DR. ILANA TAL (NPI# 1275679771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275679771 |
| Entity Type | Individual |
| Full Name | DR. ILANA TAL |
| Credential | PH.D. |
| Practice Address |
872 Mass Ave Suite 2-5 Cambridge MA 02139-1836 |
| Practice Telephone | 6178640285 |
| Mailing Telephone | 6178640285 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2019-02-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
8539 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS | W06492 | 01 |
| Street Address |
872 MASS AVE SUITE 2-5 |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02139-1836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104930247 | Erik Marks | Social Worker | 872 Mass Ave, Suite 2-1, Cambridge, MA 02139-3073 | 2006-08-18 |
| 1669920179 | Tory Leif Larsen | Nurse Practitioner | 872 Mass Ave, Apt 503, Cambridge, MA 02139-3073 | 2016-09-13 |
| 1215181300 | Thrive Counseling LLC | Counselor | 872 Mass Ave, Ste 2-2, Cambridge, MA 02139-3073 | 2008-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316044 | Diane Greenleaf | Registered Nurse | Cha Windsor Clinic, 119 Windsor St, Cambridge, MA 02139 | 2019-09-26 |
| 1730738345 | Martin Bednar | Student in an Organized Health Care Education/Training Program | 350 Massachusetts Avenue, Cambridge, MA 02139 | 2019-09-06 |
| 1861050049 | Rebecca Marie Addison | Dietitian, Registered | 75 Auburn St, Cambridge, MA 02139 | 2019-06-03 |
| 1285103051 | Jenna Halloran | Social Worker | 929 Massaschusetts Ave, Cambridge, MA 02139 | 2018-11-21 |
| 1750859286 | Lisa Marie Keovongsa | Dietitian, Registered | 186 1/2 Hampshire St., Cambridge, MA 02139 | 2018-11-02 |
| 1245714237 | Eleanor Coffin | Occupational Therapist | 1483 Cambridge St, Cambridge, MA 02139 | 2018-09-17 |
| 1649758277 | Sariya Idriss | Social Worker | Cambridge Health Alliance, 1493 Cambridge St., Cambridge, MA 02139 | 2018-08-06 |
| 1538647151 | Ari Pehkonen | Social Worker | Cambridge Health Alliance, Cambridge Hospital, 1493 Cambridge St., Cambridge, MA 02139 | 2018-08-06 |
| 1972080893 | Esther Cazeau | Counselor | 237 Hampshire St., Cambridge, MA 02139 | 2018-07-24 |
| 1528596533 | Adam Liebling | Acupuncturist | 11 Fiske Pl., Cambridge, MA 02139 | 2017-06-03 |
| Find all providers in zip 02139 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114537131 | Annemarie Baldauf, Psyd, Pllc | Psychologist | 49 Hancock St Ste 104, Cambridge, MA 02139-3188 | 2020-08-04 |
| 1881216588 | Massomeh Namavar | Psychologist | 221 Mount Auburn St Apt 104, Cambridge, MA 02138-4848 | 2020-05-15 |
| 1396367736 | Laura Genelle Meza Valencia | Psychologist | One Mifflin Place, Suite 400, Cambridge, MA 02138-4946 | 2020-05-07 |
| 1033672100 | Dr Kerrie LLC | Psychologist | 10 Hawthorne Park, Cambridge, MA 02138-2104 | 2019-04-07 |
| 1912481227 | Mary E. Ford | Psychologist | 195 Harvey St, Cambridge, MA 02140-1765 | 2018-09-21 |
| 1871089227 | Ellsworth Fersch | Psychologist | 70 Richdale Ave Apt 2, Cambridge, MA 02140-2640 | 2018-07-09 |
| 1134610751 | Jill Hooley | Psychologist | 33 Kirkland St, Cambridge, MA 02138-2044 | 2018-05-21 |
| 1053836080 | Kim Michael Woynowskie Jr. | Psychologist | 625 Mount Auburn St Ste 102, Cambridge, MA 02138-4555 | 2017-08-10 |
| 1306383351 | Elise I Welton | Psychologist | 22 Water St, Apt. 411, Cambridge, MA 02141-1257 | 2017-01-30 |
| 1174984827 | Jenna Mezin Schmid | Psychologist | 75 Mt Auburn St 4 East, Harvard University Health Services, Cambridge, MA 02138 | 2016-03-09 |
| Find all providers in CAMBRIDGE | ||||
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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.