MR. MATTHEW STEVEN BRONHEIM (NPI# 1457839276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457839276 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW STEVEN BRONHEIM |
| Credential | LCSW |
| Practice Address |
66 Canal St Boston MA 02114-2002 |
| Practice Telephone | 6176195939 |
| Practice Fax Number | 6173713038 |
| Mailing Telephone | 6176195939 |
| Mailing Fax Number | 6173713038 |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2020-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14 Fordham Rd, Allston, MA 021343006 | 6177826460 |
| Street Address |
66 CANAL ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306993928 | Mark S Abelman | Social Worker | 66 Canal St, Boston, MA 02114-2002 | 2007-01-04 |
| 1659919488 | Genevieve Marie Minori | Case Manager/Care Coordinator | 66 Canal St, Boston, MA 02114-2002 | 2019-12-11 |
| 1215589775 | Barbara Ellen Burns | Case Manager/Care Coordinator | 66 Canal St, Boston, MA 02114-2002 | 2019-07-15 |
| 1437719200 | Bridget Hager | Counselor | 66 Canal St, Boston, MA 02114-2002 | 2019-06-14 |
| 1538628342 | Henrietta Imade Idumwonyi | Registered Nurse | 66 Canal St, Boston, MA 02114-2002 | 2019-03-19 |
| 1215404322 | Christina Haggerty | Social Worker | 66 Canal St, Boston, MA 02114-2002 | 2018-10-26 |
| 1770067050 | Ruth Harel Garvey | Social Worker | 66 Canal St, Boston, MA 02114-2002 | 2018-09-21 |
| 1619469855 | Jessica Visconti | Counselor | 66 Canal St, Boston, MA 02114-2002 | 2018-06-04 |
| 1154822856 | Ashlee Steed | Case Manager/Care Coordinator | 66 Canal St, Boston, MA 02114-2002 | 2018-02-27 |
| 1750882718 | Neal Jatekar | Case Manager/Care Coordinator | 66 Canal St, Boston, MA 02114-2002 | 2018-02-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271397 | Maximilian Richert | Counselor | 25 Kingston St, 4r, Boston, MA 02111 | 2020-10-06 |
| 1508463688 | April Chante Rowell | Counselor | 25 Kingston St Ste 4r, Boston, MA 02111-2200 | 2020-10-02 |
| 1598370629 | Peaceful Healing Soul Counseling Center, LLC | Counselor | Online Therapy, Boston, MA 02127 | 2020-09-15 |
| 1578181871 | Victor Stewart | Counselor | 37 Copeland St Apt 3, Boston, MA 02119-2288 | 2020-07-13 |
| 1831712165 | Mona Hdeib | Counselor | 7 Avenue De Lafayette # 120153, Boston, MA 02111-1736 | 2020-05-21 |
| 1316587413 | Laurence Phillip Casey | Counselor | 63 Woolson St Apt 1, Boston, MA 02126-2072 | 2020-01-07 |
| 1487295036 | Alisa C. Ritchie | Counselor | 1 Westinghouse Plz Fl 2, Boston, MA 02136-2075 | 2019-10-04 |
| 1508412636 | Madison Lambert | Counselor | 39 Bowdoin St, Boston, MA 02114-4201 | 2019-08-14 |
| 1730748104 | Nassima Mouhoubi | Counselor | 105 Chauncy St Fl 5, Boston, MA 02111-1726 | 2019-06-10 |
| 1336622943 | James Allan Scholl | Counselor | 85 E Newton St # M912, Boston, MA 02118-2841 | 2018-09-10 |
| Find all providers in BOSTON | ||||
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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.