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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
6727 | MA | Behavioral Health & Social Service Providers |
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 |
Street Address |
940 BELMONT ST RM C134 |
City | BROCKTON |
State | MA |
Zip Code | 02301-5596 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
Find all providers in zip 02301 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
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 |
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 |
Find all providers with the same taxonomy |
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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.