MR. CLARENCE THEODORE DENNIS (NPI# 1437494267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437494267 |
| Entity Type | Individual |
| Full Name | MR. CLARENCE THEODORE DENNIS |
| Credential | FPMHNP |
| Practice Address |
1611 Cambridge St Cambridge MA 02138-4302 |
| Practice Telephone | 6176615515 |
| Practice Fax Number | 6176615182 |
| Mailing Telephone | 6176615515 |
| Mailing Fax Number | 6176615182 |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2012-12-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
274554 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1611 CAMBRIDGE ST |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02138-4302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598747412 | Margaret Rose Barsam | Pediatrics | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2005-11-16 |
| 1295218501 | Seema Mitesh Patel | Pharmacist | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2018-09-12 |
| 1104311737 | Maura Jean Dipietro | Registered Nurse | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2018-06-26 |
| 1841678299 | Atrius Health, Inc. | Chiropractor | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2015-05-18 |
| 1851725246 | Natalie Ann Briggs | Physical Therapist | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2013-08-21 |
| 1043561616 | Bronwyn Kate Mastrangelo | Physician Assistant | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2012-09-24 |
| 1821347865 | Kathryn Marie Kahn | Registered Nurse | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2012-09-06 |
| 1316295801 | Jacqueline Marie Burke | Pharmacist | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2012-08-15 |
| 1821373671 | David Johnson | Nurse Practitioner | 1611 Cambridge St, Harvard Vanguard Medical Associates, Bh Dept., Cambridge, MA 02138-4302 | 2011-10-12 |
| 1295021756 | Danielle Dray | Obstetrics & Gynecology | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2011-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618610 | Khushboo Vijay Bhatia | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program, Mount Auburn Hospi, 330 Mt. Auburn Street, Cambridge, MA 02138 | 2020-08-06 |
| 1780204156 | Ashna Grover | Student in an Organized Health Care Education/Training Program | 330 Mt Auburn Street Mount Auburn Hospital, Internal Medicine Residency Program, Cambridge, MA 02138 | 2020-04-25 |
| 1790330298 | Cambridge Periodontics LLC | Dentist | 1692 Massachusetts Ave Ste 3, Cambridge, MA 02138 | 2019-08-02 |
| 1295389765 | Yulia Levit | Technician/Technologist | 1208 Massachussets Av, Cambridge, MA 02138 | 2019-08-01 |
| 1720645393 | Chinmay Tusharkumar Jani | Student in an Organized Health Care Education/Training Program | Mount Auburn Hospital, 330 Mt Auburn Street, Cambridge, MA 02138 | 2019-05-20 |
| 1386209831 | Alexander Ryan Walker | Internal Medicine | 300 Mount Auburn Street Mount Auburn Hospital, Dept. of Medicine, Cambridge, MA 02138 | 2019-05-09 |
| 1659844868 | Aimee Hsieh | Social Worker | 525 Mount Auburn Street, Cambridge, MA 02138 | 2019-01-10 |
| 1043733389 | Armida Fruzzetti | Psychologist | 900 Concord Avenue, Cambridge, MA 02138 | 2017-07-19 |
| 1174984827 | Jenna Mezin Schmid | Psychologist | 75 Mt Auburn St 4 East, Harvard University Health Services, Cambridge, MA 02138 | 2016-03-09 |
| 1316313208 | Kelly Abbott | Optometrist | 12 Eliot St., Cambridge, MA 02138 | 2015-08-14 |
| Find all providers in zip 02138 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543612 | Elizabeth Tadie | Nurse Practitioner | 8 Allen St Apt 2, Cambridge, MA 02140-1360 | 2019-11-18 |
| 1528054806 | Andrea D Markwalter | Nurse Practitioner | 828 Airpax Rd, Suite 300b, Cambridge, MD 21613-6405 | 2005-09-22 |
| 1073129300 | Sonja Theobald | Nurse Practitioner | 145 2nd Ave Se, Cambridge, MN 55008-1602 | 2020-09-22 |
| 1851905491 | Alexa L Burley | Nurse Practitioner | 300 Byrn St, Cambridge, MD 21613-1908 | 2020-09-01 |
| 1710536834 | Alida Bushe | Nurse Practitioner | 813 Chesapeake Dr Ste 1, Cambridge, MD 21613-9405 | 2019-09-11 |
| 1093360877 | Michelle Kay Schultz | Nurse Practitioner | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-08-07 |
| 1184284366 | Abigail Irene Christensen | Nurse Practitioner | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-06-19 |
| 1417436692 | Katrina Pauline Karbowniczak | Nurse Practitioner | 3 Bow St, Cambridge, MA 02138-5109 | 2018-08-09 |
| 1447743406 | Jennifer L Duppert | Nurse Practitioner | 3 Bow St, Cambridge, MA 02138-5109 | 2018-06-13 |
| 1548785017 | Leslie Fox | Nurse Practitioner | 300 Byrn St, Cambridge, MD 21613-1908 | 2017-08-07 |
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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.