GEORGIA STATHOPOULOU (NPI# 1205048030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205048030 |
| Entity Type | Individual |
| Full Name | GEORGIA STATHOPOULOU |
| Credential | PH.D. |
| Practice Address |
16 Blossom St Boston MA 02114-3104 |
| Mailing Address |
37 St.. Mary's St. 5 Brookline MA 02446 |
| Practice Telephone | 6176431012 |
| Mailing Telephone | 6177385356 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2010-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
9116 | MA | Behavioral Health & Social Service Providers |
| Street Address |
16 BLOSSOM ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255322616 | Martha Tougaw Kane | Psychologist | 16 Blossom St, Weh 1 Psychiatry Associates, Boston, MA 02114-3104 | 2005-11-03 |
| 1760030407 | Angelina F Gomez | Student in an Organized Health Care Education/Training Program | 16 Blossom St, Mgh West End Clinic, Boston, MA 02114-3104 | 2019-08-27 |
| 1871944355 | Daniel Peter Johnson | Psychologist | 16 Blossom St, Mgh West End Clinic, Boston, MA 02114-3104 | 2016-06-27 |
| 1346606332 | Toby Lynch | Psychologist | 16 Blossom St, Boston, MA 02114-3104 | 2016-01-07 |
| 1336555267 | Christoforos Iraklis Giakoumatos | Psychiatry & Neurology | 16 Blossom St, Boston, MA 02114-3104 | 2014-07-11 |
| 1326467911 | Jennifer Grace Blewett | Social Worker | 16 Blossom St, West End Clinic, Boston, MA 02114-3104 | 2014-04-10 |
| 1588081673 | Rachel Steere | Psychiatry & Neurology | 16 Blossom St, Boston, MA 02114 | 2014-03-26 |
| 1962745117 | Alicia Ventresca | Psychologist | 16 Blossom St, Boston, MA 02114-3104 | 2013-04-05 |
| 1215215637 | Michelle Davids | Psychiatry & Neurology | 16 Blossom St, Boston, MA 02114-3104 | 2011-08-02 |
| 1922321538 | Melissa Rae Kelly | Social Worker | 16 Blossom St, 1st Floor, Boston, MA 02114-3104 | 2010-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314330 | Deborah Cohen | Psychologist | 25 State St Fl 26, Boston, MA 02109-2700 | 2020-07-30 |
| 1710596697 | Boston Center for Health Psychology and Biofeedback, LLC | Psychologist | 10 Post Office Sq., Ste 800 South, Boston, MA 02109 | 2020-07-27 |
| 1619599594 | Bozena Forbes | Psychologist | 7 Clarkson St, Boston, MA 02125-2525 | 2020-05-13 |
| 1376189845 | Nicholas Alexander Livingston | Psychologist | 150 S Huntington Ave Rm B13-79, Boston, MA 02130-4817 | 2019-11-20 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1841844693 | Darcy Elizabeth Burgers | Psychologist | 450 Brookline Ave # Jf-736d, Boston, MA 02215-5450 | 2019-07-30 |
| 1780161091 | Andrea Knestel | Psychologist | 224 Clarendon St Ste 51, Boston, MA 02116-3793 | 2018-07-20 |
| 1386121630 | Miryam Yusufov | Psychologist | 375 Longwood Ave # Lw-603, Boston, MA 02215-5395 | 2018-07-19 |
| 1144715798 | Benjamin David Goodlett | Psychologist | 300 Longwood Ave Fegan 4 Genetics, Boston, MA 02115 | 2018-06-26 |
| 1033600887 | Lizabeth Roemer | Psychologist | 100 Morrissey Blvd Dept Of, Boston, MA 02125-3300 | 2018-05-28 |
| Find all providers in BOSTON | ||||
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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.