STEPHEN J WILK II (NPI# 1275014391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275014391 |
| Entity Type | Individual |
| Full Name | STEPHEN J WILK II |
| Practice Address |
345 Greenwood St Ste A Worcester MA 01607-1767 |
| Mailing Address |
72 Seymour St # 3 Worcester MA 01610-1941 |
| Practice Telephone | 5083630200 |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
Behavioral Health & Social Service Providers |
| Street Address |
345 GREENWOOD ST STE A |
| City | WORCESTER |
| State | MA |
| Zip Code | 01607-1767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326071085 | Medi-rents, Inc | Durable Medical Equipment & Medical Supplies | 345 Greenwood St Ste A, Worcester, MA 01607-1767 | 2006-07-08 |
| 1184268625 | Veronika Azzara | Developmental Therapist | 345 Greenwood St Ste A, Worcester, MA 01607-1753 | 2019-10-28 |
| 1104475433 | Alba J Fuertes | Developmental Therapist | 345 Greenwood St Ste A, Worcester, MA 01607-1753 | 2019-09-09 |
| 1013564566 | Valerie Lee Martinez | Developmental Therapist | 345 Greenwood St Ste A, Worcester, MA 01607-1753 | 2019-08-20 |
| 1255994190 | Haley Brooks | Developmental Therapist | 345 Greenwood St Ste A, Worcester, MA 01607-1753 | 2019-04-16 |
| 1386106532 | Justin Matthew Sisco | Developmental Therapist | 345 Greenwood St Ste A, Worcester, MA 01607-1767 | 2019-04-04 |
| 1720540263 | Maria Isabel Tessier | Developmental Therapist | 345 Greenwood St Ste A, Worcester, MA 01607-1767 | 2019-04-03 |
| 1699236620 | Brittannie Marie Reilly | Developmental Therapist | 345 Greenwood St Ste A, Worcester, MA 01607-1767 | 2019-03-31 |
| 1235690355 | Sarah Paley | Developmental Therapist | 345 Greenwood St Ste A, Worcester, MA 01607-1767 | 2019-03-29 |
| 1063973196 | Daniella Frimpong | Developmental Therapist | 345 Greenwood St Ste A, Worcester, MA 01607-1767 | 2019-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194334482 | Kara Louise Fluet | Behavior Technician | 45a Greenwood St, Worcester, MA 01607 | 2020-07-23 |
| 1245890664 | Hajarah Shakir | Developmental Therapist | 35a Greenwood St, Worcester, MA 01607 | 2019-06-18 |
| 1881199289 | Erin Valcourt | Developmental Therapist | 345 A Greenwood St., Suite B, Worcester, MA 01607 | 2018-03-27 |
| 1215466644 | Danielle M Costa | Behavioral Analyst | 345a Greenwood Stree, Suite B, Worceter, MA 01607 | 2017-06-08 |
| 1679007397 | Tara Faford | Developmental Therapist | 345a Greenwood Sreet, Suite B, Worcester, MA 01607 | 2017-04-19 |
| 1598201006 | Destiny Johnson | Developmental Therapist | 345a Greenwich Street Suite B, Worcester, MA 01607 | 2017-01-09 |
| 1962945642 | Anthony Mastrocola | Developmental Therapist | 345a Greenwood St. Suite B, Worcester, MA 01607 | 2016-11-29 |
| 1821444159 | Victoria Lucarini | Behavioral Analyst | 345 Greenwood St. Suite B, Worcester, MA 01607 | 2016-05-05 |
| 1558722173 | Timothy Donahue | Developmental Therapist | 345a Greenwood Street, Suite B, Worcester, MA 01607 | 2016-03-09 |
| 1689033078 | Christine Grudoff | Developmental Therapist | 345a Greendwood Street, Suite B, Worcester, MA 01607 | 2016-02-15 |
| Find all providers in zip 01607 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902382153 | Abigail Baffour Kyei | Psychologist | 345a Greenwood Street, Suite B, Worcester, MA 01607 | 2018-07-11 |
| 1023546736 | Caitlin Sheehan | Psychologist | 345 Greenwood St, Worcester, MA 01607-1767 | 2017-05-24 |
| 1205916889 | Robert Stephen Holloway IIi | Psychologist | 25 Burncoat St, 25 Burncoat St., Worcester, MA 01605-1800 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998656 | Marie Taras Liang | Psychologist | 90 Sweetwater Ave, Bedford, MA 01730-1106 | 2020-06-25 |
| 1578052064 | Christopher J. Fox | Psychologist | 49 Brandywine Dr, Belchertown, MA 01007-9546 | 2018-05-09 |
| 1043708175 | Thomas Stoddard | Psychologist | 23 Kent Ct # 3, Somerville, MA 02143-3503 | 2018-04-24 |
| 1679006530 | Rose Drew | Psychologist | 54 Kingman St, East Taunton, MA 02718-1408 | 2017-04-07 |
| 1851775530 | Joyce Ann Melker | Psychologist | 46 Mildred Ave, Swansea, MA 02777-1620 | 2015-07-13 |
| 1922305093 | Jessica R Everett | Psychologist | 461 River Rd, Andover, MA 01810-4213 | 2011-02-24 |
| 1003131178 | Alan Harchik | Psychologist | 239 Aubinwood Rd, Amherst, MA 01002-1627 | 2010-04-01 |
| 1073847448 | Daniel Ndungu | Psychologist | 42 Hampshire St, Lowell, MA 01850-2020 | 2009-10-01 |
| 1437351699 | Michael Lowry | Psychologist | 343 West St, North Hatfield, MA 01066 | 2007-06-01 |
| 1154378834 | The Arc of South Norfolk, Inc. | Psychologist | 789 Clapboardtree St, Westwood, MA 02090-1717 | 2006-05-28 |
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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.