DR. MARTHA ANN COLLETTE (NPI# 1467437608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467437608 |
Entity Type | Individual |
Full Name | DR. MARTHA ANN COLLETTE |
Credential | PHD |
Practice Address |
24 Neptune St Beverly MA 01915-4726 |
Mailing Address |
Po Box 237 Prides Crossing MA 01965-0237 |
Practice Telephone | 9789215080 |
Practice Fax Number | 9789271946 |
Mailing Telephone | 9789222046 |
Mailing Fax Number | 9789271946 |
Enumeration Date | 2005-12-09 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 103G00000X | Clinical Neuropsychologist | 2347 | MA | Behavioral Health & Social Service Providers |
X | 103T00000X | Psychologist | 2347 | MA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 0507253 | 05 |
Street Address |
24 NEPTUNE ST |
City | BEVERLY |
State | MA |
Zip Code | 01915-4726 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184758211 | Martha Collette | Clinical Neuropsychologist | 24 Neptune St, Beverly, MA 01915-4726 | 2007-03-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497377253 | Janice E. Schwartz | Psychologist | 100 Cummings Center, 232 C, Beverly, MA 01915 | 2020-05-14 |
1720625452 | Campos Dental Care PC | Dentist | 127 Dodge Street, Beverly, MA 01915 | 2019-12-02 |
1144781477 | Nutrimedy | Dietitian, Registered | 6 Oceanside Drive, Beverly, MA 01915 | 2019-03-28 |
1376001073 | Benjamin David Stebbings | Counselor | 199 Rosewood Dr. Suite 250, Beverly, MA 01915 | 2019-03-12 |
1376000455 | Patrick Matthew Noble | Occupational Therapist | Peer Projects - Therapy From The Heart, 100 Cummings Center Suite 350g, Beverly, MA 01915 | 2019-02-26 |
1174007900 | Nicole Morreo | Psychologist | 480 Rantoul St., 208, Beverly, MA 01915 | 2018-09-18 |
1891282299 | Jeanne Tomich | Psychologist | 110 Hart St., Beverly, MA 01915 | 2018-04-20 |
1518469089 | Kathleen L Golemon | Specialist | 100 Cummings Center Suite 158-d, Beverly, MA 01915 | 2018-03-01 |
1629582556 | Sarah Elizabeth Tsouvalas | Nurse Practitioner | 900 Cummings Center, Suite 111w, Lahey Health Primary Care, Beverly, Beverly, MA 01915 | 2017-11-30 |
1235657339 | Kathleen Ann Downey | Registered Nurse | Element Care, 166d Cummings Center, Beverly, MA 01915 | 2017-09-08 |
Find all providers in zip 01915 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578187613 | Nancy Schneider-pruett | Clinical Neuropsychologist | The Neuropsychology Service, 100 Cummings Center, Beverly, MA 01982 | 2020-06-04 |
1215047428 | Sigmund Hough | Clinical Neuropsychologist | 100 Cummings Center, Suite 207-p, Beverly, MA 01915-6144 | 2006-08-30 |
1376566919 | Donna Rosemary Marks | Clinical Neuropsychologist | 186 Cabot St, Beverly, MA 01915-5846 | 2006-07-25 |
1548223738 | Eric Pleim | Clinical Neuropsychologist | 7 Beverly Commons Dr, 27, Beverly, MA 01915-5539 | 2006-04-09 |
1437534112 | Rachel Elisabeth Berman | Clinical Neuropsychologist | 800 Cummings Ctr, Suite 266, Beverly, MA 01915-6175 | 2015-07-23 |
1477793834 | Susan Inz | Clinical Neuropsychologist | 100 Cummings Ctr, Suite 456j, Beverly, MA 01915-6115 | 2009-02-25 |
1184758211 | Martha Collette | Clinical Neuropsychologist | 24 Neptune St, Beverly, MA 01915-4726 | 2007-03-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154949873 | Erica Rose Appleman | Clinical Neuropsychologist | 134 Horace St, Boston, MA 02128-1581 | 2020-07-09 |
1194365312 | Erin Grace Kitchener | Clinical Neuropsychologist | 1 Wells Ave Fl 4, Newton, MA 02459-3211 | 2020-01-15 |
1407330509 | Coastal Psychological Center, LLC. | Clinical Neuropsychologist | 36 Woburn St Ste 6, Reading, MA 01867-2903 | 2018-09-24 |
1881102515 | Matthew S Conway | Clinical Neuropsychologist | 26 Chestnut St Ste 2e, Andover, MA 01810-3600 | 2018-01-16 |
1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
1346792637 | Margaret Alice Mcphee | Clinical Neuropsychologist | 29 Regina Dr, Chelmsford, MA 01824-4540 | 2016-11-02 |
1154870814 | Jessica Pan | Clinical Neuropsychologist | 1 Bowdoin St, 7th Floor, Boston, MA 02114-4201 | 2016-09-22 |
1508217506 | Donald Bearden | Clinical Neuropsychologist | 30 Iroquois St, Unit 33, Roxbury Crossing, MA 02120-2848 | 2016-06-30 |
1497115612 | Susan Magocsi | Clinical Neuropsychologist | 13 Meetinghouse Ln, Milton, MA 02186-2415 | 2016-03-01 |
1033524913 | Grant Loren Iverson | Clinical Neuropsychologist | Home Base Program, 101 Merrimac Street, 2nd Floor, Boston, MA 02114 | 2014-06-30 |
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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.