MR. MARK F BRYAN (NPI# 1356974091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356974091 |
| Entity Type | Individual |
| Full Name | MR. MARK F BRYAN |
| Practice Address |
37 Water St Wakefield MA 01880-3058 |
| Mailing Address |
45 Avon St Apt 3 Wakefield MA 01880-2585 |
| Practice Telephone | 7818512648 |
| Mailing Telephone | 7815689001 |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-02-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114042074 | Mark William Bryan | Chiropractor | 2815 Yelm Hwy Se, Olympia, WA 98501-4829 | 2007-03-20 |
| 1518050202 | Mark E. Bryan | Dentist | 1941 Bishop Lane, Suite 109, Louisville, KY 40218 | 2006-10-02 |
| 1467549493 | Mark Bryan | Physical Therapist | 1763 S Dirck Dr, Freeport, IL 61032-6707 | 2006-10-10 |
| Street Address |
37 WATER ST |
| City | WAKEFIELD |
| State | MA |
| Zip Code | 01880-3058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497314520 | The Speech Therapy Center | Speech-Language Pathologist | 94 Parker Rd, Wakefield, MA 01880 | 2019-06-12 |
| 1720555774 | Brenda Joyce Baylis | Doula | 4 Foster Street, Wakefield, MA 01880 | 2018-10-29 |
| 1912473521 | Cathy Dowen | Internal Medicine | 607 North Avenue Door 17, Wakefield, MA 01880 | 2018-10-22 |
| 1376035824 | Moira Mcnabb-o'connell | Behavioral Analyst | 607 North Ave Door 11 2nd Floor, Wakefield, MA 01880 | 2018-05-31 |
| 1548785215 | Brightview Wakefield, LLC | Alzheimer Center (Dementia Center) | 21 Crescent Street, Wakefield, MA 01880 | 2017-08-03 |
| 1982125050 | Ashley Rose Sullivan | Behavioral Analyst | 607 North Ave., Door 11, Second Floor, Wakefield, MA 01880 | 2017-06-29 |
| 1659728202 | Michelle Tomczyk | Behavioral Analyst | 301 Edgewater Place, Suite 100, Wakefield, MA 01880 | 2016-05-24 |
| 1104204353 | Logistic Transportation LLC | Taxi | 301 Edgewater Pl 100, Wakefield, MA 01880 | 2015-05-08 |
| 1184042830 | Kimberly Bliss Parent | Massage Therapist | 591 North Avenue, Doo 4, Wakefield, MA 01880 | 2014-03-31 |
| 1457792541 | Maura A Racamato | Community Health Worker | 10 Thistledale Rd, Wakefield, MA 01880 | 2013-07-17 |
| Find all providers in zip 01880 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790232387 | Eliot Community Health | Community/Behavioral Health | 62 Putnam Ave, Wakefield, MA 01880-1434 | 2016-09-01 |
| 1598170144 | Riverside Community Care | Community/Behavioral Health | 338 Main St, Suite 301, Wakefield, MA 01880-5042 | 2014-06-23 |
| 1407277908 | Specialized Autism Consultants | Community/Behavioral Health | 599 North Avenue, Ste. 8, Wakefield, MA 01880 | 2013-12-30 |
| 1235562646 | Ninigret Counseling Services | Community/Behavioral Health | 23 North Rd, Lily Pad Professional Center, Wakefield, RI 02879-8132 | 2013-08-21 |
| 1821380106 | Melrose Wakefield Behavioral Health Center, P.C. | Community/Behavioral Health | 11 Lafayette St, Wakefield, MA 01880-2304 | 2011-05-05 |
| 1427378009 | Gogebic County Mental Health Authority | Community/Behavioral Health | 103 W Us Highway 2, Wakefield, MI 49968-9515 | 2010-06-07 |
| 1700041001 | Thundermist Health Center | Community/Behavioral Health | 1 River St, Wakefield, RI 02879-3214 | 2008-07-25 |
| 1790804292 | Phoenix House of New England | Community/Behavioral Health | 1058 Kingstown Rd, Wakefield, RI 02879-2487 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132458 | Autism Behavioral & Therapeutic Services | Community/Behavioral Health | 5 Bedford Ave, Worcester, MA 01604-4707 | 2020-10-20 |
| 1508463811 | Clear Minded Care, Pllc | Community/Behavioral Health | 519 Somerville Ave # 291, Somerville, MA 02143-3347 | 2020-10-08 |
| 1316544455 | Barbara J Doyle Counseling Services Professional LLC | Community/Behavioral Health | 20 Hope Ave Ste 107, Waltham, MA 02453-2717 | 2020-10-01 |
| 1013524917 | Leonid G Zolotnitskiy Md PC | Community/Behavioral Health | 1853 Commonwealth Ave Ste 1, Brighton, MA 02135-5498 | 2020-09-25 |
| 1811502966 | R.e.s.t. Counseling Services, LLC | Community/Behavioral Health | 36 Tirrell St # 1, Worcester, MA 01603-2617 | 2020-09-14 |
| 1972118719 | Jose Alfredo Lugo-estrada | Community/Behavioral Health | 484 Bedford St Unit 2, East Bridgewater, MA 02333-1908 | 2020-09-09 |
| 1992318927 | Jessie Odegard Pllc | Community/Behavioral Health | 144 Sudbury Rd, Weston, MA 02493-1351 | 2020-08-28 |
| 1750994109 | Summit Community Services, LLC | Community/Behavioral Health | 214 Exchange St, Millis, MA 02054-1277 | 2020-08-26 |
| 1013527860 | Tara Goldberg | Community/Behavioral Health | 21 Wilson Ave, Northampton, MA 01060-3813 | 2020-08-06 |
| 1619587490 | Maat Therapeutic Solutions Inc. | Community/Behavioral Health | 1773 Dorchester Ave Ste 3, Boston, MA 02124-2556 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
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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.