PREVENTIVE MEDICINE ASSOCIATES (NPI# 1376782466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376782466 |
| Entity Type | Organization |
| Organization Name | PREVENTIVE MEDICINE ASSOCIATES |
| Other Organization Name | NEUROSCIENCE CENTER |
| Practice Address |
1842 Beacon St Brookline MA 02445-1930 |
| Practice Telephone | 6172781478 |
| Practice Fax Number | 6172781471 |
| Mailing Telephone | 6172781478 |
| Mailing Fax Number | 6172781471 |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-02-12 |
| Authorized Official Name | MS. MARY J DELONG (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 4132227711 |
| Authorized Official Credential | MM, RHIA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Neuroscience Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528353612 | Preventive Medicine Associates | Family Medicine | 154 Lynnway, Suite 1c, Lynn, MA 01902-3479 | 2011-06-16 |
| 1659679793 | Preventive Medicine Associates | Family Medicine | 2201 Washington St, Suite 302, Roxbury, MA 02119-3212 | 2011-03-13 |
| 1568760601 | Preventive Medicine Associates | Family Medicine | 501b Washington St, Dorchester Center, MA 02124-2014 | 2011-03-13 |
| 1962705251 | Preventive Medicine Associates | Family Medicine | 9 Henshaw St, Brighton, MA 02135-2905 | 2010-12-08 |
| 1326350976 | Preventive Medicine Associates | Family Medicine | 360 Coggeshall St, New Bedford, MA 02746-1923 | 2010-07-12 |
| 1689900565 | Preventive Medicine Associates | Family Medicine | 322 Gifford St, Falmouth, MA 02540 | 2009-10-27 |
| 1962641159 | Preventive Medicine Associates | Family Medicine | 63 Winthrop St, # C1, C2, Taunton, MA 02780-6218 | 2009-02-11 |
| 1578702957 | Preventive Medicine Associates | Counselor | 3261 Main St, Barnstable, MA 02630-1105 | 2009-02-09 |
| 1356507511 | Preventive Medicine Associates | Family Medicine | 98 Suffolk St, Holyoke, MA 01040-4458 | 2008-08-06 |
| 1588093744 | Preventive Medicine Associates | Specialist | 1919 Sw 10th Ave, Suite 22, Topeka, KS 66604-1425 | 2013-11-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | PREVENTIVE MEDICINE ASSOCIATES, INC. | 59 Temple Place, Suite 612, Boston, MA 02111 |
| Street Address |
1842 BEACON ST |
| City | BROOKLINE |
| State | MA |
| Zip Code | 02445-1930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003800905 | Brookline Hearing Services Inc | Audiologist-Hearing Aid Fitter | 1842 Beacon St, Suite #403, Brookline, MA 02445 | 2005-09-07 |
| 1588275549 | Catherine Paggi | Physical Therapist | 1842 Beacon St, Brookline, MA 02445-1930 | 2020-08-13 |
| 1285281592 | Jonathan Elcock | Physical Therapist | 1842 Beacon St, Brookline, MA 02445-1930 | 2019-08-21 |
| 1104364629 | Iveta Iontcheve-barehmi Dmd PC | Dentist | 1842 Beacon St, Ste 305, Brookline, MA 02445-1930 | 2017-02-03 |
| 1245687151 | First Choice Healthcare, Inc. | Hospice Care, Community Based | 1842 Beacon St, 203, Brookline, MA 02445-1930 | 2016-05-20 |
| 1528466927 | Paggi Physical Therapy & Sports Rehabilitation, Inc | Physical Therapist | 1842 Beacon St, Ste 207, Brookline, MA 02445-1930 | 2014-12-17 |
| 1649686593 | Jenna Hubbard Karcher | Audiologist | 1842 Beacon St, Suite #403, Brookline, MA 02445-1930 | 2014-07-10 |
