ELYSEE H. CASTOR (NPI# 1417473554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417473554 |
| Entity Type | Individual |
| Full Name | ELYSEE H. CASTOR |
| Credential | BS |
| Practice Address |
5 High St. Suite 101 Medford MA 02155 |
| Mailing Address |
5 High St Ste 101 Medford MA 02155-3800 |
| Practice Telephone | (781) 423-5207 |
| Practice Fax Number | 7813382217 |
| Mailing Telephone | 7814235207 |
| Mailing Fax Number | 7813382217 |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2017-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
5 HIGH ST. SUITE 101 |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1689223901 | Holly Hermes | Counselor | 48 Hawthorne St, Medford, OR 97504-7114 | 2019-09-09 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1336597541 | Joanna Lea Ballard | Counselor | 1175 E Main St Ste C1, Medford, OR 97504-7457 | 2016-05-27 |
| 1386018240 | Sarie R Scully | Counselor | 26 Horseshoe Curv, Medford, NJ 08055-9751 | 2015-11-16 |
| 1992103451 | Sean Alexander Mickelson | Counselor | 358 S Oakdale Ave, Medford, OR 97501-3131 | 2014-12-16 |
| 1134472863 | Lynette J Milligan | Counselor | 142 N Ivy St Ste 2, Medford, OR 97501-2758 | 2012-10-18 |
| 1154687689 | Phylicia Mcdonald | Counselor | 176 Jerome St, Medford, MA 02155-3535 | 2012-04-10 |
| 1215205901 | Shelly Hohl | Counselor | 1000 E Main St Bldg B, Medford, OR 97504-7449 | 2011-12-08 |
| 1154605228 | Kristina G Schweikert | Counselor | 843 E Main Street, Ste 305, Medford, OR 97504-7137 | 2011-10-06 |
| Find all providers in MEDFORD | ||||
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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.