ELIZABETH SMITH (NPI# 1174963003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174963003 |
| Entity Type | Individual |
| Full Name | ELIZABETH SMITH |
| Credential | OTR |
| Practice Address |
1115 W Chestnut St Brockton MA 02301-7501 |
| Mailing Address |
1 Deborah Lee Ln North Easton MA 02356-2514 |
| Practice Telephone | 5085804691 |
| Mailing Telephone | 7742193379 |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2013-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TE1100X |
Psychologist Specialization: Exercise & Sports |
10902 | MA | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 10902 | MA | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740896448 | Elizabeth Smith | Nurse Practitioner | 516 58th St Ne, Washington, DC 20019-6911 | 2020-09-17 |
| 1437760881 | Elizabeth Smith | Nurse Practitioner | 3631 Bienville Blvd Ste A, Ocean Springs, MS 39564-5702 | 2020-08-10 |
| 1265040323 | Elizabeth Smith | Behavior Technician | 329 Mesilla View Dr, Chaparral, NM 88081-7944 | 2020-07-15 |
| 1023636743 | Elizabeth Ann Smith | Physician Assistant | 1083 Delaware Ave Ste 1, Buffalo, NY 14209-1674 | 2020-07-09 |
| 1437706264 | Elizabeth Danielle Smith | Technician | 6571 Barren River Rd, Bowling Green, KY 42101-7905 | 2019-08-26 |
| 1649834722 | Elizabeth Blair Smith | Occupational Therapist | 12539 Natureview Cir, Bradenton, FL 34212-2984 | 2019-04-24 |
| 1831655653 | Elizabeth Smith | Massage Therapist | 495 W Avenida Cerca, Palm Springs, CA 92262-0695 | 2019-02-17 |
| 1881168011 | Elizabeth A Smith | Occupational Therapy Assistant | 11436 Se 89th Pl, Newcastle, WA 98056-2044 | 2019-01-22 |
| 1215412762 | Elizabeth Horne Smith | Social Worker | 3900 Roland Ave, Baltimore, MD 21211-2018 | 2018-10-01 |
| 1982187571 | Elizabeth Black Smith | Dietitian, Registered | 5821 Fairview Road, Suite 216, Charlotte, NC 28209 | 2018-09-11 |
| Street Address |
1115 W CHESTNUT ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-7501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912942202 | Daniel Omoayo | Social Worker | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2006-06-19 |
| 1861091647 | Brandi Danielle Pace | Developmental Therapist | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2020-10-22 |
| 1851905343 | James Thomas Stewart IIi | Counselor | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2020-09-02 |
| 1336750397 | Jacqueline Grant | Social Worker | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2020-08-13 |
| 1821611047 | Peyton Mayzel | Counselor | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2020-05-21 |
| 1477186658 | Rebecca Bruno | Counselor | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2020-02-17 |
| 1255975116 | Elizabeth Mary Lawlor | Student in an Organized Health Care Education/Training Program | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2019-11-04 |
| 1437790615 | Meredith Lincoln | Student in an Organized Health Care Education/Training Program | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2019-09-30 |
| 1164073441 | Marissa Ann Bragg | Student in an Organized Health Care Education/Training Program | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2019-09-27 |
| 1487205316 | Alexmira Andrade Monteiro | Behavior Technician | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2019-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 103TE1100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Exercise & Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669914503 | Catherine Ruth Heath | Psychologist | 12 Horseneck Rd, Shrewsbury, MA 01545-5471 | 2016-11-09 |
| 1164662219 | Diane Roberts Stoler Edd, LLC | Psychologist | 87 Washington St., Boxford, MA 01921-1240 | 2009-03-03 |
| 1982953352 | Erica Beachy | Psychologist | 3300 Main Street, Third Floor Baystate Medical Center, Springfield, MA 01199 | 2012-08-31 |
| 1083745582 | Lafayette Counseling Center, LLC | Psychologist | 87 Washington St, Boxford, MA 01921-1240 | 2007-03-08 |
| 1821182015 | Harvey Dulberg | Psychologist | 1330 Beacon St, Suite 248, Brookline, MA 02446-3282 | 2006-10-03 |
Please comment or provide details below to improve the information on ELIZABETH SMITH.
| 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.