MS. CINAMON J. BLAIR (NPI# 1205352101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205352101 |
| Entity Type | Individual |
| Full Name | MS. CINAMON J. BLAIR |
| Practice Address |
22 Old Canal Dr Lowell MA 01851-2730 |
| Mailing Address |
109 Nonset Path Acton MA 01720-3417 |
| Practice Telephone | 9784536800 |
| Practice Fax Number | 9784536767 |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2017-08-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
22 OLD CANAL DR |
| City | LOWELL |
| State | MA |
| Zip Code | 01851-2730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730339045 | Martha Sue Root | Nurse Practitioner | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2008-09-23 |
| 1093315483 | Ginta Bistras | Counselor | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-10-27 |
| 1689281354 | Christine Carr | Social Worker | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-09-28 |
| 1679188353 | Lindsey Burgess | Counselor | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-09-10 |
| 1952913535 | Jacquelynn Rodriguez | Case Manager/Care Coordinator | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-08-17 |
| 1902415250 | Sofia Shahid | Counselor | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-07-23 |
| 1790301844 | Dereck Ceurvels I | Counselor | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-06-24 |
| 1235750407 | Emily Fischofer | Community Health Worker | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-04-29 |
| 1659904787 | Michael Gorman | Counselor | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-02-18 |
| 1629618764 | Paul Rith Som | Counselor | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508340233 | Tara D Gabriel | Social Worker | 130 Pine Street, Lowell, MA 01851 | 2018-09-19 |
| 1699257022 | Jennifer Walsh Favreau | Social Worker | 740 Princeton Blvd. Apt. 22, Lowell, MA 01851 | 2018-09-01 |
| 1366951022 | Natalie V Lopez | Counselor | 507 Redwood Ln, Lowell, MA 01851 | 2017-09-26 |
| 1962929877 | Dependable Transportation Inc. | Non-emergency Medical Transport (VAN) | 45 Pratt Ave, Unit 4, Lowell, MA 01851 | 2017-08-23 |
| 1053851733 | Excel Dental, P.C. | Dentist | 158 Wood Street, Unit 3, Lowell, MA 01851 | 2017-03-01 |
| 1982067468 | Vishal Sohal | Dentist | 26 Wood St, Dental Dreams, Lowell, MA 01851 | 2016-04-01 |
| 1689067407 | Craig David Milliken | Social Worker | 319 Wilder Street, Lowell, MA 01851 | 2015-03-18 |
| 1063801413 | Michael Bobola | Counselor | 22 Old Canal Drrive, Lowell, MA 01851 | 2015-01-22 |
| 1124422944 | Greater Lowell Private Nursing Services and Education | Home Health | 963 Chelmsford Street, Lowell, MA 01851 | 2014-10-22 |
| 1669886602 | Chitrang B. Patel | Dentist | 158 Wood St Unit 3, Lowell, MA 01851 | 2014-06-18 |
| Find all providers in zip 01851 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669080586 | Elizabeth Duncan Newell | Community/Behavioral Health | 24 Chauncey Ave, Lowell, MA 01851-4322 | 2020-07-16 |
| 1689169823 | Meredith Sargent Rogerson | Community/Behavioral Health | 578 Andover St, Lowell, MA 01852-1443 | 2018-06-29 |
| 1457803496 | Bourin You | Community/Behavioral Health | 373 Westford St, Lowell, MA 01851-2520 | 2016-10-25 |
| 1831595669 | Sophie Dipillo Advocacy Group, Inc. | Community/Behavioral Health | 27 Jackson St Apt 422, Lowell, MA 01852-2145 | 2014-11-05 |
| 1407984065 | Concord Valley Treatment Center | Community/Behavioral Health | 25-27 Central St, Lowell, MA 01852-1905 | 2007-03-02 |
| 1841824398 | Tori Kym Black | Community/Behavioral Health | 148 Warren St, Lowell, MA 01852-2208 | 2020-02-24 |
| 1366074395 | Jaclyn Davis | Community/Behavioral Health | 148 Warren St, Lowell, MA 01852-2208 | 2020-02-07 |
| 1770128274 | Ilyssa Marie Andino | Community/Behavioral Health | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2019-11-08 |
| 1033699202 | Community Resource Solutions Inc | Community/Behavioral Health | 256 Westford St, Lowell, MA 01851-2544 | 2018-08-17 |
| 1205298932 | Pridestar Center for Applied Learning | Community/Behavioral Health | 229 Stedman St, Lowell, MA 01851-2705 | 2016-03-22 |
| Find all providers in LOWELL | ||||
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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.