DR. IVOR PATTISON (NPI# 1316027949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316027949 |
| Entity Type | Individual |
| Full Name | DR. IVOR PATTISON |
| Credential | PH.D., P.C., ARNP |
| Practice Address |
169 Libbey Industrial Pkwy 2nd Floor Weymouth MA 02189-3101 |
| Practice Telephone | 7816821060 |
| Practice Fax Number | 7816821061 |
| Mailing Telephone | 7816821060 |
| Mailing Fax Number | 7816821061 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0813X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Geropsychiatric |
143599 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | EVERCARE PROVIDER NUMBER | 8301014 | 01 |
| MA | BCBS PROVIDER NUMBER | PN0635 | 01 |
| Street Address |
169 LIBBEY INDUSTRIAL PKWY 2ND FLOOR |
| City | WEYMOUTH |
| State | MA |
| Zip Code | 02189-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366452153 | Maria M Vazquez | Psychologist | 169 Libbey Industrial Pkwy, 2nd Floor, Weymouth, MA 02189-3101 | 2006-08-08 |
| 1053925883 | Cyrielle Andrew | Psychologist | 169 Libbey Industrial Pkwy, Weymouth, MA 02189-3189 | 2020-08-31 |
| 1124672522 | Yangmu Xu | Clinical Neuropsychologist | 169 Libbey Industrial Pkwy, Weymouth, MA 02189-3189 | 2019-07-25 |
| 1154845329 | Caroline Byron | Psychologist | 169 Libbey Industrial Pkwy, Weymouth, MA 02189-3101 | 2017-07-31 |
| 1598114308 | Meredith Tumilty | Psychologist | 169 Libbey Industrial Pkwy, Second Floor, Weymouth, MA 02189-3101 | 2016-06-13 |
| 1972972065 | Melissa Stone | Psychologist | 169 Libbey Industrial Pkwy, Weymouth, MA 02189-3101 | 2015-09-18 |
| 1841612660 | Dorothie Ferdinand | Psychologist | 169 Libbey Industrial Pkwy, Second Floor, Weymouth, MA 02189-3101 | 2014-01-14 |
| 1710326962 | Alexandra Nelson | Psychologist | 169 Libbey Industrial Pkwy, 2nd Floor, Weymouth, MA 02189-3101 | 2013-06-20 |
| 1932548120 | Hart K Maccardell-fossel | Psychologist | 169 Libbey Industrial Pkwy, Second Floor, Weymouth, MA 02189-3101 | 2013-06-20 |
| 1396066874 | Roger Pottanat | Psychiatry & Neurology | 169 Libbey Industrial Pkwy, 2nd Floor, Weymouth, MA 02189-3101 | 2010-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205300985 | M. Taylor Fontneau | Nurse Practitioner | 90 Libbey Industrial Pkwy Ste 106, Weymouth, MA 02189 | 2019-01-16 |
| 1336668011 | Svetlana Chentsova | Nurse Practitioner | 51 Performance Dr Fl Drive, Weymouth, MA 02189 | 2017-09-14 |
| 1518487818 | Dana Shepherd | Specialist/Technologist | 163 Libbey Industrial Parkway, Suite 302, Weymouth, MA 02189 | 2017-06-27 |
| 1063867802 | Gerald F. Finerty IIi | Nurse Anesthetist, Certified Registered | 163 Libbey Pkwy Ste 301, Weymouth, MA 02189 | 2016-04-29 |
| 1417326604 | Ocean State Urgent Care | Physician Assistant | 119 Liberty Bell Cir, Weymouth, MA 02189 | 2015-09-18 |
| 1558746636 | Jaime Hill | Nurse Practitioner | 31 Charles Street, Weymouth, MA 02189 | 2015-07-30 |
| 1780865337 | James Tyler Carpenter | Psychologist | Neurobehavioral Associates, 169 Libbey Parkway, 2nd Floor, Weymouth, MA 02189 | 2007-11-23 |
| 1508054248 | Anita Nathan Shukla | Ophthalmology | 97 Libbey Industrial Parkway, Suite 100, E. Weymouth, MA 02189 | 2007-10-09 |
| 1164618757 | Mahesh Pandey | Internal Medicine | Dana Farber Community Cancer Care, 51 Performance Drive, Suite 110, Weymouth, MA 02189 | 2007-09-18 |
| 1750573887 | Michele Donlon | Speech-Language Pathologist | 163 Libbey Industrial Pkwy Ste 302, Weymouth, MA 02189 | 2007-08-13 |
| Find all providers in zip 02189 | ||||
| Taxonomy Code | 364SP0813X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Geropsychiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699248377 | Deborah Farber Aprn, P.C. | Clinical Nurse Specialist | 175 Derby St Ste 7, Hingham, MA 02043-4021 | 2019-01-06 |
| 1760532220 | Linda Helen Kasparian | Clinical Nurse Specialist | 10 Gove St, East Boston, MA 02128-1920 | 2007-01-10 |
| 1679508626 | Marjorie Ann Goodwin | Clinical Nurse Specialist | 1132 Westfield St, West Springfield, MA 01089-3878 | 2006-07-11 |
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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.