MICHAEL DENNIS WONG (NPI# 1154602621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154602621 |
Entity Type | Individual |
Full Name | MICHAEL DENNIS WONG |
Practice Address |
35 Memorial Rd 12a Somerville MA 02145-1702 |
Mailing Address |
66 Stedman St Brookline MA 02446-6009 |
Practice Telephone | 6176233278 |
Mailing Telephone | 6177344720 |
Enumeration Date | 2011-08-29 |
Last Update Date | 2011-08-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
1750805560 | Michael Harold Wong | Dentist | 2970 Hilltop Mall Rd Ste 212, Richmond, CA 94806-1949 | 2017-08-02 |
1184002537 | Michael Walter Wong | Family Medicine | 2057 State Route 130, Jeannette, PA 15644-3801 | 2015-05-18 |
1083010854 | Michael Yuwei Wong | Pharmacist | 419 Downey Ln, Placentia, CA 92870-7515 | 2014-11-06 |
1710223540 | Michael Wong | Occupational Therapy Assistant | 3901 Cathedral Ave Nw Unit 319, Washington, DC 20016-5215 | 2012-12-26 |
1609140730 | Michael Jun Wong | Physical Therapist | 2430 Skillman Ave, Long Island City, NY 11101-4524 | 2012-03-07 |
1982919734 | Michael Kin Chung Wong | Optometrist | 6506 Loisdale Rd Ste 102, Springfield, VA 22150-1815 | 2010-08-17 |
1093906836 | Michael J Wong | Specialist | 201 S Alvarado St Ste 618, Los Angeles, CA 90057-2386 | 2007-08-07 |
1811105752 | Michael Joseph Wong | Dentist | 5400 S Central Ave, Phoenix, AZ 85040-3040 | 2007-05-21 |
1346463148 | Michael K Wong | Dentist | 651 Rt. 73 North, Suite 305, Marlton, NJ 08053-3402 | 2007-04-10 |
Street Address |
35 MEMORIAL RD 12A |
City | SOMERVILLE |
State | MA |
Zip Code | 02145-1702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497230684 | Marisa Katherine Glynn | Psychologist | 35 Edgar Avenue, Somerville, MA 02145 | 2018-10-03 |
1811478274 | Rolanda Santos Prophete | Counselor | 18 Sargent Ave, Somerville, MA 02145 | 2018-08-23 |
1619465101 | Shannon Comer | Registered Nurse | 64 Sycamore St Apartment 1, Somerville, MA 02145 | 2018-04-30 |
1184121261 | Deborah Camara | Social Worker | 89 Cross Street, Apt 1, Somerville, MA 02145 | 2018-04-06 |
1073047569 | Nicole Patzelt | Dermatology | 192a School St Apt 2, Somerville, MA 02145 | 2017-04-12 |
1316327018 | Christina Gasbarro | Family Medicine | Cha Assembly Square Care Center, 5 Middlesex Avenue, Somerville, MA 02145 | 2015-06-08 |
1902236359 | Prativa Bhatta | Counselor | 76 Cross St, Somerville, MA 02145 | 2013-11-21 |
1427497015 | Veronica Wu | Physician Assistant | 60 Clyde Street, #5, Somerville, MA 02145 | 2013-06-18 |
1790045797 | Cambridge Health Alliance | Rehabilitation Unit | 2 Middlesex Avenue, Somerville, MA 02145 | 2012-05-23 |
1871809665 | Lauren Holland | Occupational Therapist | 5 Middlesex Avenue, Somerville, MA 02145 | 2010-08-31 |
Find all providers in zip 02145 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992011910 | Peiwei Li | Psychologist | 40 Garrison Ave, Somerville, MA 02144-1711 | 2010-08-27 |
1205495017 | Selda Celen-demirtas, Ph.d., Pllc | Psychologist | 61 Roseland St Ste 2, Somerville, MA 02143-3536 | 2019-06-06 |
1033249537 | Cara Seroy | Psychologist | 21 E High St, Somerville, NJ 08876-2320 | 2007-03-06 |
1043373129 | John Francis Cusack | Psychologist | 403 Highland Ave, Suite 211, Somerville, MA 02144-2530 | 2006-12-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043817489 | Trevor Allan Cote | Psychologist | 137 Newbury St # 6b, Boston, MA 02116-2912 | 2020-10-08 |
1942840244 | Joshua Michael Edwards | Psychologist | 200 Southwick Rd Apt 12, Westfield, MA 01085-4797 | 2020-01-14 |
1235787045 | Joy Victoria Albiani | Psychologist | 500 Amory St Ste 300, Jamaica Plain, MA 02130-2775 | 2019-08-27 |
1144882234 | Barbara Fritts Phd Licensed Psychologist | Psychologist | 23 Water St # 105, Holliston, MA 01746-2364 | 2019-06-28 |
1114496031 | Melanie Cadet | Psychologist | 440 Hancock St Ste 8-248, Quincy, MA 02171-2442 | 2018-11-20 |
1710466685 | Denise A Green | Psychologist | 21 Matoon St, Amherst, MA 01002-2107 | 2018-08-10 |
1639663065 | Martha Hardy Lamb | Psychologist | 7 Commonwealth Ave, Dedham, MA 02026-1403 | 2018-06-19 |
1740773977 | Jennifer Grossman | Psychologist | 192 Carlton Rd, Waban, MA 02468-1836 | 2018-06-12 |
1467945022 | Carmen M Torres | Psychologist | 21 Fenwood Rd Apt 2, Boston, MA 02115-6101 | 2018-06-08 |
1144712936 | Jacqueline Bearce | Psychologist | 132 Pondview Dr, Amherst, MA 01002-3258 | 2018-06-06 |
Find all providers with the same taxonomy |
City | SOMERVILLE |
Zip Code | 02145 |
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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.