ROGER POTTANAT (NPI# 1396066874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396066874 |
| Entity Type | Individual |
| Full Name | ROGER POTTANAT |
| Credential | M.D. |
| Practice Address |
169 Libbey Industrial Pkwy 2nd Floor Weymouth MA 02189-3101 |
| Practice Telephone | 7815510999 |
| Practice Fax Number | 7815513396 |
| Mailing Telephone | 7815510999 |
| Mailing Fax Number | 7815513396 |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2012-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
245867 | MA | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
245867 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
169 LIBBEY INDUSTRIAL PKWY 2ND FLOOR |
| City | WEYMOUTH |
| State | MA |
| Zip Code | 02189-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366452153 | Maria M Vazquez | Psychologist | 169 Libbey Industrial Pkwy, 2nd Floor, Weymouth, MA 02189-3101 | 2006-08-08 |
| 1053925883 | Cyrielle Andrew | Psychologist | 169 Libbey Industrial Pkwy, Weymouth, MA 02189-3189 | 2020-08-31 |
| 1124672522 | Yangmu Xu | Clinical Neuropsychologist | 169 Libbey Industrial Pkwy, Weymouth, MA 02189-3189 | 2019-07-25 |
| 1154845329 | Caroline Byron | Psychologist | 169 Libbey Industrial Pkwy, Weymouth, MA 02189-3101 | 2017-07-31 |
| 1598114308 | Meredith Tumilty | Psychologist | 169 Libbey Industrial Pkwy, Second Floor, Weymouth, MA 02189-3101 | 2016-06-13 |
| 1972972065 | Melissa Stone | Psychologist | 169 Libbey Industrial Pkwy, Weymouth, MA 02189-3101 | 2015-09-18 |
| 1841612660 | Dorothie Ferdinand | Psychologist | 169 Libbey Industrial Pkwy, Second Floor, Weymouth, MA 02189-3101 | 2014-01-14 |
| 1710326962 | Alexandra Nelson | Psychologist | 169 Libbey Industrial Pkwy, 2nd Floor, Weymouth, MA 02189-3101 | 2013-06-20 |
| 1932548120 | Hart K Maccardell-fossel | Psychologist | 169 Libbey Industrial Pkwy, Second Floor, Weymouth, MA 02189-3101 | 2013-06-20 |
| 1487983169 | John-paul Arena | Social Worker | 169 Libbey Industrial Pkwy, Second Floor, Weymouth, MA 02189-3101 | 2009-12-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205300985 | M. Taylor Fontneau | Nurse Practitioner | 90 Libbey Industrial Pkwy Ste 106, Weymouth, MA 02189 | 2019-01-16 |
| 1336668011 | Svetlana Chentsova | Nurse Practitioner | 51 Performance Dr Fl Drive, Weymouth, MA 02189 | 2017-09-14 |
| 1518487818 | Dana Shepherd | Specialist/Technologist | 163 Libbey Industrial Parkway, Suite 302, Weymouth, MA 02189 | 2017-06-27 |
| 1063867802 | Gerald F. Finerty IIi | Nurse Anesthetist, Certified Registered | 163 Libbey Pkwy Ste 301, Weymouth, MA 02189 | 2016-04-29 |
| 1417326604 | Ocean State Urgent Care | Physician Assistant | 119 Liberty Bell Cir, Weymouth, MA 02189 | 2015-09-18 |
| 1558746636 | Jaime Hill | Nurse Practitioner | 31 Charles Street, Weymouth, MA 02189 | 2015-07-30 |
| 1780865337 | James Tyler Carpenter | Psychologist | Neurobehavioral Associates, 169 Libbey Parkway, 2nd Floor, Weymouth, MA 02189 | 2007-11-23 |
| 1508054248 | Anita Nathan Shukla | Ophthalmology | 97 Libbey Industrial Parkway, Suite 100, E. Weymouth, MA 02189 | 2007-10-09 |
| 1164618757 | Mahesh Pandey | Internal Medicine | Dana Farber Community Cancer Care, 51 Performance Drive, Suite 110, Weymouth, MA 02189 | 2007-09-18 |
| 1750573887 | Michele Donlon | Speech-Language Pathologist | 163 Libbey Industrial Pkwy Ste 302, Weymouth, MA 02189 | 2007-08-13 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710140660 | Leanne M Rifenburg | Psychiatry & Neurology | 169 Libbey Industrial Pkwy, 2nd Floor, Weymouth, MA 02189-3101 | 2008-07-09 |
| 1336301126 | David William Fish | Psychiatry & Neurology | 169 Libbey Pkwy, Weymouth, MA 02189-3101 | 2008-07-02 |
| 1578644381 | Charles R Morin | Psychiatry & Neurology | 549 Columbian St, Suite 208, Weymouth, MA 02190-1138 | 2006-10-18 |
| 1831146869 | Neurobehavioral Associates Inc | Psychiatry & Neurology | 169 Libbey Pkwy, 2nd Fl, Weymouth, MA 02189-3101 | 2006-05-27 |
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|---|---|---|---|---|
| 1265046148 | Kripa Behavioral Health, P.C. | Psychiatry & Neurology | 415 Elsbree St Ste 1a, Fall River, MA 02720-7297 | 2020-09-08 |
| 1588273320 | Measured Wellness LLC | Psychiatry & Neurology | 47 Seaverns Ave # 5, Boston, MA 02130-2876 | 2020-07-28 |
| 1942819784 | Bluesky Telepsych, Inc. | Psychiatry & Neurology | 125 Cambridge Park Drive, Suite 306, Cambridge, MA 02140 | 2020-07-28 |
| 1689291304 | Zion Health & Wellness LLC | Psychiatry & Neurology | 209 W Central St Ste 216, Natick, MA 01760-3716 | 2020-06-29 |
| 1447875984 | Charles Clifford Engel Jr. | Psychiatry & Neurology | Home Base Program, Massachusetts General Hospital, 1 Constitution Road, Charlestown, MA 02129 | 2020-06-10 |
| 1447874284 | Suburban Psychiatric Specialists | Psychiatry & Neurology | 7 Condor Rd, Sharon, MA 02067-2905 | 2020-06-07 |
| 1669096996 | East Boston Behavioral Health and Medicine LLC | Psychiatry & Neurology | 464 Bremen St Ste 4, East Boston, MA 02128-1430 | 2020-06-02 |
| 1144853250 | Jamii Wellness and Behavioral Medicine, LLC | Psychiatry & Neurology | 360 W Boylston St Rm 207, West Boylston, MA 01583-2384 | 2020-02-17 |
| 1568092476 | Premier Medical LLC | Psychiatry & Neurology | 400 Foxborough Blvd Apt 4208, Foxborough, MA 02035-3807 | 2020-01-20 |
| 1972149367 | Deirdre O Arvidson | Psychiatry & Neurology | 32 Harold Ln, Chatham, MA 02633-1643 | 2019-11-21 |
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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.