DR. STEPHEN ELLIOT LITWACK (NPI# 1447359849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447359849 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN ELLIOT LITWACK |
| Credential | PHD |
| Practice Address |
1342 Belmont Street Suite 103 Brockton MA 02401 |
| Practice Telephone | 5088959393 |
| Mailing Telephone | 5088959393 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2010-07-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 202 | MA | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | PY2105PR | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MAGELLAN | 161283 | 01 | |
| BCBS | W02296 | 01 |
| Street Address |
1342 BELMONT STREET SUITE 103 |
| City | BROCKTON |
| State | MA |
| Zip Code | 02401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154484087 | Marjorie B Sullivan | Social Worker | 1342 Belmont Street, Suite 101 Van S Batchis Md and Assoc, Brockton, MA 02301 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811018922 | Maria Lucia Segura | Dentist | 304 Pleasant St., Brockton, MA 02401 | 2007-04-03 |
| 1154482545 | Franklin Jerome Galvin | Psychologist | 529 Pearl Street, Brockton, MA 02401 | 2006-12-12 |
| 1275628539 | Richard Michael Gray | Dentist | 940 Belmont 160 St, Brockton Va Medical Ctr, Brockton, MA 02401 | 2006-10-04 |
| 1114057650 | Elena B Nikolskaia | Psychiatry & Neurology | 940 Belmont Street, Brockton Va Medical Center, Brockton, MA 02401 | 2007-03-06 |
| 1609893197 | Patricia White | Nurse Practitioner | 1351 Main St, Brockton, MA 02401 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194316 | Joyce Onyango | Registered Nurse | 55 Knapp Ctr, Brockton, MA 02301-5535 | 2020-11-02 |
| 1992305338 | Rebecca Rivas | Student in an Organized Health Care Education/Training Program | 419 Court St, Brockton, MA 02302-2809 | 2020-10-26 |
| 1396344248 | Norine Lopes | Massage Therapist | 102 Green St Apt 1, Brockton, MA 02301-7214 | 2020-10-21 |
| 1184222531 | Antoinett Gomes | Counselor | 11 Battles St Apt 3, Brockton, MA 02301-2236 | 2020-10-16 |
| 1316545510 | Leonard Paul Dagesse | Counselor | 51 Gladstone St, Brockton, MA 02302-3338 | 2020-10-12 |
| 1154929263 | Taylor Marston | Community Health Worker | 56 Cherry St # 3, Brockton, MA 02301-2608 | 2020-10-12 |
| 1003414335 | Trinette Stephenson Hall | Social Worker | 29 Belcher Ave, Brockton, MA 02301-4103 | 2020-10-09 |
| 1093312290 | Danny Pires Darosa | Behavior Technician | 36 Beach St, Brockton, MA 02302-4003 | 2020-10-01 |
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1720695919 | Albert Bruce Myers Iv | Counselor | 139 Ash St, Brockton, MA 02301-3663 | 2020-09-30 |
| Find all providers in BROCKTON | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356792584 | Joseph Francis Meyer IIi | Psychologist | Va Boston Healthcare System, Brockton Division, 940 Belmont Street, Building 5, Mailstop 118a, Brockton, MA 02766-5596 | 2016-06-29 |
| 1689720302 | Westside Behavioral Health, LLC | Psychologist | 7 Christy Drive, Suite 3, Brockton, MA 02301 | 2007-01-26 |
| 1013015296 | Leon J Monnin | Psychologist | 1350 Belmont Street, Suite 103, Brockton, MA 02301-4430 | 2006-09-20 |
| 1881625309 | Peter J Scanlon | Psychologist | 37 Belmont St, South Bay, Brockton, MA 02301-5299 | 2006-07-05 |
| 1841810728 | Samara Paige Grayson | Psychologist | 940 Belmont St, Brockton, MA 02301-5596 | 2020-04-21 |
| 1316580103 | Kelly Klein | Psychologist | 940 Belmont St Bldg 2, Brockton, MA 02301-5596 | 2019-10-23 |
| 1174006654 | Hannah R King | Psychologist | 940 Belmont St, Brockton, MA 02301-5596 | 2018-09-11 |
| 1912496852 | Shannon Maney | Psychologist | 215 Main St Ste 210, Brockton, MA 02301 | 2018-05-07 |
| 1932652245 | Patricia Bamonti | Psychologist | 940 Belmont St, Brockton, MA 02301-5596 | 2016-08-03 |
| 1780023051 | Daniel Brett Rounsaville | Psychologist | 940 Belmont St, Brockton, MA 02301-5596 | 2013-06-20 |
| Find all providers in BROCKTON | ||||
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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.