BRANDEIS UNIVERSITY (NPI# 1295126894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295126894 |
| Entity Type | Organization |
| Organization Name | BRANDEIS UNIVERSITY |
| Practice Address |
415 South St Ms061 Waltham MA 02453-2728 |
| Mailing Address |
415 South St Ms 061 Waltham MA 02453-2728 |
| Practice Telephone | 6179217009 |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2015-02-18 |
| Authorized Official Name | DR. JOY VON STEIGER (CLINICAL DIRECTOR OF PCC) |
| Authorized Official Telephone | 6178750444 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 118679 | MA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | NONE | 000000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669689014 | Brandeis University | Counselor | Ms 061, 415 South St, Waltham, MA 02454-9110 | 2007-05-16 |
| 1588025217 | Brandeis University | Clinic/Center | 415 South St # Ms 034, Waltham, MA 02453 | 2016-03-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | BRANDEIS UNIVERSITY | Unknown, Waltham, MA 02154 |
| New York State Corporations | BRANDEIS UNIVERSITY | 12 East 77th Street, New York, Ny 00000 |
| Street Address |
415 SOUTH ST MS061 |
| City | WALTHAM |
| State | MA |
| Zip Code | 02453-2728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033585245 | Leslie Zebrowitz | Psychologist | 415 South St, Brandeis University Department of Psychology Ms 062, Waltham, MA 02453-2728 | 2015-08-12 |
| 1649656554 | Inna Goldberg | Social Worker | 415 South St, Ms061, Waltham, MA 02453-2728 | 2015-08-03 |
| 1073905162 | Amy Krentzman | Social Worker | 415 South St, Waltham, MA 02453-2728 | 2015-02-26 |
| 1669880696 | Jason David Byrne | Specialist/Technologist | 415 South St, Brandeis University Sports Medicine Ms007, Waltham, MA 02453-2728 | 2014-07-22 |
| 1326390816 | Nick Forti | Psychologist | 415 South St, Ms 061, Waltham, MA 02453-2728 | 2012-10-08 |
| 1578850616 | Caroline Eichmann | Counselor | 415 South St, Waltham, MA 02453-2728 | 2011-07-08 |
| 1790090124 | Laura Horn | Psychologist | 415 South St, Ms 061 Mailman House, Waltham, MA 02453-2728 | 2010-08-10 |
| 1508099797 | Jenna Marion | Psychologist | 415 South St, Brandeis University, Ms061, Waltham, MA 02453-2728 | 2009-09-03 |
| 1043466436 | Michael J Lafarr Jr. | Psychologist | 415 South St, Counseling Center, Brandeis University, Waltham, MA 02453-2728 | 2008-08-18 |
| 1932380938 | Gagan Singh Khera | Psychologist | 415 South St, Heller Building Room 345, Waltham, MA 02453-2728 | 2007-11-18 |
| Find all providers in the same location | ||||
| 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 | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336755586 | Emma Theresa Cox | Case Manager/Care Coordinator | 33 Upham St Apt 3, Salem, MA 01970-2460 | 2020-09-22 |
| 1265047757 | Keri Norris | Case Manager/Care Coordinator | 154 Karen Cir, Holliston, MA 01746-1591 | 2020-09-10 |
| 1376156422 | Chantelle J Mcmillan | Case Manager/Care Coordinator | 6 Arch St, Greenfield, MA 01301-2448 | 2020-08-28 |
| 1427661644 | Christina Kim Hunt | Case Manager/Care Coordinator | 75 Amory St, Garden Level, Boston, MA 02119 | 2020-08-27 |
| 1326658410 | Kylie Aileen Brewer | Case Manager/Care Coordinator | 57 Walnut St, Shrewsbury, MA 01545-3364 | 2020-08-04 |
| 1134744121 | Roshalene Mary Bodden | Case Manager/Care Coordinator | 792 S Main St Ste 102a, Mansfield, MA 02048-3137 | 2020-06-15 |
| 1801421805 | Encompass Education Solutions, Inc. | Case Manager/Care Coordinator | 25 Corporate Dr Ste 100, Burlington, MA 01803-4243 | 2020-03-10 |
| 1508491085 | Nicole Dube | Case Manager/Care Coordinator | 5 Sparhawk Dr, Burlington, MA 01803-3106 | 2020-03-05 |
| 1346872462 | Jessica Marie Kennedy | Case Manager/Care Coordinator | 80 Erdman Way Ste 280, Leominster, MA 01453-1818 | 2020-02-06 |
| 1457981391 | Natasha Mateo-urbaez | Case Manager/Care Coordinator | 360 Merrimack St Bldg 9j3, Lawrence, MA 01843-1740 | 2020-01-20 |
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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.