PSYCHOLOGICAL ASSOCIATES OF SOUTHEASTERN MASSACHUSETTS, LLC (NPI# 1326052317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326052317 |
| Entity Type | Organization |
| Organization Name | PSYCHOLOGICAL ASSOCIATES OF SOUTHEASTERN MASSACHUSETTS, LLC |
| Practice Address |
115 Main St Suite 2d North Easton MA 02356-1468 |
| Practice Telephone | 5082387766 |
| Practice Fax Number | 5082305089 |
| Mailing Telephone | 5082387766 |
| Mailing Fax Number | 5082305089 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2015-08-24 |
| Authorized Official Name | MS. DIANE L CARLSON (MANAGING PARTNER) |
| Authorized Official Telephone | 5082387766 |
| Authorized Official Credential | LICSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
99999 | MA | Behavioral Health & Social Service Providers |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
9999999 | MA | Allopathic & Osteopathic Physicians |
| N | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
XXXXXXX | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
99999 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BC/BS OF MASSACHUSETTS | M20575 | 01 |
| MA | MAGELLAN BEHAVIORAL HEALT | 170367000 | 01 |
| MA | TUFTS HEALTH PLAN | 665748 | 01 |
| MA | 9785442 | 05 |
| Street Address |
115 MAIN ST SUITE 2D |
| City | NORTH EASTON |
| State | MA |
| Zip Code | 02356-1468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649722471 | Courtney Kelsch | Psychologist | 115 Main St, Suite 2d, North Easton, MA 02356-1468 | 2016-10-27 |
| 1912388570 | Rachel Ganz | Social Worker | 115 Main St, Suite 2d, North Easton, MA 02356-1468 | 2015-06-09 |
| 1063659852 | Joseph R. Peluso | Dentist | 115 Main St, North Easton, MA 02356-1468 | 2009-01-15 |
| 1023210564 | Mary Beth Curreri | Physical Therapist | 115 Main St, Suite 2c, North Easton, MA 02356-1468 | 2007-06-05 |
| 1457427882 | Karen Ann Francioso-howe | Speech-Language Pathologist | 115 Main St, North Easton, MA 02356-1468 | 2006-11-28 |
| 1639279029 | Virginia Edwina Tay | Clinical Nurse Specialist | 115 Main St, Suite 2d, North Easton, MA 02356-1468 | 2006-09-25 |
| 1285669127 | Susan K Plante | Clinical Nurse Specialist | 115 Main St, Suite 2d, North Easton, MA 02356-1443 | 2006-07-11 |
| 1073548954 | Beverly A Benedetti | Clinical Nurse Specialist | 115 Main St, Suite 2d, North Easton, MA 02356-1468 | 2006-07-11 |
| 1043245905 | Jean M Lochiatto | Social Worker | 115 Main St, Suite 2d, North Easton, MA 02356-1468 | 2006-07-11 |
| 1265469282 | Kenneth I Weiss | Psychologist | 115 Main St, Suite 2d, North Easton, MA 02356-1468 | 2006-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174005110 | Easton Eye Consultants, PC | Optometrist | Easton Eye Consultants, 15 Roche Bros Way Suite 100, North Easton, MA 02356 | 2018-09-06 |
| 1366932386 | Thomas Joseph Clarke | Psychologist | 171 Poquanticut Avenue, North Easton, MA 02356 | 2018-05-15 |
| 1821509985 | Ariel Hovland | Physical Therapist | 2 Belmont Street, Easton, MA 02356 | 2017-10-17 |
| 1326109968 | Gregory Peter Perron | Chiropractor | 990 Pleasant St, Brockton, MA 02356 | 2006-12-13 |
| 1326116153 | Linda J Mcgettigan | Acupuncturist | The Village Acupuncturist, 115 Main St. Suite 2c, North Easton, MA 02356 | 2006-12-01 |
| 1841306198 | Thomas Francis Herlihy Iv | Dentist | 191 Washington St, North Easton, MA 02356 | 2006-08-21 |
| 1801864335 | Thane Nolan Turner | Family Medicine | 3 Washington St Ste 220, North Easton, MA 02356 | 2006-03-10 |
| 1942283577 | Judith S Colandreo | Physical Therapist | 15 Roche Bros. Way, North Easton, MA 02356 | 2005-11-29 |
| 1275514143 | Stanley M Leitzes | Orthopaedic Surgery | 15 Roche Bros Way, Orthopedic Care Specialists, Inc, North Easton, MA 02356 | 2005-11-08 |
| 1689144214 | Sarah Beth Krajewski | Advanced Practice Midwife | 31 Roche Brothers Way, North Easton, MA 02356 | 2018-11-27 |
| Find all providers in zip 02356 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366932386 | Thomas Joseph Clarke | Psychologist | 171 Poquanticut Avenue, North Easton, MA 02356 | 2018-05-15 |
| 1649722471 | Courtney Kelsch | Psychologist | 115 Main St, Suite 2d, North Easton, MA 02356-1468 | 2016-10-27 |
| 1720464753 | Md Psychology LLC | Psychologist | 100 Main St, North Easton, MA 02356-1409 | 2015-07-31 |
| 1245665645 | Lori Ann Maria Perretta | Psychologist | 115 Main St Ste 2d, North Easton, MA 02356-1469 | 2013-09-05 |
| 1144510835 | Stefanie B. Lava | Psychologist | 115 Main St Ste 2d, North Easton, MA 02356-1469 | 2011-04-14 |
| 1134419849 | Kristie O Adloff | Psychologist | 115 Main St Ste 2d, North Easton, MA 02356-1469 | 2011-04-14 |
| 1073839213 | Jessica Perry | Psychologist | 115 Main St Ste 2d, North Easton, MA 02356-1469 | 2010-04-13 |
| 1831355114 | Kristen Harwin | Psychologist | 115 Main St Ste 2d, North Easton, MA 02356-1469 | 2008-08-05 |
| 1639293400 | Tammy Perkoski | Psychologist | 66 Main St, North Easton, MA 02356-1443 | 2007-03-19 |
| 1871518258 | Anika Goldman | Psychologist | 66 Main St, North Easton, MA 02356-1443 | 2006-07-13 |
| Find all providers in NORTH EASTON | ||||
| City | NORTH EASTON |
| Zip Code | 02356 |
Please comment or provide details below to improve the information on PSYCHOLOGICAL ASSOCIATES OF SOUTHEASTERN MASSACHUSETTS, LLC.
| 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.