JILLIAN GOODRICH (NPI# 1154976264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154976264 |
| Entity Type | Individual |
| Full Name | JILLIAN GOODRICH |
| Credential | CAGS |
| Practice Address |
629 Massachusetts Ave Ste 201 Boxborough MA 01719-1528 |
| Practice Telephone | 9785016813 |
| Mailing Telephone | 9785016813 |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
477840 | MA | Behavioral Health & Social Service Providers |
| Street Address |
629 MASSACHUSETTS AVE STE 201 |
| City | BOXBOROUGH |
| State | MA |
| Zip Code | 01719-1528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558787879 | Lonnie Rae Ouellette | Counselor | 62 School House Lane, Boxboro, MA 01719 | 2014-03-11 |
| 1003147331 | Evan M Hughes | Chiropractor | 1740 Massachusetts Ave, Boxborough, MA 01719 | 2010-01-27 |
| 1083736649 | Suzanne Huang Pieri | Physical Therapist | 398 Depot Road, Boxborough, MA 01719 | 2007-04-04 |
| 1790273563 | Ibis Health Services-massachusetts LLC | Internal Medicine | 1740 Massachusetts Ave, Boxborough, MA 01719 | 2018-04-27 |
| 1194263418 | Yi Gao-roberts | Pharmacist | 20 Meadow Ln, Boxborough, MA 01719 | 2017-02-07 |
| 1366588782 | Diane Deborah Jessop | Speech-Language Pathologist | 202 Swanson Road, Unit 520, Boxborough, MA 01719-0334 | 2007-01-30 |
| 1326339797 | Shondra T. Shahin | Registered Nurse | 96 Leonard Rd, Boxborough, MA 01719-1019 | 2011-04-20 |
| 1245608447 | Sarah Dolaty | Social Worker | 103 Schoolhouse Ln, Boxborough, MA 01719-1033 | 2015-09-04 |
| 1083101836 | Grace Gao | Behavior Technician | 120 Avebury Cir, Boxborough, MA 01719-1124 | 2018-04-17 |
| 1932393790 | Carla Maria Correa | Social Worker | 7 Osceola Dr, Boxborough, MA 01719-1210 | 2007-09-04 |
| Find all providers in zip 01719 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730151 | Jennifer Beardslee | Psychologist | 116 Bridge St, Beverly, MA 01915-2851 | 2020-11-06 |
| 1114536554 | Jonathan Mari | Psychologist | 55 Cedar St Apt 2, Somerville, MA 02143-2289 | 2020-07-30 |
| 1275150807 | Tessa Lashley | Psychologist | 19 Meadow Pond Dr Apt K, Leominster, MA 01453-4252 | 2020-06-30 |
| 1003431644 | Christina Young | Psychologist | 340 Lowell St, Wakefield, MA 01880-1726 | 2020-06-09 |
| 1134743651 | Lin Tang | Psychologist | 60 Rolling Ridge Rd, Amherst, MA 01002-1419 | 2020-06-01 |
| 1356964985 | Lori Sawyer | Psychologist | 372 Olivia Dr, Northbridge, MA 01534-1292 | 2020-05-18 |
| 1114566957 | Kelly Giorgi | Psychologist | 1601b South St, Barre, MA 01005-8822 | 2019-12-26 |
| 1154968147 | Kimberly Trainor | Psychologist | 360 W Boylston St Rm 208, West Boylston, MA 01583-2384 | 2019-12-09 |
| 1801371307 | Alisa Pozner | Psychologist | 51 Hatch St, Marshfield, MA 02050-2449 | 2018-10-01 |
| 1649769605 | Leslie Jean Loomis | Psychologist | 23 Cambridge Ter, Cambridge, MA 02140-2620 | 2018-05-05 |
| Find all providers with the same taxonomy | ||||
| City | BOXBOROUGH |
| Zip Code | 01719 |
Please comment or provide details below to improve the information on JILLIAN GOODRICH.
| 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.