ACTIVMATTERS OF THE BRAIN (NPI# 1386245546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386245546 |
Entity Type | Organization |
Organization Name | ACTIVMATTERS OF THE BRAIN |
Practice Address |
421 Merrimack St Ste 203 Methuen MA 01844-5864 |
Practice Telephone | 9786557155 |
Mailing Telephone | 9786557155 |
Enumeration Date | 2020-11-04 |
Last Update Date | 2020-11-04 |
Authorized Official Name | TERRY L STUBBS (CEO) |
Authorized Official Telephone | 6033198863 |
Authorized Official Credential | MA,CCRC,AS,CRQM, |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1100X |
Clinic/Center Specialization: Research |
Ambulatory Health Care Facilities |
Street Address |
421 MERRIMACK ST STE 203 |
City | METHUEN |
State | MA |
Zip Code | 01844-5864 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093313629 | Claude Zeligou | Behavior Technician | Guy Lougbo, 26 Loring Road, Methuan, MA 01844 | 2020-10-15 |
1265938609 | Angely Martinez | Student in an Organized Health Care Education/Training Program | 28 Kirk Street, Methuen, MA 01844 | 2018-04-04 |
1073037909 | Lauren Boenitz | Physical Therapy Assistant | 318 1/2 Broadway, Methuen, MA 01844 | 2017-08-02 |
1821512229 | Janice Marie Benoit | Registered Nurse | 12 Ingales Court, M, Methuen, MA 01844 | 2017-07-28 |
1194266825 | Zuri Counseling Services LLC | Nurse Practitioner | 39 Haverhill Street, Methuen, MA 01844 | 2017-03-14 |
1740732775 | Florinda Delarosa | Assistant Behavior Analyst | 106 North Lowell St, Methuen, MA 01844 | 2016-10-25 |
1376094888 | Kristan Mazaka | Social Worker | 19 1/2 Mystic Street, Methuen, MA 01844 | 2016-10-19 |
1013365394 | Diana Echeverry | Counselor | 271 Broadway St. Apartment 7, Methuen, MA 01844 | 2016-05-27 |
1104283944 | Danielle Lee Lambert | Counselor | 100a Haverhill St., Methuen, MA 01844 | 2016-01-25 |
1265839443 | Josef Peter Kish | Counselor | 100a Haverhill Street, Metheun, MA 01844 | 2014-12-03 |
Find all providers in zip 01844 |
Taxonomy Code | 261QR1100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Research |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457624041 | Activmed Practices & Research, Inc. | Clinic/Center | 421 Merrimack St, Suite 203, Methuen, MA 01844-5864 | 2012-02-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326403296 | Metroboston Clinical Partners LLC | Clinic/Center | 60 Dedham Ave, Suite #206, Needham, MA 02492-3061 | 2015-12-21 |
1841752235 | Annalisa Bernabei | Clinic/Center | 75 Francis St, Boston, MA 02115-6106 | 2019-04-03 |
Please comment or provide details below to improve the information on ACTIVMATTERS OF THE BRAIN.
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.