2017-04-14 |
| 1033655501 | Francis Howard Crowley | Social Worker | 37 Friend Street, Element Care, Lynn, MA 01902 | 2017-01-09 |
| Find all providers in zip 01902 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275068637 | Gina Hart | Counselor | 29 Pennybrook Rd, Lynn, MA 01905 | 2017-04-24 |
| 1306387444 | Daniel Ginivan | Counselor | 382 Walnut St, Lynn, MA 01905-1180 | 2017-03-08 |
| 1225586167 | Dennis Romero | Counselor | 119 Henry Ave Apt 3, Lynn, MA 01902-3715 | 2016-09-21 |
| 1528366028 | Eric R Suranski | Counselor | 280 Union St Ste 2, Lynn, MA 01901-1355 | 2011-03-08 |
| 1831325240 | Kristen Cejka | Counselor | 181 Union Street, Project Cope Inc, Lynn, MA 01902 | 2009-06-01 |
| 1629216890 | Eileen Marie Walsh | Counselor | Eliot Communtiy Human Services 95 Pleasant St, Lynn, MA 01901-1524 | 2009-01-27 |
| 1477726404 | Beverly Mae Clarke | Counselor | 181 Union St Ste B, Lynn, MA 01901-1310 | 2008-04-10 |
| 1699955385 | Sara Michelle Pernice | Counselor | 43 Carolyn Rd, Lynn, MA 01905-3005 | 2007-11-09 |
| 1114139524 | Kevin Francis Rogers | Counselor | 3 Clough St, Lynn, MA 01902-2609 | 2007-05-06 |
| 1528287224 | Michael Vincent Lozzi | Counselor | 302 Den Quarry Rd, Lynn, MA 01904-1323 | 2007-04-24 |
| Find all providers in LYNN | ||||
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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.