DANIELLE DETORA (NPI# 1194804062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194804062 |
| Entity Type | Individual |
| Full Name | DANIELLE DETORA |
| Credential | PSY.D. |
| Practice Address |
1666 Massachusetts Ave Suite 3 Lexington MA 02420-5317 |
| Practice Telephone | 7818626772 |
| Mailing Telephone | 7818626772 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
8063 | MA | Behavioral Health & Social Service Providers |
| Street Address |
1666 MASSACHUSETTS AVE SUITE 3 |
| City | LEXINGTON |
| State | MA |
| Zip Code | 02420-5317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740616556 | Think-diff Institute | Community/Behavioral Health | 1666 Massachusetts Ave, Suite F1, Lexington, MA 02420-5317 | 2013-09-25 |
| 1720393275 | Judy Ann Wilkinson | Counselor | 1666 Massachusetts Ave, Suite F1, Lexington, MA 02420-5317 | 2010-08-09 |
| 1679721930 | Tilottoma Mukherjee | Psychiatry & Neurology | 1666 Massachusetts Ave, Suite 3, Lexington, MA 02420-5317 | 2008-08-28 |
| 1982730172 | Susan M Culman | Psychologist | 1666 Massachusetts Ave, Suite #2, Lexington, MA 02420-5317 | 2007-02-24 |
| 1710020003 | Robert Michael Landers | Counselor | 1666 Massachusetts Ave, Suite Three, Lexington, MA 02421 | 2007-02-15 |
| 1144387564 | Deborah Olds Clendaniel | Social Worker | 1666 Massachusetts Ave, Lexington, MA 02420-5317 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568958643 | Kristen Gargiulo | Physical Therapist | 57 Bedord Street, Ste 202, Lexington, MA 02420 | 2018-07-02 |
| 1902311616 | Lindsey Nicole Wilcox | Physical Therapist | 57 Bedford St Ste 202, Lexington, MA 02420 | 2017-12-05 |
| 1629590443 | Jeffrey Phillip Winer | Psychologist | 57 Bedford St Ste 230, Lexington, MA 02420 | 2017-07-13 |
| 1235678178 | Rebecca Munini | Counselor | 76 Bedford Street, Suite 12, Office 1, Lexington, MA 02420 | 2017-02-13 |
| 1700332376 | Aretha Cohen | Speech-Language Pathologist | 840 Emerson Gardens Road, Excel Center, Lexington, MA 02420 | 2016-09-01 |
| 1710387915 | Niravkumar Patel | Internal Medicine | 4 Hadley Rd, Lexington, MA 02420 | 2014-08-26 |
| 1316368749 | Triad Adolescent Services | Counselor | 363 Mass Ave, Suite 204, Lexington, MA 02420 | 2014-01-03 |
| 1447698063 | Emily Flier Matteodo | Psychiatry & Neurology | 35 Bedford Street, Suite #6, Lexington, MA 02420 | 2013-06-05 |
| 1780941914 | Varun Kapur | Surgery | 33 York St, Lexington, MA 02420 | 2012-04-12 |
| 1992091433 | Karolyn Mary Franz | Acupuncturist | 238 Bedford St Ste 5, Lexington, MA 02420 | 2011-06-23 |
| Find all providers in zip 02420 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659593630 | Lea Jean Perritt | Psychologist | 369 West Vine Street, Suite 1904, Lexington, KY 40507-1834 | 2007-05-02 |
| 1851454938 | James Angelo Manganello | Psychologist | 9 Grapevine Ave, Suite 2, Lexington, MA 02421-7062 | 2006-12-19 |
| 1558907063 | Mary Rogers | Psychologist | 1500 Leestown Rd Ste 332, Lexington, KY 40511-1981 | 2019-11-19 |
| 1477715480 | Kourtni Sharee Badgett | Psychologist | 1101 Veterans Dr, 116a, Lexington, KY 40502-2235 | 2008-06-30 |
| 1619061470 | Bluegrass Health Psychology Inc | Psychologist | 2560 Richmond Rd, Suite 102, Lexington, KY 40509-1769 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992312755 | Daniel Engmann | Psychologist | 316 Main St Ste 202, Worcester, MA 01608-1553 | 2020-09-25 |
| 1750903738 | Corrina D Salo | Psychologist | 5 Alcott St, Acton, MA 01720-5501 | 2020-05-12 |
| 1285286047 | Cinthia Diaz-ramirez | Psychologist | 4 Beverly Commons Dr Apt 36, Beverly, MA 01915-5559 | 2019-07-11 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1124510383 | Deborah Christine Nelson | Psychologist | 39 Boxford Rd, Ipswich, MA 01938-1025 | 2018-06-04 |
| 1104358696 | Chloe Greenbaum | Psychologist | 872 Massachusetts Avenue, Suite 2-1, Cambridge, MA 02139-2316 | 2017-04-03 |
| 1801281233 | Maria Abreu | Psychologist | 4 Royal St, Lawrence, MA 01841-4120 | 2015-04-02 |
| 1003226713 | Kristy Shockley | Psychologist | 96 W Meadow Rd, Lowell, MA 01854-1421 | 2014-05-02 |
| 1174811426 | Rachel Fox-weinberg | Psychologist | 12 Butternut Rd., Westford, MA 01886-1351 | 2011-07-20 |
| 1770763237 | Lissa Young | Psychologist | 1017 Turnpike St Ste 12c, Canton, MA 02021-2847 | 2007-11-13 |
| Find all providers with the same taxonomy | ||||
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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.