MOODY STREET TOTAL HEALTH, INC. (NPI# 1447237185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447237185 |
| Entity Type | Organization |
| Organization Name | MOODY STREET TOTAL HEALTH, INC. |
| Practice Address |
515 Moody St Waltham MA 02453-0506 |
| Practice Telephone | 7816475550 |
| Practice Fax Number | 7818937077 |
| Mailing Telephone | 7816475550 |
| Mailing Fax Number | 7818937077 |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2008-05-20 |
| Authorized Official Name | DR. KAREN LYNN ST.LAURENT (PRESIDENT) |
| Authorized Official Telephone | 7816475550 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2269 | MA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BC/BS OF MA INDIVIDUAL ID | Y36596 | 01 |
| MA | NETWORK HEALTH PLAN | 974044 | 01 |
| MA | CIGNA HEALTH CARE | 1867401004 | 01 |
| MA | NEIGHBORHOOD HEALTH PLAN | 27243 | 01 |
| MA | 1612913 | 05 | |
| MA | TUFTS HEALTH PLAN | 798431 | 01 |
| MA | PHCS | 9228734 | 01 |
| MA | HCVM | 033487192 | 01 |
| MA | BC/BS OF MA GROUP ID | Y39835 | 01 |
| MA | AETNA/US HEALTHCARE | 2859278 | 01 |
| MA | HARVARD PILGRIM | 351902 | 01 |
| MA | UNITED HEALTH CARE | 4404288 | 01 |
| Street Address |
515 MOODY ST |
| City | WALTHAM |
| State | MA |
| Zip Code | 02453-0506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285664474 | Michael Keith York | Chiropractor | 515 Moody St, Waltham, MA 02453-0506 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595770 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 66 Seyon St, Waltham, MA 02453 | 2020-10-13 |
| 1679040935 | Elsa L. Lichman | Social Worker | 52 Derby Street, Waltham, MA 02453 | 2018-10-25 |
| 1760957468 | Sherry Leigh Miller | Counselor | C/o Children's Charter, 77 Rumford Ave, Waltham, MA 02453 | 2018-10-09 |
| 1639644651 | Leo V Sarkissian | Social Worker | The Arc of Massachusetts, 217 South Street, Waltham, MA 02453 | 2018-10-05 |
| 1629569512 | Abaytum Investments Inc | Home Health | 24 Crescent Street, Suite 104, Waltham, MA 02453 | 2018-05-25 |
| 1225542970 | Mikayla E Culpo | Nurse Practitioner | 9 Hope Ave Fl Bch4, Waltham, MA 02453 | 2017-11-16 |
| 1568975449 | Twyla Atherna Everett | Massage Therapist | 212 Calvary St, Waltham, MA 02453 | 2017-11-14 |
| 1407369382 | Eli Miller | Counselor | 431 River Street, Suite 1, Waltham, MA 02453 | 2017-11-14 |
| 1396263927 | Jill Zaricor | Student in an Organized Health Care Education/Training Program | 77 Rumford Ave C/o Children's Charter, Waltham, MA 02453 | 2017-09-04 |
| 1538683008 | Michael Scaduto | Physical Therapist | 110-1 Clematis Ave, Waltham, MA 02453 | 2017-07-27 |
| Find all providers in zip 02453 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689719502 | Waltham Chiropractic PC | Chiropractor | 425 River St, Waltham, MA 02453 | 2007-02-20 |
| 1588711766 | Roberta Ann Stack | Chiropractor | 42 Weston St, Suite 1, Waltham, MA 02453-7756 | 2007-01-03 |
| 1043305378 | Donald F Counihan Jr. | Chiropractor | 85 First Avenue, Waltham, MA 02451-1105 | 2006-10-03 |
| 1689782898 | Kendra Carnevale | Chiropractor | 1344 Main St, Waltham, MA 02451-1617 | 2006-08-28 |
| 1285747543 | Kevin Jerome Mulhern | Chiropractor | 88 Maple Street, Suite A, Waltham, MA 02453-4068 | 2006-08-17 |
| 1710990213 | Shelley Reimer | Chiropractor | 282 Moody St, Suite 212, Waltham, MA 02453-5219 | 2006-08-14 |
| 1306827779 | Peter Allen Bogart | Chiropractor | 6 Bow St, Waltham, MA 02452-4807 | 2005-11-10 |
| 1942298534 | Ellen L Wolk | Chiropractor | 751 Main St, Suite 25, Waltham, MA 02451-0620 | 2005-10-09 |
| 1336418979 | Parrish A. Rice, D.c. | Chiropractor | 95 Main St, Waltham, MA 02453-6654 | 2011-12-28 |
| 1851660492 | Janet F. Welch, D.c. | Chiropractor | 95 Main St, Waltham, MA 02453-6654 | 2011-12-28 |
| Find all providers in WALTHAM | ||||
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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.