DANIEL RUTRICK, MD, PC (NPI# 1336341502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336341502 |
| Entity Type | Organization |
| Organization Name | DANIEL RUTRICK, MD, PC |
| Practice Address |
617 Broadway Everett MA 02149-3712 |
| Practice Telephone | 6173872220 |
| Practice Fax Number | 6173940538 |
| Mailing Telephone | 6173872220 |
| Mailing Fax Number | 6173940538 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DANIEL RUTRICK (PRESIDENT) |
| Authorized Official Telephone | 6173872220 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
36462 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS GROUP NUMBER | 036462 | 01 |
| MA | TUFTS PSYCHOLOGIST NUMBER | 500019 | 01 |
| MA | BLUE CROSS BLUE SHIELD | M13835 | 01 |
| MA | TUFTS CERTIFIED NURSE | 500064 | 01 |
| Street Address |
617 BROADWAY |
| City | EVERETT |
| State | MA |
| Zip Code | 02149-3712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851500151 | Daniel Rutrick Md PC | Psychiatry & Neurology | 617 Broadway, Everett, MA 02149-3712 | 2007-05-22 |
| 1306979497 | Janice Tedford | Psychologist | 617 Broadway, Everett, MA 02149-3712 | 2007-03-14 |
| 1518042621 | Evelyn Luchs Savitz | Registered Nurse | 617 Broadway, Everett, MA 02149 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336550 | Berthonya Joas | Physical Therapy Assistant | 62 Lawrence St, Everett, MA 02149 | 2020-11-03 |
| 1053940031 | Sarah Ann Bottiglio | Pharmacist | Whidden Hospital, 103 Garland Street, Everett, MA 02149 | 2020-04-02 |
| 1417494139 | Tsering Dolkar | Registered Nurse | Department of Surgery 103 Garland Street, Everett Hospital, Everett, MA 02149 | 2017-01-20 |
| 1073060190 | Egenie Desir | Registered Nurse | 102 Edith St, Everett, MA 02149 | 2016-09-07 |
| 1295113215 | Tracy Guan | Speech-Language Pathologist | 213 Springvale Ave, Everett, MA 02149 | 2015-05-11 |
| 1386075562 | Maritza Andrea Romano | Licensed Practical Nurse | 77 Clark Street, Everett, MA 02149 | 2013-12-12 |
| 1619221454 | Nicole Marie Shanahan | Social Worker | 23 Union Street, Apartment 2, Everett, MA 02149 | 2012-11-01 |
| 1760764997 | Ashish Agarwal | Pharmacist | 317 Ferry Street, Everett, MA 02149 | 2011-09-14 |
| 1851684856 | Jocelyn Ronda | Internal Medicine | Mgh Everett Family Care, 19 Norwood St, Everett, MA 02149 | 2011-05-24 |
| 1720292204 | Geraldine Chandra Martin | Optometrist | 2 Mystic View Road, Everett, MA 02149 | 2007-05-10 |
| Find all providers in zip 02149 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154637486 | Psychiatric Consultants LLC | Psychologist | 18 Independence Ln, Shrewsbury, MA 01545-6242 | 2010-08-24 |
| 1154569317 | Life Health Center | Psychologist | 348 Lunenburg St # Ma, #301, Fitchburg, MA 01420-4566 | 2009-01-27 |
| 1780884676 | John Sos | Psychologist | 8 Clifton St, Belmont, MA 02478-3363 | 2007-07-19 |
| 1992921282 | John T. Chirban | Psychologist | 479 West St, Carlisle, MA 01741-1439 | 2007-04-17 |
| 1689890972 | Cambridge Counseling Associates | Psychologist | 1105 Massachusetts Ave Apt 3e, Cambridge, MA 02138-5221 | 2007-04-17 |
| 1184014011 | Kthryn P. Rapperport, Md, PC | Psychologist | 8 Wallis Ct, Lexington, MA 02421-5417 | 2015-01-30 |
| 1114231065 | Miriam Lundy | Psychologist | 301 Broadway, Chelsea, MA 02150-2807 | 2010-08-03 |
| 1831329523 | Polonsky-ragovin PC | Psychologist | 185 Newton St, Weston, MA 02493-2338 | 2009-07-16 |
| 1790991966 | Caroline Jc Hellman | Psychologist | 25 Mount Auburn St, Suite 306, Cambridge, MA 02138-6028 | 2007-05-15 |
| 1689892077 | Trustees of Noble Hospital | Psychologist | 115 W Silver St, Westfield, MA 01085-3628 | 2007-04-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DANIEL RUTRICK, MD, PC.
| 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.