MOAK GERIATRIC PSYCHIATRY (NPI# 1316958093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316958093 |
| Entity Type | Organization |
| Organization Name | MOAK GERIATRIC PSYCHIATRY |
| Other Organization Name | MOAK CENTER FOR HEALTHY AGING |
| Practice Address |
5206 Union St Bldg 500 Westborough MA 01581-5418 |
| Practice Telephone | 5088988650 |
| Practice Fax Number | 5088709793 |
| Mailing Telephone | 5088988650 |
| Mailing Fax Number | 5088709793 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2013-05-06 |
| Authorized Official Name | DR. GARY S MOAK (MANAGER) |
| Authorized Official Telephone | 5088988650 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9729160 | 05 | |
| MA | BLUE SHIELD | Q04047 | 01 |
| Other Name | Type Code |
|---|---|
| Moak Center for Healthy Aging | Doing Business As Name - Organization |
| Street Address |
5206 UNION ST BLDG 500 |
| City | WESTBOROUGH |
| State | MA |
| Zip Code | 01581-5418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043791957 | Colby Schulz | Occupational Therapist | Kindred Transitional Care - Therapy Department, 8 Colonial Drive, Westborough, MA 01581 | 2018-08-28 |
| 1134621055 | Rachel Bennet | Counselor | 288 Lyman Street, Allen Hall- Suite 2, Westborough, MA 01581 | 2018-03-07 |
| 1003318031 | Adrienne Gladding | Social Worker | 288 Lynam St, Suite 2, Westborough, MA 01581 | 2018-03-06 |
| 1760997670 | Westborough Dental Partners, P.C. | Dentist | 176 E Main St Ste 2, Westborough, MA 01581 | 2017-12-14 |
| 1578912432 | Daylene Marshall | Counselor | 155a Oak Street, Westborough, MA 01581 | 2016-06-10 |
| 1366890709 | Autism Resource &therapy Center | Behavioral Analyst | 1900 West Park Dr, Westborough, MA 01581 | 2016-05-26 |
| 1649699802 | Jean Breen | Counselor | 154 Oak Street, Westboro, MA 01581 | 2014-04-15 |
| 1760772123 | Ayon Bose | Counselor | 45 Lyman St Ste 11, Westborough, MA 01581 | 2011-04-19 |
| 1437472917 | Sharon Levesque Courville | Social Worker | 5 East Main St., Ste. 3, Westborough, MA 01581 | 2010-03-11 |
| 1063645844 | Town of Westborough | Counselor | 45 West Main St, Westborough, MA 01581 | 2009-08-27 |
| Find all providers in zip 01581 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295015048 | Comprehensive Psychiatric Care LLC | Psychiatry & Neurology | 21 Longmeadow Rd, Westborough, MA 01581-2419 | 2011-08-25 |
| 1629381660 | Goodall & Paolini LLC | Psychiatry & Neurology | 21 Longmeadow Rd, Westborough, MA 01581-2419 | 2010-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629384995 | Aaron Koenig | Psychiatry & Neurology | 178 Oakland St, Wellesley, MA 02481-5323 | 2010-08-25 |
| 1649306077 | Mark I. Frankel | Psychiatry & Neurology | 148 Linden St Ste 109, Wellesley, MA 02482-7916 | 2007-02-27 |
| 1790850410 | Sorgi Associates, PC | Psychiatry & Neurology | 142 North Rd Ste F105, Sudbury, MA 01776-1142 | 2006-11-21 |
| 1285670471 | Merrimack Psychiatric Associates, PC | Psychiatry & Neurology | Merrimack Valley Hospital, Abu, 140 Lincoln Ave, Haverhill, MA 01830 | 2006-06-22 |
| 1346281961 | Bruce Kaster | Psychiatry & Neurology | 60 Kendrick St, Ste 204, Needham, MA 02494-2726 | 2006-06-08 |
| 1831149244 | John Stuart Looper | Psychiatry & Neurology | 122 Ward St, Chestnut Hill, MA 02467-1029 | 2006-05-10 |
| 1619939287 | Katharine Poole Wolf | Psychiatry & Neurology | 521 Mt Auburn St, Ste 109, Watertown, MA 02472 | 2006-04-06 |
| 1437137346 | Robert B Portney | Psychiatry & Neurology | 6 Hearthstone Pl, Andover, MA 01810-5421 | 2006-01-03 |
| 1457342420 | Samir Pravinchandra Patel | Psychiatry & Neurology | 365 East St, Tewksbury, MA 01876-1950 | 2005-10-31 |
| 1558363564 | Ping Cui | Psychiatry & Neurology | 288 Groveland St, Suite C2, Haverhill, MA 01830-6674 | 2005-08-10 |
| Find all providers with the same taxonomy | ||||
| City | WESTBOROUGH |
| Zip Code | 01581 |
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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.