ANCORA PSYCHOLOGICAL, PLLC (NPI# 1447636352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447636352 |
| Entity Type | Organization |
| Organization Name | ANCORA PSYCHOLOGICAL, PLLC |
| Practice Address |
591 North Ave Door #3, First Floor Wakefield MA 01880-1647 |
| Practice Telephone | 7812244202 |
| Practice Fax Number | 7812244203 |
| Mailing Telephone | 7812244202 |
| Mailing Fax Number | 7812244203 |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-08-03 |
| Authorized Official Name | DR. LAURENCE MERRILL KELLY JR. (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 7812244202 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
9422 | MA | Behavioral Health & Social Service Providers |
| Street Address |
591 NORTH AVE DOOR #3, FIRST FLOOR |
| City | WAKEFIELD |
| State | MA |
| Zip Code | 01880-1647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346312287 | Kelly A. Delorey, D.c., Inc. | Chiropractor | 591 North Ave, Door 4 Ste 2, Wakefield, MA 01880-1647 | 2006-11-15 |
| 1770134173 | Alexandria Marie Lindvig-springborn | Counselor | 591 North Ave, Wakefield, MA 01880-1647 | 2019-09-26 |
| 1881245256 | Lauren E Brierly | Psychologist | 591 North Ave, Wakefield, MA 01880-1647 | 2019-09-26 |
| 1447497771 | Andrea Schroll | Social Worker | 591 North Ave, Wakefield, MA 01880-1647 | 2009-01-08 |
| 1962655431 | Renee S. Lajoie | Counselor | 591 North Ave, Door 3, First Floor, Wakefield, MA 01880-1647 | 2008-10-28 |
| 1861543597 | Patricia J Mian | Registered Nurse | 591 North Ave, Wakefield, MA 01880-1647 | 2007-01-16 |
| 1194892828 | Desneige M Datillio, Rn | Acupuncturist | 591 North Ave, #2, Wakefield, MA 01880-1647 | 2006-11-29 |
| 1164595435 | Kelly A Delorey | Chiropractor | 591 North Ave, Door 4 Ste 2, Wakefield, MA 01880-1647 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497314520 | The Speech Therapy Center | Speech-Language Pathologist | 94 Parker Rd, Wakefield, MA 01880 | 2019-06-12 |
| 1720555774 | Brenda Joyce Baylis | Doula | 4 Foster Street, Wakefield, MA 01880 | 2018-10-29 |
| 1912473521 | Cathy Dowen | Internal Medicine | 607 North Avenue Door 17, Wakefield, MA 01880 | 2018-10-22 |
| 1376035824 | Moira Mcnabb-o'connell | Behavioral Analyst | 607 North Ave Door 11 2nd Floor, Wakefield, MA 01880 | 2018-05-31 |
| 1548785215 | Brightview Wakefield, LLC | Alzheimer Center (Dementia Center) | 21 Crescent Street, Wakefield, MA 01880 | 2017-08-03 |
| 1982125050 | Ashley Rose Sullivan | Behavioral Analyst | 607 North Ave., Door 11, Second Floor, Wakefield, MA 01880 | 2017-06-29 |
| 1659728202 | Michelle Tomczyk | Behavioral Analyst | 301 Edgewater Place, Suite 100, Wakefield, MA 01880 | 2016-05-24 |
| 1104204353 | Logistic Transportation LLC | Taxi | 301 Edgewater Pl 100, Wakefield, MA 01880 | 2015-05-08 |
| 1184042830 | Kimberly Bliss Parent | Massage Therapist | 591 North Avenue, Doo 4, Wakefield, MA 01880 | 2014-03-31 |
| 1457792541 | Maura A Racamato | Community Health Worker | 10 Thistledale Rd, Wakefield, MA 01880 | 2013-07-17 |
| Find all providers in zip 01880 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384651 | Kaleb L. Singleton | Psychologist | 32 Grandeville Ct Apt 1017, Wakefield, RI 02879-8212 | 2020-07-27 |
| 1679806053 | Lauren E Roth | Psychologist | 231 Old Tower Hill Rd Ste 203, Wakefield, RI 02879-3708 | 2009-09-16 |
| 1326198136 | William H Costello | Psychologist | 14 Crystal Street, Wakefield, MA 01880 | 2007-01-12 |
| 1205846599 | John J. Gorvin | Psychologist | 7 Lincoln St, Suite 304, Wakefield, MA 01880-3021 | 2006-08-09 |
| 1528001476 | Samuel R Stockwell | Psychologist | 30 Holley St, Wakefield, RI 02879-3300 | 2006-06-14 |
| 1467430744 | Frances E Demiany | Psychologist | 82 Main St, Wakefield, MA 01880-1022 | 2006-01-06 |
| 1881245256 | Lauren E Brierly | Psychologist | 591 North Ave, Wakefield, MA 01880-1647 | 2019-09-26 |
| 1780085563 | Andrea Lavigne | Psychologist | 24 Salt Pond Rd, D3, Wakefield, RI 02879-4314 | 2014-09-11 |
| 1942530019 | Maleah D Cummings | Psychologist | 103 W Us Highway 2, Wakefield, MI 49968-9515 | 2010-01-12 |
| 1255592044 | South County Behavioral Medicine Inc | Psychologist | 24 Salt Pond Rd, Unit D3, Wakefield, RI 02879-4314 | 2008-06-24 |
| Find all providers in WAKEFIELD | ||||
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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.