SASHA GITTENS (NPI# 1235543794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235543794 |
| Entity Type | Individual |
| Full Name | SASHA GITTENS |
| Credential | M.D. |
| Practice Address |
63 Main St Brockton MA 02301-4042 |
| Practice Telephone | (508) 559-6699 |
| Practice Fax Number | 5085595073 |
| Mailing Telephone | (508) 559-6699 |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | TRN 19940 | FL | Allopathic & Osteopathic Physicians |
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
270083 | MA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1301 Hodges Dr, Tallahassee, FL 323084614 | 8504315714 | 8504316403 |
| Street Address |
63 MAIN ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-4042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982602223 | Kathleen P Pringle | Advanced Practice Midwife | 63 Main St, Brockton, MA 02301-4042 | 2005-07-11 |
| 1639770548 | Meredith Hansen | Social Worker | 63 Main St, Brockton, MA 02301-4042 | 2020-11-06 |
| 1699399824 | Maya Don Chay | Registered Nurse | 63 Main St, Brockton, MA 02301-4042 | 2020-06-03 |
| 1588204259 | Jennifer Koningisor | Social Worker | 63 Main St, Brockton, MA 02301-4042 | 2020-01-10 |
| 1679112163 | Bianca St. Louis | Nurse Practitioner | 63 Main St, Brockton, MA 02301-4042 | 2019-12-31 |
| 1245877505 | Sarah Beth Blodgett | Social Worker | 63 Main St, Brockton, MA 02301-4042 | 2019-12-05 |
| 1235780107 | Chloe Martin | Social Worker | 63 Main St, Brockton, MA 02301-4042 | 2019-09-23 |
| 1417505967 | Elizabeth Coley | Social Worker | 63 Main St, Brockton, MA 02301-4042 | 2019-08-28 |
| 1225683758 | Rachel Revis | Social Worker | 63 Main St, Brockton, MA 02301-4042 | 2019-08-01 |
| 1376105130 | Johanne Cazeau | Nurse Practitioner | 63 Main St, Brockton, MA 02301-4042 | 2019-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043857782 | Jessica Dasilva | Family Medicine | 1020 Pleasant St, Brockton, MA 02301-3063 | 2019-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093359499 | Melissa Lemayian | Family Medicine | 26 Ames St, Lowell, MA 01852-2604 | 2019-10-30 |
| 1679819031 | Joan F Tryzelaar | Family Medicine | 500 Cummings Ctr Ste 1800, Beverly, MA 01915 | 2012-12-12 |
| 1972677680 | Thomas Kevin Hicks | Family Medicine | 309 Belmont Street, Worcester Recovery Center and Hopsital, Worcester, MA 01604 | 2006-11-17 |
| 1083785000 | Edward Robert Harned | Family Medicine | 49 Echo Lane, North Chatham, MA 02650 | 2006-11-13 |
| 1912095589 | Robert Geer Insley | Family Medicine | 78 Crowell Rd, Chatham, MA 02633-1966 | 2006-10-10 |
| 1609976448 | Margaret Shelly | Family Medicine | 1755 Commonwealth Ave, Brighton, MA 02135-4040 | 2006-09-22 |
| 1194735449 | Bodkhe & Dickey Associates, LLC | Family Medicine | 51 Sanderson St Ste 10, Greenfield, MA 01301-2739 | 2006-08-09 |
| 1255356705 | Stephen Oliver Chastain | Family Medicine | 33 Lawrence St, Methuen, MA 01844-4445 | 2006-07-13 |
| 1568438513 | Anne Marie Treadup | Family Medicine | 500 Faunce Corner Rd Ste 160, North Dartmouth, MA 02747-1277 | 2006-02-28 |
| 1790779908 | Martin Lesser | Family Medicine | 1236 Main St, Suite 201, Holyoke, MA 01040-5370 | 2005-09-01 |
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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.