MATTHEW MCDERMOTT (NPI# 1346792579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346792579 |
| Entity Type | Individual |
| Full Name | MATTHEW MCDERMOTT |
| Practice Address |
111 South St Somerville MA 02143-4297 |
| Practice Telephone | 6172845130 |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902015795 | Matthew John Mcdermott | Rehabilitation Counselor | 1405 Saint Andrews Dr, Elk Point, SD 57025-2240 | 2007-05-21 |
| 1316585433 | Matthew Denton Mcdermott | Student in an Organized Health Care Education/Training Program | 107 S Division St, Spokane, WA 99202-1510 | 2019-12-19 |
| 1164985925 | Matthew Mcdermott | Occupational Therapist | 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 | 2019-04-09 |
| 1437674199 | Matthew Mcdermott | Pharmacist | 2321 W Eisenhower Blvd, Loveland, CO 80537-3151 | 2017-08-03 |
| 1730404757 | Matthew Christopher Mcdermott | Radiology | 316 Calhoun St, Charleston, SC 29401-1113 | 2010-04-01 |
| Street Address |
111 SOUTH ST |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02143-4297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427695162 | Evan M Hecht | Counselor | 111 South St, Somerville, MA 02143-4297 | 2019-12-02 |
| 1538705470 | Chelsea Willis | Counselor | 111 South St, Somerville, MA 02143-4297 | 2019-11-26 |
| 1174174544 | Kongjing Xing | Counselor | 111 South St, Somerville, MA 02143-4297 | 2019-09-26 |
| 1790334977 | Annie Rose Barringer II | Social Worker | 111 South St, Somerville, MA 02143-4297 | 2019-09-10 |
| 1265084461 | Kimberly Ellis | Social Worker | 111 South St, Somerville, MA 02143-4297 | 2019-07-09 |
| 1083266282 | Elizabeth Grace White | Social Worker | 111 South St, Somerville, MA 02143-4297 | 2019-07-09 |
| 1235797465 | Emily Tingle | Counselor | 111 South St, Somerville, MA 02143-4297 | 2019-06-03 |
| 1326605403 | Tino Tomasi | Counselor | 111 South St, Somerville, MA 02143-4297 | 2019-05-23 |
| 1831672161 | Joanna Sullivan | Counselor | 111 South St, Somerville, MA 02143-4297 | 2018-09-12 |
| 1689157349 | Anissa Latifi | Social Worker | 111 South St, Somerville, MA 02143-4297 | 2018-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245843598 | Sidney Marie Joines | Counselor | New Washington St, Somerville, MA 02143 | 2020-08-26 |
| 1487295887 | Tejasvini Goud Jangam | Dentist | 14 Mcgrath Highway Twin City Plaza, Somerville, MA 02143 | 2019-10-07 |
| 1265900658 | Latoya Lewis | Massage Therapist | 343 Medford Street Suite 4b, Somerville, MA 02143 | 2018-11-05 |
| 1982181053 | Robert Lafollette | Social Worker | 61 Inner Belt Rd, Somerville, MA 02143 | 2018-07-23 |
| 1013405471 | Roseli De Fatima Schimanski | Acupuncturist | 10 Clark St #3, Somerville, MA 02143 | 2018-05-01 |
| 1255840070 | Maggie Kinser | Counselor | 366 Somerville Avenue, Somerville, MA 02143 | 2017-09-25 |
| 1497273742 | Isabelle Hackett | Social Worker | 17 Inner Belt Rd, Somerville, MA 02143 | 2017-09-07 |
| 1952824666 | Manuel Cantu | Counselor | 17 Inner Belt Road, Somerville, MA 02143 | 2017-07-25 |
| 1649710963 | Shakemia Shaw | Licensed Practical Nurse | 230 Highland Avenue, Somerville, MA 02143 | 2017-03-06 |
| 1245600501 | Libby Vilner | Social Worker | 12 Tyler St., Somerville, MA 02143 | 2015-09-30 |
| Find all providers in zip 02143 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245843598 | Sidney Marie Joines | Counselor | New Washington St, Somerville, MA 02143 | 2020-08-26 |
| 1689282931 | Casey Mulchay | Counselor | 24 Whipple St Apt 2, Somerville, MA 02144-2563 | 2020-07-22 |
| 1942853171 | Grace Healey | Counselor | 115 Highland Ave Apt 15, Somerville, MA 02143-1621 | 2019-07-17 |
| 1437630423 | Margaret Mcarevey Pricejones | Counselor | 30 Sycamore St Apt 2, Somerville, MA 02143-1225 | 2018-08-27 |
| 1548751001 | Jessica Adam | Counselor | 657 Somerville Ave, Somerville, MA 02143-3264 | 2018-05-21 |
| 1609384601 | Priscila Gomes Godoi | Counselor | 422 Mystic Ave Apt 208, Somerville, MA 02145-1941 | 2018-01-12 |
| 1013420405 | Christine Kathleen Mcquade | Counselor | 259 Elm St Fl 3, Somerville, MA 02144-2950 | 2017-11-08 |
| 1255840070 | Maggie Kinser | Counselor | 366 Somerville Avenue, Somerville, MA 02143 | 2017-09-25 |
| 1184149072 | Whitney Hoke | Counselor | 10 Roberts St Apt 20, Somerville, MA 02145-2553 | 2017-08-11 |
| 1497296354 | Cepideh Ramezany | Counselor | 148 Broadway, Unit 3, Somerville, MA 02145-3275 | 2017-03-12 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 02143 |
Please comment or provide details below to improve the information on MATTHEW MCDERMOTT.
| 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.