JOAN STACK KOVACH (NPI# 1467483230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467483230 |
| Entity Type | Individual |
| Full Name | JOAN STACK KOVACH |
| Credential | APRN, BC |
| Practice Address |
Mclean Hospital Southeast Location 940 Belmont Street Brockton MA 02301 |
| Mailing Address |
115 Mill St Belmont MA 02478-1041 |
| Practice Telephone | 5088948316 |
| Practice Fax Number | 5088948334 |
| Mailing Telephone | 5088948316 |
| Mailing Fax Number | 5088948334 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 111881 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS | PN0237 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962652917 | Joan P Kovach | Specialist/Technologist, Other | 880 W Central Rd, Suite 5500, Arlington Heights, IL 60005-2355 | 2008-09-26 |
| Street Address |
MCLEAN HOSPITAL SOUTHEAST LOCATION 940 BELMONT STREET |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508897513 | Richard Jon Curcuru | Social Worker | Mclean Hospital Southeast Location, 940 Belmont Street, Brockton, MA 02301 | 2006-07-06 |
| 1730221755 | John J Knox | Social Worker | Mclean Hospital Southeast Location, 940 Belmont Street, Brockton, MA 02301 | 2007-02-13 |
| 1982754529 | Karen K Weeks | Social Worker | Mclean Hospital Southeast Location, 940 Belmont Street, Brockton, MA 02301 | 2007-01-12 |
| 1013071315 | Maryellen Mcgrath-howie | Social Worker | Mclean Hospital Southeast Location, 940 Belmont Street, Brockton, MA 02301 | 2006-12-20 |
| 1497786271 | Jill Ann Marciello | Social Worker | Mclean Hospital Southeast Location, 940 Belmont Street, Brockton, MA 02301 | 2006-07-06 |
| 1194757914 | Christopher Arnsby Herbert | Social Worker | Mclean Hospital Southeast Location, 940 Belmont Street, Brockton, MA 02301 | 2006-07-06 |
| 1295767085 | Katherine I Linscott | Social Worker | Mclean Hospital Southeast Location, 940 Belmont Street, Brockton, MA 02301 | 2006-07-06 |
| 1013949809 | Mark Jacob Longsjo | Social Worker | Mclean Hospital Southeast Location, 940 Belmont Street, Brockton, MA 02301 | 2006-07-06 |
| 1871525675 | Jeffrey Don Rediger | Psychiatry & Neurology | Mclean Hospital Southeast Location, 940 Belmont Street, Brockton, MA 02301 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467744979 | Phyllis S Moore | Clinical Nurse Specialist | 940 Belmont St, Mclean Hospital Southeast Location, Brockton, MA 02301-5596 | 2011-05-03 |
| 1194708032 | Maureen Dumas-lipka | Clinical Nurse Specialist | 110 Liberty St, Brockton, MA 00301-5521 | 2005-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487289641 | Carol P Corcoran | Clinical Nurse Specialist | 34 Lawrence St, Wakefield, MA 01880-1847 | 2020-03-09 |
| 1770618803 | Beverlee Sclar | Clinical Nurse Specialist | 8 Alton Place Suite #5, Brookline, MA 02446 | 2007-02-22 |
| 1629123542 | Jane M Woodman | Clinical Nurse Specialist | Appleton Building 2 No Main St Suite 3, Ipswich, MA 01938 | 2007-01-23 |
| 1467531426 | Peggy Louise Wolff | Clinical Nurse Specialist | 126 Cave Hill Road, Leverett, MA 01054-9728 | 2006-11-02 |
| 1043390909 | Ann Galligan | Clinical Nurse Specialist | 25 Mohawk Drive, Leominster, MA 01453 | 2006-10-16 |
| 1073609301 | Katherine A Blake | Clinical Nurse Specialist | 55 Pleasant Street, Newbury Port, MA 01950 | 2006-10-05 |
| 1770597429 | Elizabeth Mccusker-hunt | Clinical Nurse Specialist | 125 Liberty St Ste 2, Danvers, MA 01923-3325 | 2006-07-28 |
| 1881625242 | Rachel A Darian | Clinical Nurse Specialist | 169 Libbey Pkwy 2nd Floor, Weymouth, MA 02189-3101 | 2006-07-05 |
| 1891735726 | Rochelle Cooper | Clinical Nurse Specialist | 20 Watertown St, Watertown, MA 02472-2505 | 2006-06-08 |
| 1316984065 | Jeanette Marie Maddix | Clinical Nurse Specialist | 323 Boston Post Rd, Sudbury, MA 01776-3022 | 2006-06-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JOAN STACK KOVACH.
| 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.