MR. JOHN J LEAHY (NPI# 1386734572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386734572 |
| Entity Type | Individual |
| Full Name | MR. JOHN J LEAHY |
| Credential | EDD |
| Practice Address |
Nova Psychiatric Services Inc 1261 Furnace Brook Parkway Quincy MA 02169 |
| Practice Telephone | 6174794545 |
| Practice Fax Number | 6174794555 |
| Mailing Telephone | 6174794545 |
| Mailing Fax Number | 6174794555 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2019-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
5084 | MA | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
5084 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS PROVIDER NUMBER | W04815 | 01 |
| MA | 1891227 | 05 | |
| MA | EVERCARE PROVIDER NUMBER | 6100041 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396008405 | John Leahy | Obstetrics & Gynecology | 3535 W 13 Mile Rd, Suite 233, Royal Oak, MI 48073-6770 | 2012-06-22 |
| 1457648354 | John Leahy | Pharmacist | 3100 W 117th St, Cleveland, OH 44111-1747 | 2011-06-30 |
| 1598859480 | John Lewis Leahy | Internal Medicine | 1 S Prospect St, 5th Floor - Endocrine, Burlington, VT 05401-3456 | 2006-10-03 |
| 1750498200 | John M Leahy | Radiology | 915 Summit Ave, Oconomowoc, WI 53066-3994 | 2006-08-23 |
| 1346254877 | John V Leahy | Nurse Anesthetist, Certified Registered | 51 N 39th St, Philadelphia, PA 19104 | 2006-07-28 |
| 1497759120 | John Leahy | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2005-06-10 |
| Street Address |
NOVA PSYCHIATRIC SERVICES INC 1261 FURNACE BROOK PARKWAY |
| City | QUINCY |
| State | MA |
| Zip Code | 02169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891344412 | Mari Donita Harness | Psychologist | 6044 Greensboro Hwy, Quincy, FL 32351-9100 | 2019-09-06 |
| 1497244982 | John Nicholas Petrou | Psychologist | 1 Dennis Ryan Pkwy, Quincy, MA 02169-5348 | 2018-05-09 |
| 1427226216 | Angela Marie Johnson | Psychologist | 1354 Hancock St Ste 315, Quincy, MA 02169-5109 | 2008-02-14 |
| 1396872784 | Patricia C. Packard | Psychologist | 1373 Quincy Shore Dr, Quincy, MA 02169-2336 | 2007-02-27 |
| 1972679710 | Paul Kimberley Ling | Psychologist | 59 Coddington St Ste 201, Quincy, MA 02169-4510 | 2006-11-24 |
| 1275627515 | Beverly Singer | Psychologist | One Adams Place, 859 Willard St, Suite 430, Quincy, MA 02464 | 2006-10-03 |
| 1013017300 | Paul Giella | Psychologist | 110 West Squantum St, Suite #21, Quincy, MA 02171 | 2006-09-25 |
| 1598870172 | Diana C. Direiter | Psychologist | 36 Weston Ave, Quincy, MA 02170-1833 | 2006-08-21 |
| 1487626123 | Pauline M. Pagliocca | Psychologist | 1266 Furnace Brook Pkwy, Suite 210, Quincy, MA 02169-4758 | 2006-02-06 |
| 1073598637 | Michael Joseph Schneider | Psychologist | 1231 Maine St, Suite # 1, Quincy, IL 62301-4274 | 2005-12-07 |
| Find all providers in QUINCY | ||||
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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.