ELEANOR HEALTH PROFESSIONAL MA, PLLC (NPI# 1205446374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205446374 |
| Entity Type | Organization |
| Organization Name | ELEANOR HEALTH PROFESSIONAL MA, PLLC |
| Practice Address |
221 Crescent St Ste 202 Waltham MA 02453-3425 |
| Mailing Address |
Po Box 2810 Weaverville NC 28787-2810 |
| Practice Telephone | 8289898686 |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-10-01 |
| Authorized Official Name | NZINGA HARRISON (OWNER) |
| Authorized Official Telephone | 6174190858 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
221 CRESCENT ST STE 202 |
| City | WALTHAM |
| State | MA |
| Zip Code | 02453-3425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474527 | Devoted Medical Group, Inc. | Clinic/Center | 221 Crescent St Ste 202, Waltham, MA 02453-3425 | 2020-10-13 |
| 1043827132 | Eleanor Health Professional Wa, Pllc | Counselor | 221 Crescent St Ste 202, Waltham, MA 02453-3425 | 2020-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595770 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 66 Seyon St, Waltham, MA 02453 | 2020-10-13 |
| 1679040935 | Elsa L. Lichman | Social Worker | 52 Derby Street, Waltham, MA 02453 | 2018-10-25 |
| 1760957468 | Sherry Leigh Miller | Counselor | C/o Children's Charter, 77 Rumford Ave, Waltham, MA 02453 | 2018-10-09 |
| 1639644651 | Leo V Sarkissian | Social Worker | The Arc of Massachusetts, 217 South Street, Waltham, MA 02453 | 2018-10-05 |
| 1629569512 | Abaytum Investments Inc | Home Health | 24 Crescent Street, Suite 104, Waltham, MA 02453 | 2018-05-25 |
| 1225542970 | Mikayla E Culpo | Nurse Practitioner | 9 Hope Ave Fl Bch4, Waltham, MA 02453 | 2017-11-16 |
| 1568975449 | Twyla Atherna Everett | Massage Therapist | 212 Calvary St, Waltham, MA 02453 | 2017-11-14 |
| 1407369382 | Eli Miller | Counselor | 431 River Street, Suite 1, Waltham, MA 02453 | 2017-11-14 |
| 1396263927 | Jill Zaricor | Student in an Organized Health Care Education/Training Program | 77 Rumford Ave C/o Children's Charter, Waltham, MA 02453 | 2017-09-04 |
| 1538683008 | Michael Scaduto | Physical Therapist | 110-1 Clematis Ave, Waltham, MA 02453 | 2017-07-27 |
| Find all providers in zip 02453 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205934924 | Boston Psychiatry Group, Inc. | Psychiatry & Neurology | 20 Hope Ave Ste G05, Waltham, MA 02453-2781 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467095810 | Siere Jennifer Alkee | Psychiatry & Neurology | 68 N.front St, New Bedford, MA 02740 | 2019-10-17 |
| 1881015337 | Norton Health Care PC | Psychiatry & Neurology | 85 E Main St Ste A, Norton, MA 02766-2307 | 2014-01-01 |
| 1104185586 | Adam Bied | Psychiatry & Neurology | 339 Massachusetts Ave, Arlington, MA 02474-6718 | 2012-05-07 |
| 1598809287 | Nestore J D'angelo | Psychiatry & Neurology | 18 Woodholm Rd, Manchester, MA 01944-1042 | 2007-02-16 |
| 1245392513 | Roger N Chabra | Psychiatry & Neurology | 284 Starboard Ln, Osterville, MA 02655-1451 | 2006-12-14 |
| 1487754974 | Amjad Bahnassi | Psychiatry & Neurology | 435 Shrewsbury St Ste 1, Worcester, MA 01604-1691 | 2006-09-24 |
| 1265446157 | Elliott Gerald Segal | Psychiatry & Neurology | 126b Sewall Ave, Brookline, MA 02446-5327 | 2006-07-28 |
| 1043239270 | Alan Fisch | Psychiatry & Neurology | 872 Massachusetts Ave., Ste. 2-2, 2-7, Cambridge, MA 02139 | 2006-07-19 |
| 1093789083 | Michael Joshua Ostacher | Psychiatry & Neurology | 50 Staniford St Ste 580, Massachusetts General Hospital, Boston, MA 02114-2540 | 2006-02-15 |
| 1841274594 | Michael Anthony Dawes | Psychiatry & Neurology | 1 Boston Medical Center Place, Boston, MA 02118 | 2005-12-05 |
| 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.