CHARMETRIA MONTGOMERY-BOONE (NPI# 1477032704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477032704 |
| Entity Type | Individual |
| Full Name | CHARMETRIA MONTGOMERY-BOONE |
| Practice Address |
695 Truman Hwy Hyde Park MA 02136-3552 |
| Practice Telephone | 6178004633 |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
695 TRUMAN HWY |
| City | HYDE PARK |
| State | MA |
| Zip Code | 02136-3552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891713285 | John P. Harkness | Psychologist | 695 Truman Hwy, Hyde Park, MA 02136-3552 | 2006-07-17 |
| 1518527027 | Milena Braga | Assistant Behavior Analyst | 695 Truman Hwy, Hyde Park, MA 02136-3552 | 2019-06-17 |
| 1104483874 | Charlene L Ross | Counselor | 695 Truman Hwy, Hyde Park, MA 02136-3552 | 2019-05-28 |
| 1164981437 | Wilnie Louis | Counselor | 695 Truman Hwy, Hyde Park, MA 02136-3552 | 2019-03-17 |
| 1184191686 | Shaleece Selden | Counselor | 695 Truman Hwy, Hyde Park, MA 02136-3552 | 2018-11-01 |
| 1285129817 | Sarina Blevins | Counselor | 695 Truman Hwy, Hyde Park, MA 02136-3552 | 2018-06-26 |
| 1912412172 | The Child and Family Wellness Center | Community/Behavioral Health | 695 Truman Hwy, Hyde Park, MA 02136-3552 | 2017-12-11 |
| 1043697857 | Baystate Homecare LLC | Home Health | 695 Truman Hwy, Suite B101, Hyde Park, MA 02136-3552 | 2015-04-30 |
| 1881027142 | Dawn Marie Nathanson | Nurse Practitioner | 695 Truman Hwy, Suite 203, Hyde Park, MA 02136-3552 | 2013-08-09 |
| 1063539971 | Joy Egbertson | Physician Assistant | 695 Truman Hwy, Suite #203, Hyde Park, MA 02136-3552 | 2007-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952892564 | Dionne Latrice | Counselor | 695 Truman Pwky, Boston, MA 02136 | 2018-05-21 |
| 1134622426 | Light House Behavioral Health and Wellness Center Inc. | Community/Behavioral Health | 1 Westinghouse Plaza, A-216, Boston, MA 02136 | 2018-03-13 |
| 1396168795 | Living Well | Home Health | 53 Oak St, Hyde Park, MA 02136 | 2014-01-22 |
| 1891051074 | Marie Ronique Yilain | Licensed Practical Nurse | 59 Cromwell Rd, Hyde Park, MA 02136 | 2012-04-02 |
| 1033410543 | Stephanie Sabrina Seigle | Counselor | 5 Linden Ave, Hyde Park, MA 02136 | 2010-11-15 |
| 1699075747 | Jeffrey Meisner | Physical Therapist | 188 Providence Street, Boston Pain Clinic, Hyde Park, MA 02136 | 2010-10-22 |
| 1356593743 | Supplemantal Health Care Services | Residential Treatment Facility, Physical Disabilities | 731 Truman Hwy, Hyde Park, MA 02136 | 2008-10-16 |
| 1407023047 | Amy Elizabeth Delaney | Nurse Practitioner | 695 Truman Parkway, Suite 203, Hyde Park Pediatrics, Hyde Park, MA 02136 | 2008-05-13 |
| 1629254263 | Alla Urman | Nurse Practitioner | 1274 Hyde Park Ave, Hyde Park, MA 02136 | 2008-01-14 |
| 1912106980 | Marina Williams | Counselor | 1158 Hyde Park Ave, Hyde Park, MA 02136 | 2007-07-11 |
| Find all providers in zip 02136 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154964070 | Lita Renee Bailey | Counselor | 21 Radcliffe Rd, Hyde Park, MA 02136-6112 | 2019-10-23 |
| 1285296681 | Justin Philie | Counselor | Green River Guild, 111 Main St., Hyde Park, VT 05655 | 2019-07-05 |
| 1629638796 | Sadie Lynn Miller | Counselor | 599 Violet Ave, Hyde Park, NY 12538-1852 | 2019-06-19 |
| 1376034942 | Aja A. Rogers | Counselor | 695 Truman Hwy Ste 202, Hyde Park, MA 02136-3552 | 2018-05-19 |
| 1235689167 | Rosangela Moreira | Counselor | 41 Massasoit St, Hyde Park, MA 02136-6723 | 2016-10-04 |
| 1497124713 | David Jefferson | Counselor | 82 Birchcroft Rd, Hyde Park, MA 02136-6087 | 2015-09-16 |
| 1417373655 | Stephen Alexander | Counselor | 440 N 400 E, Hyde Park, UT 84318-3305 | 2014-03-12 |
| 1518381284 | Emmanuel Dorvelus | Counselor | 652 Georgetowne Dr, Hyde Park, MA 02136-1054 | 2014-02-14 |
| 1093146300 | Kimberly Kish | Counselor | 4252 Albany Post Rd Ste 2, Hyde Park, NY 12538-1766 | 2013-12-12 |
| 1972855955 | Harry Emile | Counselor | 463 Huntington Ave, Hyde Park, MA 02136-3103 | 2012-10-15 |
| Find all providers in HYDE PARK | ||||
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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.