LAURA M HEIDEMAN (NPI# 1366507964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366507964 |
| Entity Type | Individual |
| Full Name | LAURA M HEIDEMAN |
| Other Name | LAURA S MERIDY |
| Credential | LICSW |
| Practice Address |
2464 Massachusetts Ave 312 Cambridge MA 02140-1646 |
| Mailing Address |
31 Amory Ave Maynard MA 01754-1157 |
| Practice Telephone | 6173548655 |
| Mailing Telephone | 6173548655 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1024807 | MA | Behavioral Health & Social Service Providers |
| Street Address |
2464 MASSACHUSETTS AVE 312 |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02140-1646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114029006 | Adelaide S. Smith | Social Worker | 2464 Massachusetts Ave, Suite 220, Cambridge, MA 02140-1646 | 2006-09-02 |
| 1346674207 | Marnie Alison Weinberg | Speech-Language Pathologist | 2464 Massachusetts Ave, Suite 450, Cambridge, MA 02140-1646 | 2013-08-28 |
| 1013286897 | Sean Hyde O'brien | Clinical Neuropsychologist | 2464 Massachusetts Ave, Suite 129, Cambridge, MA 02140-1646 | 2011-12-22 |
| 1902180730 | Latoya Steinbrink | Social Worker | 2464 Massachusetts Ave, Cambridge, MA 02140-1646 | 2011-09-28 |
| 1760607717 | David C. Adams | Psychologist | 2464 Massachusetts Ave, Suite 101, Cambridge, MA 02140-1646 | 2007-04-16 |
| 1659448389 | Daniel J Cherry | Acupuncturist | 2464 Massachusetts Ave, Cambridge, MA 02140-1646 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819784 | Bluesky Telepsych, Inc. | Psychiatry & Neurology | 125 Cambridge Park Drive, Suite 306, Cambridge, MA 02140 | 2020-07-28 |
| 1043837990 | Nancy Villa | Community/Behavioral Health | 10 Concord Tpke, Cambridge, MA 02140 | 2020-06-26 |
| 1356976625 | Jennifer Ahonen | Nurse Practitioner | 36 White Street, Cambridge, MA 02140 | 2020-03-07 |
| 1366961120 | Boston Eye Care Center, LLC | Ophthalmology | 2464 Massachusetts Ave Ste 200, Cambridge, MA 02140 | 2017-09-13 |
| 1992225015 | Figen Esen | Student in an Organized Health Care Education/Training Program | 160 Cabridgepark Drive, Apt 295, Cambridge, MA 02140 | 2017-06-20 |
| 1063870038 | Kelli Swensen | Dietitian, Registered | 160 Cambridge Park Dr, 168, Cambridge, MA 02140 | 2016-02-05 |
| 1851731822 | Gabriella Maree Pugliese | Pharmacist | 822 Somerville Ave, Cambridge, MA 02140 | 2013-07-04 |
| 1609211531 | Hyuna Lee | Dentist | 160 Cambridgepark Drive, Suite 390, Cambridge, MA 02140 | 2013-05-06 |
| 1740555366 | Aesook Kwon | Registered Nurse | 1493 Cambrige St, Cambridge Hospital, Cambrige, MA 02140 | 2012-03-14 |
| 1740557743 | In Sync Physical Therapy, LLC | Clinic/Center | 1798a Massachusetts Avenue, Suite 2, Cambridge, MA 02140 | 2011-11-19 |
| Find all providers in zip 02140 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285240614 | Ruthann Corrie Hewett | Counselor | 15 Ellery St Apt 8, Cambridge, MA 02138-5321 | 2020-09-21 |
| 1730798489 | Talk Therapy Tuebingen LLC | Counselor | 10 Michael Way, Cambridge, MA 02141-1436 | 2020-07-29 |
| 1407491962 | Alex Henry Newman | Counselor | 929 Massachusetts Ave Ste 103, Cambridge, MA 02139-3134 | 2019-11-08 |
| 1790343259 | Arielle Klein | Counselor | 872 Massachusetts Ave Ste 2-2, Cambridge, MA 02139-3072 | 2019-05-30 |
| 1144887696 | Stephanie Gray | Counselor | 1066 Cambridge St Apt 303, Cambridge, MA 02139-1463 | 2019-05-21 |
| 1952878233 | Wendy Elizabeth Shifflet | Counselor | Tri Valley Medical, 1305 Hwy 6/34, Cambridge, NE 69022 | 2018-10-25 |
| 1144796327 | Dorchester County Health Department - Sbwc-mh-csd | Counselor | 2475 Cambridge Beltway, Cambridge, MD 21613-3680 | 2018-10-16 |
| 1295201515 | Dorchester County Health Department - Sbwc-mh - Sandy Hill | Counselor | 1503 Glasgow St, Cambridge, MD 21613-1350 | 2018-10-15 |
| 1265917850 | Gail Nunes | Counselor | 872 Mass Ave Ste 2-2, Cambridge, MA 02139-3072 | 2018-09-28 |
| 1972080893 | Esther Cazeau | Counselor | 237 Hampshire St., Cambridge, MA 02139 | 2018-07-24 |
| Find all providers in CAMBRIDGE | ||||
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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.