MARY M CROCKETT (NPI# 1245325653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245325653 |
| Entity Type | Individual |
| Full Name | MARY M CROCKETT |
| Practice Address |
42 South Park Street Bradford MA 01835 |
| Practice Telephone | 9785218919 |
| Mailing Telephone | 9785218919 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1674 | MA | Behavioral Health & Social Service Providers |
| X | 101YM0800X |
Counselor Specialization: Mental Health |
5176 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407365661 | Mary Jane Crockett | Driver | 1233 Irvington Rd, Weems, VA 22576-2217 | 2017-09-20 |
| 1831426980 | Mary Alice Crockett | Internal Medicine | 10700 Alloway Dr, Potomac, MD 20854-1601 | 2009-11-11 |
| 1194805143 | Mary Whitaker Crockett | Dentist | 102 S Venture Dr, Greenville, SC 29615-3571 | 2006-10-16 |
| 1417160169 | Mary J Crockett | Occupational Therapist | 1800 New York Ave, Superior, WI 54880 | 2007-05-08 |
| Street Address |
42 SOUTH PARK STREET |
| City | BRADFORD |
| State | MA |
| Zip Code | 01835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952959454 | Teresa Louise Heard-ralbovsky | Counselor | 29 Parkridge Road, Suite 2b, Haverhill, MA 01835 | 2019-08-28 |
| 1558890830 | Kristen Silbo | Social Worker | 26 Parkridge Road Suite 2b, Haverhill, MA 01835 | 2017-06-08 |
| 1639504681 | Paige Bailey Lenaghan | Counselor | 26 Parkridge Road, Suite 2b, Haverhill, MA 01835 | 2013-09-10 |
| 1295078657 | Angela Ziogas | Social Worker | 26 Parkridge Rd Ste 2b, Haverhill, MA 01835 | 2013-04-03 |
| 1265781900 | Cheryl D Sperring | Registered Nurse | 100 Cross Road, Bradford, MA 01835 | 2012-09-07 |
| 1811220361 | Hill View Montessori Charter Public School | Local Education Agency (LEA) | 75 Foundation Avenue, Haverhill, MA 01835 | 2009-09-16 |
| 1407048804 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 25 Shelly Rd, Haverhill, MA 01835 | 2007-08-10 |
| 1679784441 | Thomas A Ferlito | Dentist | 412 South Main St, Bradford, MA 01835 | 2007-05-24 |
| 1497977672 | Greater Newburyport Opportunities | Day Training, Developmentally Disabled Services | 209 Rear Summer Street, Haverhill, MA 01835 | 2007-05-03 |
| 1215155858 | Cheryl Horwath Rashid | Pharmacist | 35 Avco Rd, Haverhill, MA 01835 | 2007-04-20 |
| Find all providers in zip 01835 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821511528 | Hilary Glynn | Counselor | 11 Sterling Ln, Bradford, MA 01835-8402 | 2017-07-25 |
| 1881952075 | Danielle J Van Dusen | Counselor | 2554 New Hampshire Route 103, Bradford, NH 03221 | 2012-04-25 |
| 1073891966 | Kenneth J. Anthony | Counselor | 21 Haseltine St, Bradford, MA 01835-7707 | 2011-07-27 |
| 1083907281 | Demetra S Hazatones | Counselor | 1483 Lower Plain, Bradford, VT 05033 | 2011-05-20 |
| 1174614549 | Adagio Health Inc. | Counselor | 70 1/2 Mechanic St, Bradford, PA 16701-1242 | 2006-09-28 |
| 1033721683 | Alan Jason Gelfant | Counselor | 1483 Lower Pln, Bradford, VT 05033-8921 | 2020-08-17 |
| 1841816626 | Through It Counseling Services | Counselor | 11 Sterling Ln, Bradford, MA 01835-8402 | 2020-06-17 |
| 1700352762 | Amanda M Regis | Counselor | 437 S Main St, Bradford, VT 05033-9196 | 2018-10-17 |
| 1194208223 | Denise A Seagren Peterson | Counselor | 110 Campus Dr, Bradford, PA 16701-1982 | 2018-09-14 |
| 1861912727 | Peter M Butterfield | Counselor | 1740 Lower Pln, Bradford, VT 05033-8934 | 2017-06-22 |
| Find all providers in BRADFORD | ||||
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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.