KATHERINE OLSEN (NPI# 1326413527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326413527 |
| Entity Type | Individual |
| Full Name | KATHERINE OLSEN |
| Credential | LICSW |
| Practice Address |
365 East St Southgate Building Tewksbury MA 01876-1950 |
| Mailing Address |
53 Teller Dr Ashland MA 01721-1047 |
| Practice Telephone | 9788583776 |
| Mailing Telephone | 7817895461 |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2015-12-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 1027566 | MA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457779381 | Katherine Olsen | Registered Nurse | 22 S. State St., Clearfield, UT 84015 | 2014-03-28 |
| 1336295898 | Katherine Ellen Olsen | Physical Therapist | 765 Allens Ave Ste 200, Providence, RI 02905-5443 | 2007-01-26 |
| Street Address |
365 EAST ST SOUTHGATE BUILDING |
| City | TEWKSBURY |
| State | MA |
| Zip Code | 01876-1950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457342420 | Samir Pravinchandra Patel | Psychiatry & Neurology | 365 East St, Tewksbury, MA 01876-1950 | 2005-10-31 |
| 1306455662 | Joe Biaty | Counselor | 365 East St, Tewksbury, MA 01876-1950 | 2020-07-23 |
| 1811514052 | Alexa-rae Fabiano | Registered Nurse | 365 East St, Tewksbury, MA 01876-1950 | 2020-07-04 |
| 1316564131 | Michelle Charney Mcintosh | Clinical Nurse Specialist | 365 East St, Tewksbury, MA 01876-1950 | 2020-06-27 |
| 1114498227 | Sherin Aygun | Counselor | 365 East St, Tewksbury, MA 01876-1950 | 2018-12-16 |
| 1205310810 | Junie Joseph | Social Worker | 365 East St, Tewksbury, MA 01876-1950 | 2018-09-19 |
| 1316420466 | Nancy Simon Fennessy | Social Worker | 365 East St, Tewksbury, MA 01876-1998 | 2018-09-13 |
| 1861975229 | Cassandra Eliane Sampas | Social Worker | 365 East St, Tewksbury, MA 01876-1998 | 2018-09-12 |
| 1447733050 | Beth Mary O'connell | Social Worker | 365 East St, Tewksbury, MA 01876-1950 | 2018-09-10 |
| 1376024646 | Karin Orr | Social Worker | 365 East St, Tewksbury, MA 01876-1950 | 2018-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114224672 | Make It Easy Medical Devices | Durable Medical Equipment & Medical Supplies | 410 Woburn Street, Tewksbury, Tewksbury, MA 01876 | 2011-02-18 |
| 1538329883 | Donna M Schneider | Mechanotherapist | 1 Dundee Park, Suites 1 & 2, Andover, MA 01876 | 2008-06-11 |
| 1417139700 | David Anthony Tortorella | Internal Medicine | 170 Main St Units G4-g8, Tewksbury, MA 01876 | 2007-11-29 |
| 1801086434 | Yvonne Marie Canuel | Long Term Care Hospital | 265 East Street, Tewksbury, MA 01876 | 2007-07-30 |
| 1851511661 | Sandra Lee Proulx | Licensed Practical Nurse | 10 Arnold Rd, Tewksbury, MA 01876 | 2007-04-26 |
| 1710004320 | Department of Mental Health | Community Based Residential Treatment Facility, Mental Illness | Tewksbury State Hosp Special Bldg - Merrimack Ctr Birtp, 365 East St, Tewksbury, MA 01876 | 2007-03-26 |
| 1316002884 | Robert A Karr | Psychiatry & Neurology | North East Area Office, Tewksbury, MA 01876 | 2006-12-26 |
| 1659448769 | Barbara P Goldsher | Social Worker | 40 Chivas Circle, Tewksbury, MA 01876 | 2006-11-30 |
| 1457423154 | Boutselis Family Dental Care PC | Dentist | 381r Main Street, Tewksbury, MA 01876 | 2006-11-15 |
| 1477623189 | Commonwealth of Massachusetts Office for Pharmacy Services | Pharmacy | 369 East St, Tewksbury, MA 01876 | 2006-11-09 |
| Find all providers in zip 01876 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609917053 | Justice Resource Institute, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 365 East St, Southgate Bldg, Tewksbury, MA 01876-1950 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578128815 | Latham Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1646 Main St, Brewster, MA 02631-1716 | 2019-05-02 |
| 1104397488 | Hillcrest Educational Centers Inc | Residential Treatment Facility, Emotionally Disturbed Children | 5 Ramsdell Rd, Great Barrington, MA 01230-1147 | 2018-12-11 |
| 1851717458 | Hopewell Inc | Residential Treatment Facility, Emotionally Disturbed Children | 141 Low St, Newburyport, MA 01950-3539 | 2014-03-07 |
| 1740601400 | Northeast Center for Youth and Families | Residential Treatment Facility, Emotionally Disturbed Children | 201 East St, Easthampton, MA 01027-1234 | 2013-12-26 |
| 1033547500 | The Home for Little Wanderers | Residential Treatment Facility, Emotionally Disturbed Children | 910 Ship Pond Rd, Plymouth, MA 02360-1849 | 2013-10-21 |
| 1649546300 | Clinton Paul Pina IIi | Residential Treatment Facility, Emotionally Disturbed Children | 503 Rockdale Ave, New Bedford, MA 02740-1460 | 2012-03-28 |
| 1922267335 | Eagleton School Inc | Residential Treatment Facility, Emotionally Disturbed Children | 446 Monterey Road, Great Barrington, MA 01230 | 2008-06-02 |
| 1104027499 | Valleyhead, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 79 Reservoir Rd, Lenox, MA 01240-2008 | 2007-05-31 |
| 1295944353 | Protestant Guild for Human Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 411waverly Oaks Rd, Suite 104, Waltham, MA 02452-8468 | 2007-05-22 |
| 1144439977 | Robert F. Kennedy Children's Action Corps, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 220 Old Common Rd, Lancaster, MA 01523-2208 | 2007-05-21 |
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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.