PETER RICHARD MCKENNA (NPI# 1306240221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306240221 |
| Entity Type | Individual |
| Full Name | PETER RICHARD MCKENNA |
| Credential | LADC-1 |
| Practice Address |
21 Culley St Fitchburg MA 01420-3509 |
| Practice Telephone | 9787908236 |
| Mailing Telephone | 9787908236 |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2015-12-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1379 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952496069 | Peter James Mckenna | Specialist | 10577 Montgomery Rd, Cincinnati, OH 45242-4451 | 2006-10-04 |
| 1275980104 | Peter Mckenna | Student in an Organized Health Care Education/Training Program | Stony Brook Medicine Department of Emergency, Hsc Level 4 Room 080, Stony Brook, NY 11794-8350 | 2016-05-20 |
| 1417244773 | Peter Francis Mckenna | Physician Assistant | 34 Benwood Ave, Buffalo, NY 14214-1761 | 2011-07-06 |
| Street Address |
21 CULLEY ST |
| City | FITCHBURG |
| State | MA |
| Zip Code | 01420-3509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063548949 | Thomas Phillip Keating | Counselor | 21 Culley St, Fitchburg, MA 01420-3509 | 2007-02-26 |
| 1285913665 | Tk Respect LLC | Counselor | 21 Culley St, Fitchburg, MA 01420-3509 | 2011-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063039121 | Maria A Neizvestnaya | Student in an Organized Health Care Education/Training Program | Primary Care Behavioral Health, Fitchburg Family Medicine, Fitchburg, MA 01420 | 2020-07-06 |
| 1780177014 | Chenell B Morris | Developmental Therapist | 161 Summer St, Fitchburg, MA 01420 | 2018-06-12 |
| 1831699578 | Karen Kazanjian-silvia | Social Worker | 275 Nichols Rd., Healthalliance Hospital Cancer Center, Fitchburg, MA 01420 | 2018-02-20 |
| 1932615499 | Simply Orthodontics and Pediatrics Fitchburg Pllc | Dentist | 50 Whalon St Ste 1, Fitchburg, MA 01420 | 2017-12-20 |
| 1811410517 | Roger Nichele | Dentist | 326 Nichols St, Fitchburg, MA 01420 | 2017-07-25 |
| 1659893220 | Fresh Start Home Care LLC | Home Health | 293 Arnhow Farm Road, Fitchburg, MA 01420 | 2017-07-14 |
| 1154864668 | Kimatra Maxwell | Social Worker | 344 Main St Ste 9, Fitchburg, MA 01420 | 2016-12-01 |
| 1740635283 | Henry Ntoro Sr. | Nurse Practitioner | 33 Electric Ave B3, Fitchburg, MA 01420 | 2016-05-03 |
| 1740643345 | Mary Wooten | Counselor | 143 Highland Ave Apt 1, Fitchburg, MA 01420 | 2016-03-31 |
| 1013393206 | Brooke Chamberland, Licsw | Social Worker | 982b South St, Fitchburg, MA 01420 | 2015-08-11 |
| Find all providers in zip 01420 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447626494 | Silvia Marie Woodgett | Counselor | 35 Otis St, Fitchburg, MA 01420-7749 | 2015-08-13 |
| 1700181690 | Saraann Morin | Counselor | 76 Summer St Ste 200, Fitchburg, MA 01420-5707 | 2011-01-24 |
| 1134372402 | Karen Baldyga | Counselor | 384 Highland Ave, Fitchburg, MA 01420-2615 | 2008-10-30 |
| 1801075825 | Thomas Joseph Paine | Counselor | 344 Main St Ste 13, Fitchburg, MA 01420-8007 | 2007-10-26 |
| 1841313046 | Dennis Anthony Bradley Sr. | Counselor | 63 Fairmount St, Fitchburg, MA 01420-7613 | 2007-04-10 |
| 1396364907 | Lucia-bilgah Bate Agborkang Arrah | Counselor | 545 Westminster St, Fitchburg, MA 01420-4766 | 2020-04-14 |
| 1609416098 | Michael Riel | Counselor | 155 Airport Rd, Fitchburg, MA 01420-8142 | 2020-01-14 |
| 1235779745 | Wesley Andrews Marshall | Counselor | 155 Airport Rd, Fitchburg, MA 01420-8142 | 2020-01-13 |
| 1124585377 | John Patrick Devine | Counselor | 155 Airport Rd, Fitchburg, MA 01420-8142 | 2019-02-25 |
| 1295228096 | Amanda Montgomery Ofria | Counselor | 155 Airport Rd, Fitchburg, MA 01420-8142 | 2018-06-07 |
| Find all providers in FITCHBURG | ||||
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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.