FREDDA ZUCKERMAN (NPI# 1265509558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265509558 |
| Entity Type | Individual |
| Full Name | FREDDA ZUCKERMAN |
| Credential | L.I.C.S.W. |
| Practice Address |
27 Mica Ln Suite 205 Wellesley MA 02481-1724 |
| Mailing Address |
205 Mount Auburn St Apt 2c Cambridge MA 02138-4864 |
| Practice Telephone | 6179214826 |
| Mailing Telephone | 6179214826 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2016-04-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
103793 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUCROSSBLUE SHIELD | ZUPO1835 | 01 |
| Street Address |
27 MICA LN SUITE 205 |
| City | WELLESLEY |
| State | MA |
| Zip Code | 02481-1724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669421236 | Stephanie Alexis Davidoff | Psychiatry & Neurology | 27 Mica Ln, Suite 205, Wellesley, MA 02481-1724 | 2006-05-09 |
| 1366920936 | Jennifer Marie Kadilak | Social Worker | 27 Mica Ln, Wellesley, MA 02481-1724 | 2018-08-05 |
| 1912325085 | Kathleen O'meara, Aprn PC | Clinic/Center | 27 Mica Ln, Suite 205, Wellesley, MA 02481-1724 | 2014-04-04 |
| 1902161953 | For Our Communities - Focus, Inc. | In Home Supportive Care | 27 Mica Ln, Suite 300, Wellesley, MA 02481-1724 | 2012-07-05 |
| 1053535518 | Nancy J Donovan | Psychiatry & Neurology | 27 Mica Ln, Suite 106, Wellesley, MA 02481-1724 | 2007-04-13 |
| 1538215389 | Jeanne Watson Driscoll, Ms,rn,cs,pc | Registered Nurse | 27 Mica Ln, Suite 205, Wellesley, MA 02481-1724 | 2007-01-26 |
| 1144376906 | Kathleen O'meara | Clinical Nurse Specialist | 27 Mica Ln, Suite 205, Wellesley, MA 02481-1724 | 2007-01-26 |
| 1629126453 | Hal Duncan Cash | Psychiatry & Neurology | 27 Mica Ln, Wellesley, MA 02481-1724 | 2007-01-08 |
| 1891865606 | Jeanne Watson Driscoll | Nurse Practitioner | 27 Mica Ln, Wellesley, MA 02481-1724 | 2006-11-09 |
| 1124067210 | Alison C Phillips | Psychiatry & Neurology | 27 Mica Ln, Suite 205, Wellesley, MA 02481-1724 | 2006-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699329797 | Jeffrey A. Harrison, Dmd, PC | Dentist | 258 Washington Street, Wellesley, MA 02481 | 2019-07-26 |
| 1922651215 | Steffanie Accorsi | Behavior Technician | 110 Cedar St, Suite 10, Wellesley, MA 02481 | 2019-07-17 |
| 1023673977 | Alka Swarup | Occupational Therapist | 10 Hunnewell Street, Wellesley Hls, MA 02481 | 2019-05-07 |
| 1740779511 | Marianne Brandon | Psychologist | Marianne Brandon Phd, 25 Walnut St #202, Wellesley Hills, MA 02481 | 2018-05-07 |
| 1558722686 | Robin Cook-nobles | Psychologist | 106 Central Street, The Stone Center Wellesley College, Wellesley, MA 02481 | 2016-03-17 |
| 1851760169 | Samantha Eve Jordan | Student in an Organized Health Care Education/Training Program | 30 Washington Street Suite 300, Wellesley, MA 02481 | 2015-09-16 |
| 1942677224 | Sandra Schwartz | Physical Therapist | Summit Orthopedic Therapy, 40 Washington Street, Wellesly, MA 02481 | 2015-08-21 |
| 1053710467 | Train Boston Physical Therapy, Inc. | Exclusive Provider Organization | 34 Washington Street, Wellesley, MA 02481 | 2014-08-21 |
| 1124458344 | Allison Arrigg | Counselor | 11 Chapel Place, Human Relations Service, Wellesley Hills, MA 02481 | 2013-11-25 |
| 1932531472 | Abigail Gorman Daunis | Physical Therapist | 34 Washington St., Wellesley, MA 02481 | 2013-08-07 |
| Find all providers in zip 02481 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659904878 | Well Psychotherapy, PC | Counselor | 18 Grove St Ste 8, Wellesley, MA 02482-7705 | 2020-02-17 |
| 1255885315 | Emily Lange | Counselor | 6 Suffolk Rd, Wellesley, MA 02481-2611 | 2016-08-06 |
| 1801177043 | Katie Lynn Goodman | Counselor | 354 Washington St. Suite 221, Wellesley, MA 02481-1733 | 2011-09-01 |
| 1952631145 | Nadia Jackson | Counselor | 433 Worcester St, Wellesley, MA 02481 | 2010-01-11 |
| 1164617346 | Peter Cohen | Counselor | 45 Chesterton Rd, Wellesley, MA 02481-1106 | 2007-09-11 |
| 1427110261 | Natasha Holiday | Counselor | 105 Bristol Rd, Wellesley, MA 02481-2732 | 2006-12-15 |
| 1669540209 | Harriet F Simons | Counselor | 10 Woodridge Rd, Wellesley, MA 02482-7033 | 2006-12-01 |
| 1801271937 | Jennifer M. Rossetti | Counselor | 1 Amherst Rd, Wellesley, MA 02482-6610 | 2015-07-30 |
| 1194125781 | Kiley Gottschalk | Counselor | 11 Chapel Pl, Wellesley, MA 02481-3130 | 2014-09-02 |
| 1396088969 | Abigail Stuart Demarzo | Counselor | 554 Washington St, Suite 4, Wellesley, MA 02482-6408 | 2013-04-02 |
| Find all providers in WELLESLEY | ||||
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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.