DONALD TETENBAUM (NPI# 1255351037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255351037 |
| Entity Type | Individual |
| Full Name | DONALD TETENBAUM |
| Credential | PSY.D. |
| Practice Address |
100 Ledgewood Pl Suite 202 Rockland MA 02370-1075 |
| Mailing Address |
30 Harlow Dr Amherst MA 01002-1410 |
| Practice Telephone | 8005355526 |
| Practice Fax Number | 7818715973 |
| Mailing Telephone | 4135495727 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6029 | MA | Behavioral Health & Social Service Providers |
| Street Address |
100 LEDGEWOOD PL SUITE 202 |
| City | ROCKLAND |
| State | MA |
| Zip Code | 02370-1075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720029085 | Elizabeth M Souffront | Psychologist | 100 Ledgewood Pl, Suite 202, Rockland, MA 02370-1075 | 2006-06-09 |
| 1699083113 | Lindsay D. Butters | Counselor | 100 Ledgewood Pl, Suite 202, Rockland, MA 02370-1075 | 2010-09-17 |
| 1932437753 | Tracy Leigh Larson-benvenuti | Social Worker | 100 Ledgewood Pl, Suite 202, Rockland, MA 02370-1075 | 2009-12-07 |
| 1518190966 | Dru Katherine Carver-brown | Counselor | 100 Ledgewood Pl, Suite 202, Rockland, MA 02370-1075 | 2009-09-02 |
| 1629202395 | Janet Hazel Doney-elfadel | Counselor | 100 Ledgewood Pl, Suite 202, Rockland, MA 02370-1075 | 2009-05-11 |
| 1144460601 | Laura Margaret Morgan | Counselor | 100 Ledgewood Pl, Suite 202, Rockland, MA 02370-1075 | 2009-02-24 |
| 1154561611 | Gayle Marie Clark | Social Worker | 100 Ledgewood Pl, Suite 202, Rockland, MA 02370-1075 | 2009-02-24 |
| 1366680258 | Linda May Mazak | Counselor | 100 Ledgewood Pl, Suite 202, Rockland, MA 02370-1075 | 2009-01-30 |
| 1588819528 | Jodi Comeau | Counselor | 100 Ledgewood Pl, Suite 202, Rockland, MA 02370-1075 | 2008-11-18 |
| 1225288996 | Barbara Moore | Counselor | 100 Ledgewood Pl, Suite 202, Rockland, MA 02370-1075 | 2008-09-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518413236 | Christine Stuart | Physical Therapist | 29 Birch Bottom Circle, Rockland, MA 02370 | 2016-09-01 |
| 1447697461 | Webster Park Operator LLC | Skilled Nursing Facility | 56 Webster Street, Rockland, MA 02370 | 2013-05-31 |
| 1336272699 | James S Chrzan | Podiatrist | 28 Pacific St., Rockland, MA 02370 | 2007-03-14 |
| 1639221567 | Jacobs and Jacobs Dentists PC | Dentist | 27 Market St, Rockland, MA 02370 | 2007-01-18 |
| 1649358193 | Boston Podiatry Services PC | Podiatrist | 28 Pacific St, Rockland, MA 02370 | 2006-11-01 |
| 1659464501 | Cheryl L Kessel | Social Worker | 100 Ledgewoo Pl, Rockland, MA 02370 | 2006-10-02 |
| 1366470775 | Nancy H Starr | Dentist | 502 Union St, Rockland, MA 02370 | 2006-06-28 |
| 1962653501 | Nancy H. Starr D.m.d. PC | Dentist | 502 Union St, Rockland, MA 02370 | 2008-10-01 |
| 1538356274 | Heather Marie Mulcahey | Occupational Therapist | 140 Union St, Rockland, MA 02370 | 2007-09-26 |
| 1023060431 | Hc Watson Corporation Interim Healthcare of Buffalo Inc | Home Health | 65 James Street, Suite 201, Worcester, MA 02370 | 2006-05-16 |
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| 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 |
|---|---|---|---|---|
| 1568502474 | Robert Dodge | Psychologist | 120 Tillson Ave Ste 201, Rockland, ME 04841-3400 | 2007-02-08 |
| 1588673156 | Andrew F Wisch | Psychologist | 120 Tillson Ave, Suite 201, Rockland, ME 04841-3451 | 2006-08-05 |
| 1265641369 | John M Oleski | Psychologist | 100 Ledgewood Pl, Suite 202, Rockland, MA 02370-1075 | 2007-05-22 |
| 1316156979 | Karen Corwin Mook | Psychologist | 120 Tillson Ave, Suite 201, Rockland, ME 04841-3451 | 2007-05-21 |
| 1467575035 | Bambi Rattner | Psychologist | 100 Ledgewood Pl, Suite 202, Rockland, MA 02370-1075 | 2007-04-09 |
| 1952421505 | Karen Sue Klein | Psychologist | 328 Main St, #202, Rockland, ME 04841-3365 | 2007-03-29 |
| 1669506119 | Richard L Fisher | Psychologist | 120 Tillson Ave, Suite 201, Rockland, ME 04841-3451 | 2007-03-15 |
| 1083760714 | Henry Gates | Psychologist | 100 Ledgewood Pl, Suite 202, Rockland, MA 02370-1075 | 2007-01-26 |
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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.