THE CONCORD CENTER, LLC (NPI# 1376100487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376100487 |
| Entity Type | Organization |
| Organization Name | THE CONCORD CENTER, LLC |
| Practice Address |
747 Main St Ste 324 Concord MA 01742-3302 |
| Practice Telephone | 6179473596 |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-05-23 |
| Authorized Official Name | DR. JAMIE A MICCO (MANAGING PARTNER) |
| Authorized Official Telephone | 6179473596 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers |
| Street Address |
747 MAIN ST STE 324 |
| City | CONCORD |
| State | MA |
| Zip Code | 01742-3302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871645465 | Shahawna Lee Kim | Counselor | 747 Main St Ste 324, Concord, MA 01742-3329 | 2007-01-17 |
| 1548874845 | Jennifer S Schild | Counselor | 747 Main St Ste 324, Concord, MA 01742-3329 | 2020-09-03 |
| 1275147571 | Megan M Carreiro | Counselor | 747 Main St Ste 324, Concord, MA 01742-3329 | 2020-09-03 |
| 1013553767 | Leah Beth Benjamin | Psychologist | 747 Main St Ste 324, Concord, MA 01742-3302 | 2019-11-18 |
| 1851869754 | Sophie Baron Termyn | Social Worker | 747 Main St Ste 324, Concord, MA 01742-3329 | 2018-11-08 |
| 1134522055 | Amanda Loerinc Guinyard | Psychologist | 747 Main St Ste 324, Concord, MA 01742-3329 | 2014-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674348 | Camille Arcidi | Dentist | 747 Main Street, Suite 221, Concord, MA 01742 | 2020-09-17 |
| 1851916936 | Paige Hamilton-read | Psychologist | 333 Thoreau Street, Concord, MA 01742 | 2020-06-14 |
| 1467926113 | Judith Segal | Psychologist | 844 Sudbury Road, Concord, MA 01742 | 2019-01-16 |
| 1316422983 | Lisa Colagiovanni | Social Worker | 54 Hillside Ave., Concord, MA 01742 | 2018-09-30 |
| 1932699907 | Margaret C O'hearn-curran | Psychologist | 178 Silver Hill Rd, Concord, MA 01742 | 2018-05-15 |
| 1205358678 | Eva Moen | Pharmacist | 19 Nathan Pratt Drive, Unit 308, Concord, MA 01742 | 2017-07-07 |
| 1215475421 | Hengameh Lavasanifar | Pharmacist | Jcb;131 Ornac Suite 200;, Mgh Cancer Center At Emerson Hospital, Concord, MA 01742 | 2017-02-08 |
| 1255882684 | Stephanie Randazzo | Counselor | 20 Nathan Pratt Drive Unit 209, Concord, MA 01742 | 2016-10-20 |
| 1871943704 | Marjorie E. Cahn | Social Worker | 634 Walden Street, Concord, MA 01742 | 2016-06-22 |
| 1063873842 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | 2284 Main Street, Lahey Health Primary Care, Concord, Concord, MA 01742 | 2016-03-08 |
| Find all providers in zip 01742 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194982652 | Dawn Thomas | Psychologist | 133 Church St Ne, Concord, NC 28025-4732 | 2008-05-21 |
| 1235522970 | Sonia Gyan | Psychologist | 300 Baker Ave, Suite 300, Concord, MA 01742-2131 | 2015-03-05 |
| 1851509038 | Robert Peter Kritkausky | Psychologist | 6d Hills Ave, Concord, NH 03301-4803 | 2007-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807528 | Centi Psychological Services Pllc | Psychologist | 35 Renwick Rd, Melrose, MA 02176-1218 | 2020-06-29 |
| 1760008072 | Louise Ross | Psychologist | 223 Bishops Forest Dr, Waltham, MA 02452-8804 | 2020-06-23 |
| 1417419060 | John Benjamin Barnes | Psychologist | 76 Davidson Rd, Framingham, MA 01701-3292 | 2019-04-03 |
| 1508351107 | Breanna Wardwell | Psychologist | 110 Maple St Ste 110, Springfield, MA 01105 | 2018-06-26 |
| 1376038372 | Ellen Leigh | Psychologist | 8 Summer St Apt 105, Arlington, MA 02474-3059 | 2018-06-22 |
| 1538650601 | Leonard Anthony Doerfler | Psychologist | 26 Pinedale Rd, Shrewsbury, MA 01545-3502 | 2018-05-24 |
| 1700389749 | Arden Sugeily Lake | Psychologist | 50 Annafran St, Roslindale, MA 02131-4705 | 2018-03-15 |
| 1780183277 | Laurence James Stybel | Psychologist | 27 Bayfield Rd, Wayland, MA 01778-4205 | 2018-02-09 |
| 1114449931 | Stephanie M Ribeiro | Psychologist | 27 Stratfield Ave, Westfield, MA 01085-2222 | 2017-07-13 |
| 1033650908 | Jean Curtis Loud | Psychologist | 17 East Chop Drive, Oak Bluffs, MA 02557 | 2017-03-13 |
| 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.