MARK JOSEPH ALBANESE (NPI# 1366475675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366475675 |
Entity Type | Individual |
Full Name | MARK JOSEPH ALBANESE |
Credential | M.D. |
Practice Address |
26 Central St Somerville MA 02143-2827 |
Practice Telephone | 6175916020 |
Practice Fax Number | 6175916054 |
Mailing Telephone | 6175916020 |
Mailing Fax Number | 6175916054 |
Enumeration Date | 2006-07-09 |
Last Update Date | 2011-12-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
71493 | MA | Allopathic & Osteopathic Physicians |
Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
71493 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 3098117 | 05 |
Street Address |
26 CENTRAL ST |
City | SOMERVILLE |
State | MA |
Zip Code | 02143-2827 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720060155 | Miriam Cohen Tepper | Psychiatry & Neurology | 26 Central St, Cambridge Health Alliance, Somerville, MA 02143-2827 | 2005-11-21 |
1124667183 | Marie N Paul | Licensed Practical Nurse | 26 Central St, Somerville, MA 02143-2827 | 2019-12-22 |
1558906388 | Manouchka Desir | Case Manager/Care Coordinator | 26 Central St, Somerville, MA 02143-2827 | 2019-11-15 |
1891341293 | David Nguyen | Psychologist | 26 Central St, Somerville, MA 02143-2827 | 2019-08-13 |
1447813472 | Cassie Brooke Aponas | Registered Nurse | 26 Central St, Somerville, MA 02143-2827 | 2019-04-16 |
1417418336 | Ineida Barros | Registered Nurse | 26 Central St, Somerville, MA 02143-2827 | 2019-03-26 |
1487119327 | Bernardo Nava Ponte | Case Manager/Care Coordinator | 26 Central St, Somerville, MA 02143-2827 | 2019-02-05 |
1699247163 | Mary Katherine Wollstadt | Case Manager/Care Coordinator | 26 Central St, Somerville, MA 02143-2827 | 2018-12-21 |
1811469711 | Mary Fortin | Licensed Practical Nurse | 26 Central St, Somerville, MA 02143-2827 | 2018-12-18 |
1326520669 | Diana Kimberly Zambrano Vanderley | Clinic/Center | 26 Central St, Somerville, MA 02143-2827 | 2018-09-04 |
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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 | 2084P0802X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Addiction Psychiatry |
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
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1245856335 | Mcat LLC | Psychiatry & Neurology | 3 Brighton St, Belmont, MA 02478-4007 | 2020-06-24 |
1427673136 | Ronald Bugaoan Md LLC | Psychiatry & Neurology | 225 Water St Ste A140, Plymouth, MA 02360-6248 | 2020-06-09 |
1861806192 | Qaiser Shamshir Khan | Psychiatry & Neurology | 55 Lake Ave N # S7-831, Worcester, MA 01655 | 2014-06-14 |
1083894059 | Juan R Condemarin | Psychiatry & Neurology | 129 Bigelow St, Brighton, MA 02135-1639 | 2007-11-07 |
1548454671 | Alfredo R Chan Md PC | Psychiatry & Neurology | 105 Webster St Ste 6, Hanover, MA 02339-1227 | 2007-08-31 |
1669666947 | John Dmochowski, Md PC | Psychiatry & Neurology | 31 Meltiah Rd, Falmouth, MA 02540-1843 | 2007-08-30 |
1093876609 | Robert Long Kelley | Psychiatry & Neurology | 20 Hope Ave Suite 201, Waltham, MA 20453 | 2006-12-13 |
1306896527 | Ethan Samuel Rofman | Psychiatry & Neurology | 123 Grant Ave, Newton Centre, MA 02459-1350 | 2006-05-10 |
1497734768 | Laurence Evans Ducomb | Psychiatry & Neurology | 49 Robinwood Ave, The Arbour Hospital, Jamaica Plain, MA 02130 | 2006-01-13 |
1033103247 | Kenneth Minkoff | Psychiatry & Neurology | 100 Powdermill Rd # 319, Acton, MA 01720-5932 | 2005-09-02 |
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City | SOMERVILLE |
Zip Code | 02143 |
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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.