FITZGERALD PSYCHOLOGICAL SERVICES LLC (NPI# 1386118099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386118099 |
| Entity Type | Organization |
| Organization Name | FITZGERALD PSYCHOLOGICAL SERVICES LLC |
| Practice Address |
1180 Beacon St Ste 4b Brookline MA 02446-3806 |
| Practice Telephone | 7814742535 |
| Mailing Telephone | 7814742535 |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-01-15 |
| Authorized Official Name | KARA MARIE FITZGERALD (MANAGER) |
| Authorized Official Telephone | 7814782535 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
Behavioral Health & Social Service Providers | ||
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
Behavioral Health & Social Service Providers | ||
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers | ||
| Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| Street Address |
1180 BEACON ST STE 4B |
| City | BROOKLINE |
| State | MA |
| Zip Code | 02446-3806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900473 | Richard Alan Brodie | Internal Medicine | 1180 Beacon St, Brookline, MA 02446-3885 | 2005-05-27 |
| 1215475397 | Saillant Medical LLC | Pediatrics | 1180 Beacon St, Suite 7a, Brookline, MA 02446-3885 | 2017-02-08 |
| 1992241848 | Rebecca Horne Pediatrics, LLC | Pediatrics | 1180 Beacon St, Suite 7a, Brookline, MA 02446-3885 | 2017-01-17 |
| 1568919785 | Lulu Kablawi | Physical Therapist | 1180 Beacon St, Suite 6c, Brookline, MA 02446-3885 | 2016-09-06 |
| 1285187674 | Erin Mcconnell | Physical Therapist | 1180 Beacon St, 6c, Brookline, MA 02446-3885 | 2016-08-02 |
| 1396197091 | Kyoko Okamura Md PC | Obstetrics & Gynecology | 1180 Beacon St, Suite Lla, Brookline, MA 02446-3885 | 2016-07-06 |
| 1174987358 | Lisa Marie Schostok | Physical Therapist | 1180 Beacon St, Suite 6c, Brookline, MA 02446-3885 | 2016-04-13 |
| 1407230949 | Yuko Mccolgan Md LLC | Family Medicine | 1180 Beacon St, 3b, Brookline, MA 02446-3885 | 2015-07-15 |
| 1326420902 | Nancy Hoffman | Social Worker | 1180 Beacon St, Brookline, MA 02446-3885 | 2015-06-19 |
| 1992185540 | Krystyna B Mosher | Physical Therapist | 1180 Beacon St, Suite 6c, Brookline, MA 02446-3885 | 2015-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588218127 | Mohammad Ali Zafar | Social Worker | 11 Stearns Rd Apartment#1, Brookline, MA 02446 | 2019-08-01 |
| 1730659368 | Boston Family Therapy & Wellness Pllc | Clinic/Center | 1330 Beacon Street Suite 263, Brookline, MA 02446 | 2018-11-27 |
| 1518442078 | Elizabeth Dorsey | Social Worker | Boston Graduate School of Psychoanalysis, 1581 Beacon Street, Brookline, MA 02446 | 2018-10-01 |
| 1467936732 | Helen Elizabeth Weiner | Social Worker | 6 Churchill Sstreet, Brookline, MA 02446 | 2018-09-21 |
| 1285116640 | Dawn Higgins | Social Worker | 227 Summit Avenue W304, Brookline, MA 02446 | 2018-09-03 |
| 1528540978 | Shana Joan Turowitz | Social Worker | 156 Lawton Street, Brookline, MA 02446 | 2018-09-02 |
| 1528563996 | Lauren H Shin | Pediatrics | 150 Pleasant St Unit 309, Brookline, MA 02446 | 2018-03-28 |
| 1821512872 | Ilana Lindsay Cooper | Psychologist | 1093 Beacon St Ste 401, Brookline, MA 02446 | 2017-08-01 |
| 1538683735 | Elizabeth Apkin | Psychologist | 1330 Beacon Street Suite 201, Brookline, MA 02446 | 2017-07-29 |
| 1366963258 | Maria Antonietta Mazzola | Psychiatry & Neurology | 57 Manchester Rd, Brookline, MA 02446 | 2017-06-29 |
| Find all providers in zip 02446 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447394846 | Richard B Gould | Clinical Neuropsychologist | 99 Kent St # 7106, Brookline, MA 02445-7955 | 2007-02-18 |
| 1184780561 | Neal Mcgrath | Clinical Neuropsychologist | 1368 Beacon St Ste 116, Brookline, MA 02446-2800 | 2006-12-29 |
| 1639251093 | Ravi Gatha | Clinical Neuropsychologist | 41 Garrison Rd, Brookline, MA 02445-4445 | 2006-10-19 |
| 1912569617 | Jennifer Grace Forrester | Clinical Neuropsychologist | 1368 Beacon St, Brookline, MA 02446-2872 | 2019-07-02 |
| 1962927947 | Vanessa D'orio | Clinical Neuropsychologist | 1368 Beacon St Ste 116, Brookline, MA 02446-2800 | 2017-08-10 |
| 1700241130 | Samantha Johnston | Clinical Neuropsychologist | 26 Edgehill Rd, Brookline, MA 02445-7722 | 2015-12-30 |
| 1780052944 | University Neuropsychology, Inc. | Clinical Neuropsychologist | 364 Harvard St, Suite 1, Brookline, MA 02446-2920 | 2015-09-04 |
| 1407250863 | Kara M Fitzgerald | Clinical Neuropsychologist | 1180 Beacon St Ste 4b, Brookline, MA 02446 | 2014-10-14 |
| 1285983759 | Alexandra Jackson | Clinical Neuropsychologist | 1368 Beacon St Ste 116, Brookline, MA 02446-2800 | 2012-08-30 |
| 1861636045 | University Neuropsychology, Inc. | Clinical Neuropsychologist | 364 Harvard St, Suite 1, Brookline, MA 02446-2920 | 2009-05-01 |
| Find all providers in BROOKLINE | ||||
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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.