MASS AUDIOLOGY & HEARING SERVICE INC (NPI# 1336363225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336363225 |
| Entity Type | Organization |
| Organization Name | MASS AUDIOLOGY & HEARING SERVICE INC |
| Practice Address |
165 Westgate Drive Brockton MA 02301 |
| Practice Telephone | 5085835800 |
| Practice Fax Number | 5085803152 |
| Mailing Telephone | 5085835800 |
| Mailing Fax Number | 5085803152 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL FELLMAN (OWNER) |
| Authorized Official Telephone | 5085835800 |
| Authorized Official Credential | AUD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS | 014566 | 01 |
| MA | TUFTS | 805516 | 01 |
| MA | BMC HEALTHNET | 000000036767 | 01 |
| MA | 9774416 | 05 | |
| ME | HARVARD PILGRIM | 809343 | 01 |
| Street Address |
165 WESTGATE DRIVE |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215273370 | Daniel Totman | Hearing Instrument Specialist | 776 Belmont St, Brockton, MA 02301-5603 | 2012-12-18 |
| 1457558728 | Dianne Patricia Carroll | Hearing Instrument Specialist | 830 Belmont St, Brockton, MA 02301-5523 | 2007-06-29 |
| 1770119612 | Paul Lenden Beckner | Hearing Instrument Specialist | 776 Belmont St, Brockton, MA 02301-5603 | 2020-03-22 |
| 1093137366 | Gary Moody | Hearing Instrument Specialist | 165 Westgate Dr, Brockton, MA 02301-1821 | 2014-01-06 |
| 1841612116 | Ronald Quintiliani | Hearing Instrument Specialist | 165 Westgate Dr, Brockton, MA 02301-1821 | 2014-01-06 |
| 1912346669 | Lauren Warburton | Hearing Instrument Specialist | 165 Westgate Dr, Brockton, MA 02301-1821 | 2013-06-17 |
| 1992047880 | Michael Schmit | Hearing Instrument Specialist | 165 Westgate Dr, Brockton, MA 02301-1821 | 2013-03-19 |
| 1891090650 | Matthew Waters | Hearing Instrument Specialist | 165 Westgate Dr, Brockton, MA 02301-1821 | 2011-01-25 |
| 1134424211 | James Collins | Hearing Instrument Specialist | 165 Westgate Dr, Brockton, MA 02301-1821 | 2011-01-20 |
| 1386949485 | Mary Corbett | Hearing Instrument Specialist | 165 Westgate Dr, Brockton, MA 02301-1821 | 2011-01-20 |
| Find all providers in BROCKTON | ||||
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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.