MR. COURTNEY PAUL BENNETT JR. (NPI# 1457697302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457697302 |
| Entity Type | Individual |
| Full Name | MR. COURTNEY PAUL BENNETT JR. |
| Practice Address |
280 Bridge St Ste 230 Dedham MA 02026-1759 |
| Practice Telephone | 7813207607 |
| Practice Fax Number | 7813264654 |
| Mailing Telephone | 7813207607 |
| Mailing Fax Number | 7813264654 |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2012-12-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619536125 | Courtney A Bennett | Counselor | 376 E 400 S Ste 4, Springville, UT 84663-1987 | 2019-06-08 |
| 1760012124 | Courtney M Bennett | Counselor | 2202 Executive Dr Ste C, Hampton, VA 23666-6604 | 2020-01-23 |
| 1326518762 | Courtney Bennett | Behavior Technician | 1887 Monterey Hwy Ste 225, San Jose, CA 95112-6192 | 2018-11-28 |
| 1336486422 | Courtney Anita Bennett | Nurse Practitioner | 1455 N Lakeland Dr, Meridian, MS 39307-9020 | 2013-01-09 |
| 1871861955 | Courtney Bennett | Counselor | 1221 Pierce St, Sioux City, IA 51105-1418 | 2011-12-05 |
| 1508159492 | Courtney Bennett | Physical Therapist | 115 Ne 100th St, Seattle, WA 98125-8099 | 2011-05-25 |
| 1295995868 | Courtney Ellen Bennett | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2008-06-16 |
| Street Address |
280 BRIDGE ST STE 230 |
| City | DEDHAM |
| State | MA |
| Zip Code | 02026-1759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811021090 | Massachusetts Mentor, Inc. | Community/Behavioral Health | 280 Bridge St, Suite 230, Dedham, MA 02026-1759 | 2007-03-16 |
| 1346586187 | Miguel G Cumba | Case Manager/Care Coordinator | 280 Bridge St, Dedham, MA 02026-1759 | 2012-12-26 |
| 1174869911 | Junior M Sanchez | Case Manager/Care Coordinator | 280 Bridge St, Dedham, MA 02026-1759 | 2012-12-26 |
| 1699011478 | Ricky L Jones | Case Manager/Care Coordinator | 280 Bridge St, Suite 230, Dedham, MA 02026-1759 | 2012-12-23 |
| 1285970129 | Michael A Lane | Case Manager/Care Coordinator | 280 Bridge St, Suite 230, Dedham, MA 02026-1759 | 2012-12-21 |
| 1740526698 | Quantae L Byrd | Case Manager/Care Coordinator | 280 Bridge St, 230, Dedham, MA 02026-1759 | 2012-12-21 |
| 1669718508 | Cyndee Cumberbatch | Foster Care Agency | 280 Bridge St, 230, Dedham, MA 02026-1759 | 2012-12-21 |
| 1801132758 | Christine Marie Celata | Case Manager/Care Coordinator | 280 Bridge St, Suite 230, Dedham, MA 02026-1759 | 2012-12-21 |
| 1891031746 | Deshawn Riley | Case Manager/Care Coordinator | 280 Bridge St, Suite 230, Dedham, MA 02026-1759 | 2012-12-21 |
| 1336485275 | Angel Gracia | Case Manager/Care Coordinator | 280 Bridge St, Suite 230, Dedham, MA 02026-1759 | 2012-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879651 | Convenientmd LLC | Clinic/Center | 983 Boston-providence Turnpike, Dedham, MA 02026 | 2020-10-21 |
| 1497354674 | Lifetime Physical Therapy | Physical Therapist | 453 Sprague St, Dedham, MA 02026 | 2020-10-20 |
| 1164060067 | Healthy Healing Home Care Agency LLC | In Home Supportive Care | 3 Allied Dr Suite 303, Dedham, MA 02026 | 2019-12-11 |
| 1689149023 | Alyssa Michel | Counselor | 20 E Astbrook Rd, Suite 104, Dedham, MA 02026 | 2018-10-12 |
| 1467968800 | Joshua A Helm | Chiropractor | 200 Boston Providence Highway, Suite #206, Dedham, MA 02026 | 2017-12-21 |
| 1598283848 | Jason Peltier | Physical Therapist | 606 Providence Highway, Dedham, MA 02026 | 2017-09-07 |
| 1558883371 | Padme Physical Therpay | Clinic/Center | 227 Legacy Place Boulevard, Stil Studio, Dedham, MA 02026 | 2017-07-13 |
| 1851828107 | Pm Pediatrics of New England | Pediatrics | 719 Providence Highway, Dedham, NY 02026 | 2017-05-17 |
| 1740715846 | Stil Legacy Dedham | Physical Therapist | 227 Legacy Place, Dedham, MA 02026 | 2017-04-26 |
| 1053856310 | Donald Hughes | Social Worker | 270 Bridge Street, Suite 301, Dedham, MA 02026 | 2016-12-22 |
| Find all providers in zip 02026 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740526565 | Racquwayne Roger Wint | Case Manager/Care Coordinator | 280 Bridge Street Suit 230, Dedham, MA 02026 | 2012-12-26 |
| 1568708410 | Aaron Graham | Case Manager/Care Coordinator | 290 Bridge St, Dedham, MA 02026-1712 | 2012-12-21 |
| 1922344886 | Bryan Jeffrey Holmes | Case Manager/Care Coordinator | 280 Bridge St Ste 230, Dedham, MA 02026-1759 | 2012-12-21 |
| 1760684484 | Elaine C Suzor | Case Manager/Care Coordinator | 11 Fernwood Rd., Dedham, ME 04429 | 2007-06-04 |
| 1730425497 | Ricardo Anthony Robinson | Case Manager/Care Coordinator | 280 Bridge St Ste 230, Dedham, MA 02026-1759 | 2012-12-27 |
| 1346586187 | Miguel G Cumba | Case Manager/Care Coordinator | 280 Bridge St, Dedham, MA 02026-1759 | 2012-12-26 |
| 1174869911 | Junior M Sanchez | Case Manager/Care Coordinator | 280 Bridge St, Dedham, MA 02026-1759 | 2012-12-26 |
| 1699011478 | Ricky L Jones | Case Manager/Care Coordinator | 280 Bridge St, Suite 230, Dedham, MA 02026-1759 | 2012-12-23 |
| 1285970129 | Michael A Lane | Case Manager/Care Coordinator | 280 Bridge St, Suite 230, Dedham, MA 02026-1759 | 2012-12-21 |
| 1740526698 | Quantae L Byrd | Case Manager/Care Coordinator | 280 Bridge St, 230, Dedham, MA 02026-1759 | 2012-12-21 |
| Find all providers in DEDHAM | ||||
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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.