DR. KEVIN C. CLANCY


Address: 940 Belmont St Rm C134, Brockton, MA 02301-5596
Phone: 5085834500

DR. KEVIN C. CLANCY (NPI# 1295823441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295823441
Entity Type Individual
Full Name DR. KEVIN C. CLANCY
Credential PH.D.
Practice Address 940 Belmont St Rm C134
Brockton
MA 02301-5596
Practice Telephone 5085834500
Mailing Telephone 5085834500
Enumeration Date 2006-10-11
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
6727 MA Behavioral Health & Social Service Providers

Other Providers KEVIN CLANCY

NPI Name Taxonomy Address Enumeration
1871005140 Kevin Clancy Physician Assistant 3250 W Lower Buckeye Rd, Phoenix, AZ 85009-6729 2017-10-26
1710348594 Kevin Clancy Case Manager/Care Coordinator 4001 W Dayton St, Mchenry, IL 60050-8377 2016-03-08
1346245149 Kevin Clancy Internal Medicine 368 Lakehurst Rd, Ste 301, Toms River, NJ 08755-7339 2005-06-17

Office Location

Street Address 940 BELMONT ST RM C134
City BROCKTON
State MA
Zip Code 02301-5596

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1679113930 Laura Ann Brondyk II Counselor 10 Christys Dr, Brockton, MA 02301 2020-01-14
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1124530373 Rachel Theys Behavioral Analyst 130 Liberty St Ste 13a, Brockton, MA 02301 2017-10-27
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801264981 Patricia Wornum Psychologist 10 Meadowbrook Rd, Brockton, MA 02301-7122 2015-09-08
1881016897 Edlin Rodriguez Psychologist 10 Meadowbrook Rd, Brockton, MA 02301-7122 2014-01-09
1417230384 Jackie Mascher Psychologist 1115 West Chestnut Street, Brockton, MA 02301 2011-09-27
1790795003 Louise Bonnie Graham Psychologist 940 Belmont St, Brockton, MA 02301-5596 2006-08-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043817489 Trevor Allan Cote Psychologist 137 Newbury St # 6b, Boston, MA 02116-2912 2020-10-08
1942840244 Joshua Michael Edwards Psychologist 200 Southwick Rd Apt 12, Westfield, MA 01085-4797 2020-01-14
1235787045 Joy Victoria Albiani Psychologist 500 Amory St Ste 300, Jamaica Plain, MA 02130-2775 2019-08-27
1144882234 Barbara Fritts Phd Licensed Psychologist Psychologist 23 Water St # 105, Holliston, MA 01746-2364 2019-06-28
1114496031 Melanie Cadet Psychologist 440 Hancock St Ste 8-248, Quincy, MA 02171-2442 2018-11-20
1710466685 Denise A Green Psychologist 21 Matoon St, Amherst, MA 01002-2107 2018-08-10
1639663065 Martha Hardy Lamb Psychologist 7 Commonwealth Ave, Dedham, MA 02026-1403 2018-06-19
1740773977 Jennifer Grossman Psychologist 192 Carlton Rd, Waban, MA 02468-1836 2018-06-12
1467945022 Carmen M Torres Psychologist 21 Fenwood Rd Apt 2, Boston, MA 02115-6101 2018-06-08
1144712936 Jacqueline Bearce Psychologist 132 Pondview Dr, Amherst, MA 01002-3258 2018-06-06
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Competitor

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City BROCKTON
Zip Code 02301

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Dataset Information

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.

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