DESROSIERS PSYCHIATRIC LLC (NPI# 1275161317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275161317 |
| Entity Type | Organization |
| Organization Name | DESROSIERS PSYCHIATRIC LLC |
| Practice Address |
1 Welby Rd New Bedford MA 02745-1137 |
| Mailing Address |
23 Bernice Ave Brockton MA 02301-5010 |
| Practice Telephone | 5085560385 |
| Practice Fax Number | 5089981140 |
| Mailing Telephone | 5085560385 |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-01 |
| Authorized Official Name | FARAH DESROSIERS (NP-PSYCH/MENTAL HEALTH) |
| Authorized Official Telephone | 6179530736 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 WELBY RD |
| City | NEW BEDFORD |
| State | MA |
| Zip Code | 02745-1137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659327351 | James E Tooley | Social Worker | 1 Welby Rd, New Bedford, MA 02745-1137 | 2006-05-25 |
| 1982986915 | Ching-min Chang | Psychologist | 1 Welby Rd, New Bedford, MA 02745-1137 | 2011-09-15 |
| 1427113190 | Mary Grochmal Hadala | Social Worker | 1 Welby Rd, New Bedford, MA 02745-1137 | 2006-12-23 |
| 1306913389 | Margaret Scattergood Bacon | Psychologist | 1 Welby Rd, Suite #2, New Bedford, MA 02745-1137 | 2006-11-29 |
| 1659306512 | Myra Lall | Psychologist | 1 Welby Rd, New Bedford, MA 02745-1137 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407318272 | Sandra Thelma Malek | Physical Therapist | 748 Ashley Blvd, New Bedford, MA 02745 | 2019-04-02 |
| 1497290829 | Southcoast Hair Options | Prosthetist | 2082 Acushnet Ave., New Bedford, MA 02745 | 2016-12-20 |
| 1154665792 | Christine M. Homen Msw,licsw | Community/Behavioral Health | 32 Welby Road, Suite 114b, New Bedford, MA 02745 | 2012-11-20 |
| 1679858286 | Brian E Lang | Pharmacist | 1737acushnet Ave, New Bedford, MA 02745 | 2011-10-14 |
| 1063793826 | Internal Medicine and Preventive Care, P.C. | Clinic/Center | 130 Virgo Dr, New Bedford, MA 02745 | 2011-09-07 |
| 1942447289 | Dental Dreams, LLC | Dentist | 1054 Kings Highway, New Bedford, MA 02745 | 2009-01-08 |
| 1437314374 | Mary Lou Marques | Durable Medical Equipment & Medical Supplies | 1980 Acushnet Avenue, New Bedford, MA 02745 | 2008-07-21 |
| 1871751958 | Deborah M Okafor | Occupational Therapist | 27 Maddie Dr, New Bedford, MA 02745 | 2008-05-27 |
| 1114192457 | Lucia Vargas Williams | Social Worker | 1121 Ashley Blvd., New Bedford, MA 02745 | 2008-04-28 |
| 1386825776 | Pine Grove Chiropractic, P.C. | Chiropractor | 934 Ashley Boulevard, New Bedford, MA 02745 | 2007-11-14 |
| Find all providers in zip 02745 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676234 | Sandpiper Wellness, LLC | Nurse Practitioner | 345 Union St Unit 5, New Bedford, MA 02740-3679 | 2020-10-15 |
| 1669542858 | Paulette M. Chartier | Nurse Practitioner | 52 Brigham St Ste 5, New Bedford, MA 02740-2210 | 2006-11-08 |
| 1669073805 | Veronica Christina Lee | Nurse Practitioner | 34 Gifford St, New Bedford, MA 02744-2610 | 2020-11-04 |
| 1801266952 | Brighter Side Wellness LLC | Nurse Practitioner | 67 Brigham St, New Bedford, MA 02740-2211 | 2015-10-01 |
| 1295084002 | Barbara A Roderick | Nurse Practitioner | 70 Kilburn St, New Bedford, MA 02740 | 2012-09-07 |
| 1447531348 | Ana C. Richards | Nurse Practitioner | 543 North St, New Bedford, MA 02740-2782 | 2011-09-06 |
| 1245559780 | Clare E Katuramu | Nurse Practitioner | 842 Purchase St, New Bedford, MA 02740-6232 | 2010-05-24 |
| 1003144171 | Jeaninne Blackwell | Nurse Practitioner | 543 North St, New Bedford, MA 02740-2782 | 2009-11-30 |
| 1780838904 | Elise A Bocchino | Nurse Practitioner | 543 North St, New Bedford, MA 02740-2782 | 2008-11-14 |
| 1053437459 | Sharon Sousa | Nurse Practitioner | 466 County St, New Bedford, MA 02740-5107 | 2007-03-21 |
| Find all providers in NEW BEDFORD | ||||
| City | NEW BEDFORD |
| Zip Code | 02745 |
Please comment or provide details below to improve the information on DESROSIERS PSYCHIATRIC LLC.
| 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.