LAURA MARIE WIECZOREK (NPI# 1336435122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336435122 |
Entity Type | Individual |
Full Name | LAURA MARIE WIECZOREK |
Credential | D.O. |
Practice Address |
89 Access Rd Ste 24 Norwood MA 02062-5233 |
Practice Telephone | 7815510999 |
Mailing Telephone | 7815510999 |
Enumeration Date | 2011-06-21 |
Last Update Date | 2020-11-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
OS017607 | PA | Allopathic & Osteopathic Physicians |
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
267729 | MA | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | 0T014065 | PA | Student, Health Care |
Street Address |
89 ACCESS RD STE 24 |
City | NORWOOD |
State | MA |
Zip Code | 02062-5233 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669446472 | Katherin Leigh Freeman | Psychiatry & Neurology | 89 Access Rd Ste 24, Norwood, MA 02062-5233 | 2006-02-16 |
1346852266 | Alice Bridget Pottackal | Student in an Organized Health Care Education/Training Program | 89 Access Rd Ste 24, Norwood, MA 02062-5233 | 2020-08-21 |
1861004798 | Nicole Nemerovsky | Psychologist | 89 Access Rd Ste 24, Norwood, MA 02062-5233 | 2020-08-21 |
1487266847 | Briana M. Reid | Student in an Organized Health Care Education/Training Program | 89 Access Rd Ste 24, Norwood, MA 02062-5233 | 2020-08-18 |
1073124707 | Grace Gelson | Student in an Organized Health Care Education/Training Program | 89 Access Rd Ste 24, Norwood, MA 02062-5233 | 2020-08-14 |
1174147672 | Nicole Frances Caron | Student in an Organized Health Care Education/Training Program | 89 Access Rd Ste 24, Norwood, MA 02062-5233 | 2020-06-01 |
1083233514 | Laura Jean Vanwort-meng | Counselor | 89 Access Rd Ste 24, Norwood, MA 02062-5233 | 2020-04-14 |
1770145484 | Arturo Luciano Lopez-casanova | Registered Nurse | 89 Access Rd Ste 24, Norwood, MA 02062-5233 | 2019-07-02 |
1407417991 | Jackie Audi | Nurse Practitioner | 89 Access Rd Ste 24, Norwood, MA 02062-5233 | 2019-06-25 |
1306407184 | Jill Hirschfeld | Registered Nurse | 89 Access Rd Ste 24, Norwood, MA 02062-5233 | 2019-06-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225647530 | Lauren Taylor Robbins | Licensed Practical Nurse | 21 Centennial Drive Apt. #3, Norwood, MA 02062 | 2020-07-23 |
1013566645 | David Ora Bailey | Counselor | 109 Lenox St., Norwood, MA 02062 | 2019-09-06 |
1124599154 | Larisa Stein Dmd, PC-family Dentist | Dentist | 661 Washington Street, Suite 211, Norwood, MA 02062 | 2018-12-17 |
1861963134 | Noreen Donne O'hear | Social Worker | 33 George Willett Parkway, Cleveland School, Norwood, MA 02062 | 2018-12-16 |
1194242719 | Bidmc Pharmacy, Inc. | Pharmacy | 128 Carnegie Row Ste 110, Norwood, MA 02062 | 2017-08-24 |
1023534153 | Foscaldo Healthcare LLC | Home Health | 639 Washington Street, Norwood, MA 02062 | 2017-08-21 |
1841710845 | Julia Rose Straus | Speech-Language Pathologist | 101 Vanderbilt Avenue, Norwood, MA 02062 | 2017-06-21 |
1043754484 | Recovery Solutions LLC | Clinical Medical Laboratory | 151 Edgehill Rd, Norwood, MA 02062 | 2016-12-05 |
1780137273 | Gentle Dental Associates, LLC | Clinic/Center | 980 Providence Highway, Norwood, MA 02062 | 2016-08-01 |
1720458094 | Jada Evans | Psychologist | 18 Sturtevant Ave, Apt. 1, Norwood, MA 02062 | 2015-09-30 |
Find all providers in zip 02062 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669446472 | Katherin Leigh Freeman | Psychiatry & Neurology | 89 Access Rd Ste 24, Norwood, MA 02062-5233 | 2006-02-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881203701 | Hoffman Psychiatric Services | Psychiatry & Neurology | 144a Mount Auburn St Ste 2a, Cambridge, MA 02138-5776 | 2020-07-27 |
1639603566 | Chayanin Foongsathaporn | Psychiatry & Neurology | Tufts Medical Center 800 Washington Street #1007, Boston, MA 02111 | 2017-04-18 |
1922386887 | Firas Abdussalam Nakshabandi | Psychiatry & Neurology | 940 Belmont St Bldg 5, (116a7) Psychiatry Education Attn: Marie, Brockton, MA 02301-5596 | 2011-07-26 |
1548556046 | Barton S Herskovitz Md PC | Psychiatry & Neurology | 460 Hillside Ave, Suite 3e, Needham, MA 02494-1279 | 2011-06-22 |
1326368325 | Circle of Life Md LLC | Psychiatry & Neurology | 203 Willow St Bldg B, South Hamilton, MA 01982-2292 | 2010-06-02 |
1740505353 | Erica Lisa Greenberg | Psychiatry & Neurology | 185 Cambridge St Ste 2000, Boston, MA 02114 | 2010-04-07 |
1245461714 | Ronald Geraty | Psychiatry & Neurology | 295 Ocean Ave, Marblehead, MA 01945-3728 | 2009-08-01 |
1023252459 | Kyu Won Lee | Psychiatry & Neurology | 19 Kendall Ter, Newton, MA 02458-2021 | 2009-04-29 |
1851534788 | Serena Fernandes | Psychiatry & Neurology | 300 Longwood Ave # Fegan8, Boston, MA 02115-5724 | 2009-04-07 |
1114190097 | Dana B Sarvey | Psychiatry & Neurology | 115 Mill St # Ms 129, Belmont, MA 02478-1048 | 2008-04-10 |
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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.