WALDEN PSYCHIATRIC ASSOCIATES, LLC (NPI# 1265830061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265830061 |
| Entity Type | Organization |
| Organization Name | WALDEN PSYCHIATRIC ASSOCIATES, LLC |
| Practice Address |
203 Crescent St Waltham MA 02453-3474 |
| Mailing Address |
51 Sawyer Rd Two University Office Park Waltham MA 02453-3448 |
| Practice Telephone | 7816470066 |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2014-12-10 |
| Authorized Official Name | JAMES GREENBLATT (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 7816472901 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | WALDEN PSYCHIATRIC ASSOCIATES, LLC | 51 Sawyer Road, Waltham, MA 02453 |
| Street Address |
203 CRESCENT ST |
| City | WALTHAM |
| State | MA |
| Zip Code | 02453-3474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851664767 | Comprehensive Psychiatric Resources | Dietitian, Registered | 203 Crescent St, Suite 110, Waltham, MA 02453 | 2012-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595770 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 66 Seyon St, Waltham, MA 02453 | 2020-10-13 |
| 1679040935 | Elsa L. Lichman | Social Worker | 52 Derby Street, Waltham, MA 02453 | 2018-10-25 |
| 1760957468 | Sherry Leigh Miller | Counselor | C/o Children's Charter, 77 Rumford Ave, Waltham, MA 02453 | 2018-10-09 |
| 1639644651 | Leo V Sarkissian | Social Worker | The Arc of Massachusetts, 217 South Street, Waltham, MA 02453 | 2018-10-05 |
| 1629569512 | Abaytum Investments Inc | Home Health | 24 Crescent Street, Suite 104, Waltham, MA 02453 | 2018-05-25 |
| 1225542970 | Mikayla E Culpo | Nurse Practitioner | 9 Hope Ave Fl Bch4, Waltham, MA 02453 | 2017-11-16 |
| 1568975449 | Twyla Atherna Everett | Massage Therapist | 212 Calvary St, Waltham, MA 02453 | 2017-11-14 |
| 1407369382 | Eli Miller | Counselor | 431 River Street, Suite 1, Waltham, MA 02453 | 2017-11-14 |
| 1396263927 | Jill Zaricor | Student in an Organized Health Care Education/Training Program | 77 Rumford Ave C/o Children's Charter, Waltham, MA 02453 | 2017-09-04 |
| 1538683008 | Michael Scaduto | Physical Therapist | 110-1 Clematis Ave, Waltham, MA 02453 | 2017-07-27 |
| Find all providers in zip 02453 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871745125 | Manjola Ujkaj | Psychiatry & Neurology | 50 Garden Cir Apt 1, Waltham, MA 02452-6175 | 2008-10-17 |
| 1790817575 | James Mark Greenblatt | Psychiatry & Neurology | 9 Hope Ave Ste 500, Walden Behavioral Care, Waltham, MA 02453-2751 | 2007-03-09 |
| 1407999881 | Bhanu P Gandhi | Psychiatry & Neurology | Private Healthcare Systems, 1100 Winter Street, Waltham, MA 02451 | 2007-02-15 |
| 1578806170 | Nicholas Reese Barnes | Psychiatry & Neurology | 85 1st Ave, Waltham, MA 02451-1105 | 2013-04-02 |
| 1932282266 | Miriam Claire Goodman | Psychiatry & Neurology | 169 Elm St, Waltham, MA 02453-5356 | 2006-10-23 |
| 1619925898 | Irina A Guryanova | Psychiatry & Neurology | 9 Hope Ave, Suite 500, Waltham, MA 02453-2741 | 2006-05-04 |
| 1295719748 | Tanya Yanovsky | Psychiatry & Neurology | 20 Hope Ave, Suite G05, Waltham, MA 02453-2721 | 2005-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046148 | Kripa Behavioral Health, P.C. | Psychiatry & Neurology | 415 Elsbree St Ste 1a, Fall River, MA 02720-7297 | 2020-09-08 |
| 1588273320 | Measured Wellness LLC | Psychiatry & Neurology | 47 Seaverns Ave # 5, Boston, MA 02130-2876 | 2020-07-28 |
| 1942819784 | Bluesky Telepsych, Inc. | Psychiatry & Neurology | 125 Cambridge Park Drive, Suite 306, Cambridge, MA 02140 | 2020-07-28 |
| 1689291304 | Zion Health & Wellness LLC | Psychiatry & Neurology | 209 W Central St Ste 216, Natick, MA 01760-3716 | 2020-06-29 |
| 1447875984 | Charles Clifford Engel Jr. | Psychiatry & Neurology | Home Base Program, Massachusetts General Hospital, 1 Constitution Road, Charlestown, MA 02129 | 2020-06-10 |
| 1447874284 | Suburban Psychiatric Specialists | Psychiatry & Neurology | 7 Condor Rd, Sharon, MA 02067-2905 | 2020-06-07 |
| 1669096996 | East Boston Behavioral Health and Medicine LLC | Psychiatry & Neurology | 464 Bremen St Ste 4, East Boston, MA 02128-1430 | 2020-06-02 |
| 1144853250 | Jamii Wellness and Behavioral Medicine, LLC | Psychiatry & Neurology | 360 W Boylston St Rm 207, West Boylston, MA 01583-2384 | 2020-02-17 |
| 1568092476 | Premier Medical LLC | Psychiatry & Neurology | 400 Foxborough Blvd Apt 4208, Foxborough, MA 02035-3807 | 2020-01-20 |
| 1972149367 | Deirdre O Arvidson | Psychiatry & Neurology | 32 Harold Ln, Chatham, MA 02633-1643 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
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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.