ANNE R. GEHRENBECK-SHIM (NPI# 1235366279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235366279 |
| Entity Type | Individual |
| Full Name | ANNE R. GEHRENBECK-SHIM |
| Credential | PH.D. |
| Practice Address |
11 Beaver St Waltham MA 02453-7003 |
| Practice Telephone | 6175958476 |
| Practice Fax Number | 6172929272 |
| Mailing Telephone | 6175958476 |
| Mailing Fax Number | 6172929272 |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2009-06-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 7550 | MA | Behavioral Health & Social Service Providers |
| Street Address |
11 BEAVER ST |
| City | WALTHAM |
| State | MA |
| Zip Code | 02453-7003 |
| 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 | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407270622 | Candace Nicole Veitas | Psychologist | 63 Mayall Rd, Waltham, MA 02453-8212 | 2014-02-07 |
| 1831395136 | Stanley J Morse | Psychologist | 37 Harland Rd, Waltham, MA 02453-7613 | 2007-06-23 |
| 1407904006 | Lisbeth Gamble Nichols | Psychologist | 224 Bishops Forest Dr, Waltham, MA 02452-8808 | 2007-01-08 |
| 1679620389 | Andrew Hahn | Psychologist | 115 Worcester Ln, Waltham, MA 02451-7538 | 2007-01-04 |
| 1932124344 | Dorothy Mary Vacca | Psychologist | 98 Raffaele Dr, Waltham, MA 02452-0313 | 2006-07-13 |
| 1275038424 | Andrew John Dole | Psychologist | 175 Forest Street, Counseling Center, Waltham, MA 02452-0245 | 2018-03-29 |
| 1932509353 | Weiyen Chung | Psychologist | 77 Rumford Ave, Waltham, MA 02453-3872 | 2014-09-04 |
| 1336564806 | Susannah Hanson Flaherty | Psychologist | 175 Forest St, Michael A. Callahan Building, 2nd Floor, Waltham, MA 02452-4713 | 2014-02-20 |
| 1700172731 | Stuart Koman | Psychologist | 9 Hope Ave, Suite 500, Waltham, MA 02453-2741 | 2011-06-28 |
| 1578854238 | Christine Barrett Sieberg | Psychologist | 9 Hope Ave, Children's Hospital Boston- Pprc, Waltham, MA 02453-2741 | 2011-04-28 |
| Find all providers in WALTHAM | ||||
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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.