AMANDA MCCLOY (NPI# 1467740357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467740357 |
Entity Type | Individual |
Full Name | AMANDA MCCLOY |
Credential | PMHNP |
Practice Address |
105 Webster St Ste 8 Hanover MA 02339-1227 |
Practice Telephone | 7817546545 |
Mailing Telephone | 7817546545 |
Enumeration Date | 2011-07-13 |
Last Update Date | 2016-09-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
261565-BC | MA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 110091261A | 05 |
Street Address |
105 WEBSTER ST STE 8 |
City | HANOVER |
State | MA |
Zip Code | 02339-1227 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841248465 | Marjorie J. Mccluskey | Nurse Practitioner | 105 Webster St, Suite 8, Hanover, MA 02339-1227 | 2006-05-05 |
1235640681 | Carolyn Cipolla | Nurse Practitioner | 105 Webster St, Hanover, MA 02339-1227 | 2017-10-12 |
1730450792 | Jason Ourada Md PC | Psychiatry & Neurology | 105 Webster St, Unit 6, Hanover, MA 02339-1227 | 2012-01-23 |
1033404298 | Kristen L. Barletta | Nurse Practitioner | 105 Webster St, Ste 8, Hanover, MA 02339-1227 | 2011-06-16 |
1235351941 | Richard B. Smith | Dentist | 105 Webster St, Suite 3, Hanover, MA 02339-1227 | 2007-05-03 |
1205954161 | Ellen Francis Mccarty | Counselor | 105 Webster St, Ste 8, Hanover, MA 02339-1227 | 2007-03-27 |
1245377480 | Edith Susan Minkin | Nurse Practitioner | 105 Webster St, Ste 8, Hanover, MA 02339-1227 | 2007-01-30 |
1538229869 | Peter Stephen Kulka | Dentist | 105 Webster St, Suite 3, Hanover, MA 02339-1227 | 2006-12-08 |
1861551236 | Ronald E Bugaoan | Psychiatry & Neurology | 105 Webster St, Suite #6, Hanover, MA 02339-1227 | 2006-12-08 |
1649338716 | Nancy M Le | Nurse Practitioner | 105 Webster St, Ste 8, Hanover, MA 02339-1227 | 2006-12-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477916500 | Michelle Benvie | Dietitian, Registered | 228 Columbia Rd, D3, Hanover, MA 02339 | 2016-04-05 |
1942577242 | Dalissa Rubi Kelly | Pharmacist | 1167 Washington St., T-2532, Hanover, MA 02339 | 2011-11-30 |
1124306220 | Cynthia Kay Wisted | Physical Therapist | 645 Washington St, Hanover, MA 02339 | 2011-07-25 |
1033405121 | Micaela Joy Lacasse | Pharmacist | 1167 Washington Street, T-2532, Hanover, MA 02339 | 2011-06-27 |
1578862272 | Life Enhancement Psychotherapy LLC | Social Worker | 427 Columbia Rd Ste 108, Hanover, MA 02339 | 2011-03-21 |
1396067427 | Leslie Anne Powers | Marriage & Family Therapist | 51 Mill Street, Suite 8, Hanover, MA 02339 | 2010-02-16 |
1871824912 | Mary Teresa Egan | Acupuncturist | 222 Webster Street, Hanover, MA 02339 | 2010-01-28 |
1669604393 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 1167 Washington St, Hanover, MA 02339 | 2009-08-13 |
1720248404 | Louis J Vanrenen | Acupuncturist | American Acupuncture, 171 Rockland Street, Hanover, MA 02339 | 2008-06-16 |
1629245204 | Jeanne M Christianson | Acupuncturist | Harmony Wellness Center, 51 Mill Street #8, Hanover, MA 02339 | 2008-05-13 |
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Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
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1720627151 | Titomo Healthcare Services LLC | Nurse Practitioner | 1708 Greens Ln, Hanover, MD 21076-1116 | 2020-01-02 |
1740807775 | Michael Hunter Tolleson | Nurse Practitioner | 625 W Elm Ave, Hanover, PA 17331-5125 | 2020-06-25 |
1033404298 | Kristen L. Barletta | Nurse Practitioner | 105 Webster St, Ste 8, Hanover, MA 02339-1227 | 2011-06-16 |
1013033430 | Joan Rosa | Nurse Practitioner | 105 Webster St Ste 8, Hanover, MA 02339-1227 | 2007-03-21 |
1245377480 | Edith Susan Minkin | Nurse Practitioner | 105 Webster St, Ste 8, Hanover, MA 02339-1227 | 2007-01-30 |
1619087442 | Maria L Salafia | Nurse Practitioner | 105 Webster St Ste 8, Hanover, MA 02339-1227 | 2006-08-30 |
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1144829177 | Amiee N Caruso | Nurse Practitioner | 26 Queen St Ste 4, Worcester, MA 01610-2473 | 2020-10-21 |
1629676234 | Sandpiper Wellness, LLC | Nurse Practitioner | 345 Union St Unit 5, New Bedford, MA 02740-3679 | 2020-10-15 |
1912505777 | Samantha Deglaoui | Nurse Practitioner | 1 Clarks Hl Ste 302, Framingham, MA 01702-8172 | 2020-10-14 |
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1184221046 | Abdonne Ngo Nyele Mbouadeu | Nurse Practitioner | 34 Tannery Rd, Sturbridge, MA 01518-1171 | 2020-10-05 |
1013524164 | Atlee Quarrier | Nurse Practitioner | 29 Birch Meadow Rd, Merrimac, MA 01860-1826 | 2020-09-23 |
1669086997 | Unique Psych Services LLC | Nurse Practitioner | 10 Mazzeo Dr Ste 201f, Randolph, MA 02368-3433 | 2020-09-03 |
1457961138 | Savina Nicole Setze | Nurse Practitioner | 15 N Beacon St Apt 914, Allston, MA 02134-1941 | 2020-08-06 |
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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.