EMBODIMENT INSTITUTE LLC (NPI# 1144645748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144645748 |
| Entity Type | Organization |
| Organization Name | EMBODIMENT INSTITUTE LLC |
| Practice Address |
16 Center St Suite 323 Northampton MA 01060-3589 |
| Practice Telephone | 4135829111 |
| Practice Fax Number | 4135820333 |
| Mailing Telephone | 4135829111 |
| Mailing Fax Number | 4135820333 |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2014-02-19 |
| Authorized Official Name | DR. MARK MATTHEW TANNY (DOCTOR) |
| Authorized Official Telephone | 4135829111 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2074 | MA | Chiropractic Providers |
| Street Address |
16 CENTER ST SUITE 323 |
| City | NORTHAMPTON |
| State | MA |
| Zip Code | 01060-3589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548256159 | Robert James Barden | Psychologist | 16 Center St, Suite 326, Northampton, MA 01060-3031 | 2005-09-20 |
| 1710228010 | Linda N Tumbarello | Counselor | 16 Center St, Suite 530, Northampton, MA 01060-3589 | 2013-03-12 |
| 1366751299 | Rebecca Tew | Social Worker | 16 Center St, Northampton, MA 01060-3589 | 2010-09-27 |
| 1578704979 | Deliah Rosel | Massage Therapist | 16 Center St, Suite 221, Northampton, MA 01060-3031 | 2009-03-13 |
| 1952565939 | Tapestry Health Systems | Clinic/Center | 16 Center St, Northampton, MA 01060-3031 | 2008-07-18 |
| 1386814242 | Marjorie J Kolchin | Acupuncturist | 16 Center St, Suite 518, Northampton, MA 01060-3031 | 2008-03-07 |
| 1740468602 | Ross W. Hackerson | Marriage & Family Therapist | 16 Center St, Suite 410, Northampton, MA 01060-3031 | 2008-02-03 |
| 1669657953 | Leah Berkowitz-gosselin | Social Worker | 16 Center St, Ste 316, Northampton, MA 01060-3031 | 2008-01-04 |
| 1396930541 | Margaret Pratt Babbott | Psychologist | 16 Center St, Suite 402, Northampton, MA 01060-3031 | 2007-09-11 |
| 1730389008 | Tanya Elise Rapinchuk | Midwife | 16 Center St, Suite 523, Northampton, MA 01060-3031 | 2007-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942869318 | Stephanie Jordan | Counselor | 16 Center St Ste 517, Northampton, MA 01060 | 2019-06-10 |
| 1659853828 | James Drisko | Social Worker | 159 Crescent St, Northampton, MA 01060 | 2018-09-04 |
| 1063994416 | Nancy P Doby | Social Worker | 84 Conz Street, Northampton, MA 01060 | 2018-09-02 |
| 1356821144 | Kathleen Ann Goodwin-boyd | Social Worker | Northampton High School, 380 Elm Street, Northampton, MA 01060 | 2018-08-21 |
| 1457847048 | Kathryn Karusaitis Basham | Social Worker | 155 Main Street C/o Dr. Herzog Phd, Northampton, MA 01060 | 2018-07-06 |
| 1700392289 | Angel Marie Kennedy | Behavioral Analyst | 351 Pleasant St Ste B126, Northampton, MA 01060 | 2017-12-20 |
| 1013437508 | Ricky Jermaine Logan | Counselor | 129 North King Street, Northampton, MA 01060 | 2017-06-26 |
| 1962858886 | Alicia Simoni | Social Worker | 25 Main St Ste 445, Northampton, MA 01060 | 2016-05-10 |
| 1134589708 | James Edmonstone | Clinic/Center | 78 Mainst., Suite 404, Northampton, MA 01060 | 2016-02-25 |
| 1114395639 | Danielle Baker | Speech-Language Pathologist | 228 King St Ste 2, Northampton, MA 01060 | 2015-09-15 |
| Find all providers in zip 01060 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922362839 | Daniel Richard Godbout | Chiropractor | 24 Center St., Northampton, MA 01060-3005 | 2012-06-26 |
| 1215290135 | Dr. Mark M. Tanny | Chiropractor | 24 Center Street, Northampton, MA 01060-3005 | 2012-06-18 |
| 1154576460 | Timothy Molitoris | Chiropractor | 32 Masonic St, Northampton, MA 01060-3587 | 2008-12-01 |
| 1033327929 | Richard W Kowalski | Chiropractor | 32 N Elm St, Northampton, MA 01060-2031 | 2007-05-21 |
| 1386704427 | Carol Benoit | Chiropractor | 30 N King St, Northampton, MA 01060-1139 | 2006-12-11 |
| 1669541892 | Mark M Tanny | Chiropractor | 24 Center St, Northampton, MA 01060-3005 | 2006-11-06 |
| 1205925880 | Katherine Marie Klemer | Chiropractor | 376 Pleasant St, Northampton, MA 01060-3917 | 2006-10-12 |
| 1962503631 | Roger Sydney Berman | Chiropractor | 241 King Street, Suite 123, Northampton, MA 01060 | 2006-09-26 |
| 1366543035 | Michael Joseph Evans | Chiropractor | 225r King Street, Northampton, MA 01060 | 2006-09-26 |
| 1174593891 | Bruce M Tutun | Chiropractor | 225r King St, Northampton, MA 01060-2361 | 2006-01-25 |
| Find all providers in NORTHAMPTON | ||||
| City | NORTHAMPTON |
| Zip Code | 01060 |
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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.