| 1346654316 | Smile Institute PC | Dentist | 1842 Beacon St, Suite 401, Brookline, MA 02445-1930 | 2014-06-17 |
| 1235567462 | Suzanne Rakov | Hearing Instrument Specialist | 1842 Beacon St, Suite 403, Brookline, MA 02445-1930 | 2013-10-25 |
| 1386086213 | Karissa Rae Koster | Dentist | 1842 Beacon St, Suite 401, Brookline, MA 02445-1930 | 2013-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316582117 | Isha Gujrathi | Student in an Organized Health Care Education/Training Program | Center for Evidence Based Imaging, 20 Kent Street, Brookline, MA 02445 | 2019-11-15 |
| 1518432673 | Lois Lange | Social Worker | 349 Clark Road, Brookline, MA 02445 | 2018-10-04 |
| 1548775190 | Neurodevelopmental Educational Services, Pllc | Social Worker | 26 Edgehill Road, Brookline, MA 02445 | 2017-12-05 |
| 1942654231 | Elena Carolina Itriago Araujo | Student in an Organized Health Care Education/Training Program | 358 Tappan St, Brookline, MA 02445 | 2016-04-22 |
| 1477920098 | Kayoko Obara, Dmd PC | Clinic/Center | 77 Pond Ave., #103, Brookline, MA 02445 | 2015-08-31 |
| 1700203668 | Sophie-charlotte Hofferberth | Student in an Organized Health Care Education/Training Program | 93 Evans Road, Brookline, MA 02445 | 2014-03-27 |
| 1639503535 | Kieran Evans | Social Worker | 43 Garrison Road, Brookline, MA 02445 | 2013-08-27 |
| 1437412467 | Joel Simons | Psychologist | 1683 Beacon St, Brookline, MA 02445 | 2012-06-25 |
| 1710252861 | Lin Shen | Internal Medicine | 375 Boylston St, Brookline, MA 02445 | 2012-03-21 |
| 1992074645 | Christine Beatriz Arismendi | Counselor | 16 University Road Apartment 1, Brookline, MA 02445 | 2011-12-27 |
| Find all providers in zip 02445 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265446157 | Elliott Gerald Segal | Psychiatry & Neurology | 126b Sewall Ave, Brookline, MA 02446-5327 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467095810 | Siere Jennifer Alkee | Psychiatry & Neurology | 68 N.front St, New Bedford, MA 02740 | 2019-10-17 |
| 1881015337 | Norton Health Care PC | Psychiatry & Neurology | 85 E Main St Ste A, Norton, MA 02766-2307 | 2014-01-01 |
| 1104185586 | Adam Bied | Psychiatry & Neurology | 339 Massachusetts Ave, Arlington, MA 02474-6718 | 2012-05-07 |
| 1598809287 | Nestore J D'angelo | Psychiatry & Neurology | 18 Woodholm Rd, Manchester, MA 01944-1042 | 2007-02-16 |
| 1245392513 | Roger N Chabra | Psychiatry & Neurology | 284 Starboard Ln, Osterville, MA 02655-1451 | 2006-12-14 |
| 1487754974 | Amjad Bahnassi | Psychiatry & Neurology | 435 Shrewsbury St Ste 1, Worcester, MA 01604-1691 | 2006-09-24 |
| 1205934924 | Boston Psychiatry Group, Inc. | Psychiatry & Neurology | 20 Hope Ave Ste G05, Waltham, MA 02453-2781 | 2006-09-20 |
| 1043239270 | Alan Fisch | Psychiatry & Neurology | 872 Massachusetts Ave., Ste. 2-2, 2-7, Cambridge, MA 02139 | 2006-07-19 |
| 1093789083 | Michael Joshua Ostacher | Psychiatry & Neurology | 50 Staniford St Ste 580, Massachusetts General Hospital, Boston, MA 02114-2540 | 2006-02-15 |
| 1841274594 | Michael Anthony Dawes | Psychiatry & Neurology | 1 Boston Medical Center Place, Boston, MA 02118 | 2005-12-05 |
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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.