EVA JOHANNA PADDOCK


Address: 312 Walden St, Cambridge, MA 02138-1344
Phone: 6174914894

EVA JOHANNA PADDOCK (NPI# 1255602520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255602520
Entity Type Individual
Full Name EVA JOHANNA PADDOCK
Practice Address 312 Walden St
Cambridge
MA 02138-1344
Practice Telephone 6174914894
Mailing Telephone 6174914894
Enumeration Date 2012-01-19
Last Update Date 2012-01-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Office Location

Street Address 312 WALDEN ST
City CAMBRIDGE
State MA
Zip Code 02138-1344

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1659844868 Aimee Hsieh Social Worker 525 Mount Auburn Street, Cambridge, MA 02138 2019-01-10
1043733389 Armida Fruzzetti Psychologist 900 Concord Avenue, Cambridge, MA 02138 2017-07-19
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356881726 Khemenec Pantin Counselor 66 Reed Street Ct # 2, Cambridge, MA 02140-2417 2017-03-03
1215481965 Nicole Youngwirth Counselor 77 Inman St, Cambridge, MA 02139-1212 2016-08-11
1669715488 Josiane Julmeus Counselor 120 1/2 Pleasant St Apt 5, Cambridge, MA 02139-4438 2013-03-29
1326388760 Joel Brisson Counselor 34 Mount Auburn St # 32a, Cambridge, MA 02138-6038 2013-02-21
1326394313 Michael Donnelly Counselor 8 Woodrow Wilson Ct Apt 56, Cambridge, MA 02139-4462 2012-07-27
1376826057 Michael Coleman Counselor 448 Cambridge St, Apt. 2, Cambridge, MA 02141-1113 2011-09-20
1457689960 Lynn A. Roberson Counselor 49 Hancock St., Cambridge, MA 02140 2009-11-20
1386846400 Elke Schlager Andrews Counselor 119 Windsor Street, Cambridge, MA 02139 2007-06-01
1740499698 Meredith Kantor Counselor 7 Shepard St, Cambridge, MA 02138-1711 2007-05-21
1447395611 Dorchester County Public Schools Infant & Toddler Program Counselor 700 Glasgow St, Cambridge, MD 21613-1738 2007-02-21
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Competitor

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City CAMBRIDGE
Zip Code 02138

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Dataset Information

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.

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