DEYANDRE RUDOLPH-GREGGS (NPI# 1386824795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386824795 |
| Entity Type | Individual |
| Full Name | DEYANDRE RUDOLPH-GREGGS |
| Practice Address |
43 Garrison Rd Brookline MA 02445-4445 |
| Practice Telephone | 6172778107 |
| Mailing Telephone | 6172778107 |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2007-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
43 GARRISON RD |
| City | BROOKLINE |
| State | MA |
| Zip Code | 02445-4445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093787947 | Karin Ballay | Social Worker | 43 Garrison Rd, Brookline, MA 02445-4445 | 2006-02-05 |
| 1982221552 | Julliet Upadhyay | Social Worker | 43 Garrison Rd, Brookline, MA 02445-4445 | 2020-06-30 |
| 1144879727 | Lauren Irene Grenier | Student in an Organized Health Care Education/Training Program | 43 Garrison Rd, Brookline, MA 02445-4445 | 2019-09-06 |
| 1376028704 | Mara J Richman | Counselor | 43 Garrison Rd, Brookline, MA 02445-4445 | 2018-10-02 |
| 1306327689 | Nina E Campanile | Student in an Organized Health Care Education/Training Program | 43 Garrison Rd, Brookline, MA 02445-4445 | 2018-08-24 |
| 1114445830 | Stephen Robert Grigelevich | Social Worker | 43 Garrison Rd, Brookline, MA 02445-4445 | 2017-09-01 |
| 1114397320 | Leslie Talmadge | Student in an Organized Health Care Education/Training Program | 43 Garrison Rd, Brookline, MA 02445-4445 | 2015-09-30 |
| 1023407079 | Nava Mermelstein | Social Worker | 43 Garrison Rd, Brookline, MA 02445-4445 | 2015-01-14 |
| 1821490491 | Samantha Fils | Counselor | 43 Garrison Rd, Brookline, MA 02445-4445 | 2014-09-25 |
| 1477954295 | Brookline Community Mental Health Center Inc | Community/Behavioral Health | 43 Garrison Rd, Brookline, MA 02445-4445 | 2014-09-11 |
| 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 | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093322166 | Mary Miller | Student in an Organized Health Care Education/Training Program | 27 Hurd Rd, Brookline, MA 02445-6911 | 2020-09-23 |
| 1548877616 | Shoshana Moriarty | Student in an Organized Health Care Education/Training Program | 27 Hurd Rd Apt 1, Brookline, MA 02445-6928 | 2020-09-23 |
| 1811504988 | Rachael Morgan Sise | Student in an Organized Health Care Education/Training Program | 33 Pond Ave Apt 621, Brookline, MA 02445-7156 | 2020-09-23 |
| 1366055493 | Rebecca R Schorin | Student in an Organized Health Care Education/Training Program | 48a Harvard Ave Apt 3, Brookline, MA 02446-6282 | 2020-08-28 |
| 1528678992 | Julohn Antonia Teixeira | Student in an Organized Health Care Education/Training Program | 33 Stanton Rd Apt 2, Brookline, MA 02445-6890 | 2020-07-31 |
| 1235750704 | Erik Paul Cadra | Student in an Organized Health Care Education/Training Program | 53 Manchester Rd Apt 4, Brookline, MA 02446-6072 | 2020-05-06 |
| 1619596129 | Adam Chow | Student in an Organized Health Care Education/Training Program | 1900 Beacon St, Brookline, MA 02445-2091 | 2020-04-14 |
| 1922627439 | Richard David James Smith | Student in an Organized Health Care Education/Training Program | 20 Chapel St Apt B306, Brookline, MA 02446-7469 | 2020-04-14 |
| 1457970220 | Alexandra Paige Jureller | Student in an Organized Health Care Education/Training Program | 201 Rawson Rd Apt 2, Brookline, MA 02445-4465 | 2020-04-13 |
| 1336768027 | Erin Margaret Pierce | Student in an Organized Health Care Education/Training Program | 683 Washington St Apt 1, Brookline, MA 02446-4594 | 2020-04-13 |
| Find all providers in BROOKLINE | ||||
Please comment or provide details below to improve the information on DEYANDRE RUDOLPH-GREGGS.
| 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.