ALAN P. BIRNBAUM (NPI# 1487661021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487661021 |
| Entity Type | Individual |
| Full Name | ALAN P. BIRNBAUM |
| Credential | PH.D. |
| Practice Address |
72 Jaques Ave Worcester MA 01610-2476 |
| Practice Telephone | 5088601020 |
| Practice Fax Number | 5087521379 |
| Mailing Telephone | 5088601020 |
| Mailing Fax Number | 5087521379 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2529 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912937186 | Alan M. Birnbaum | Psychiatry & Neurology | 1275 E Spruce Ave Ste 101, Fresno, CA 93720-3345 | 2006-07-04 |
| 1124057419 | Alan J Birnbaum | Internal Medicine | 100 Navarre Pl, Suite 5570, South Bend, IN 46601-1169 | 2006-07-01 |
| Street Address |
72 JAQUES AVE |
| City | WORCESTER |
| State | MA |
| Zip Code | 01610-2476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104898147 | Jordan A Oshlag | Social Worker | 72 Jaques Ave, Worcester, MA 01610-2476 | 2006-02-03 |
| 1811555873 | Victoria Leigh Lenihan | Registered Nurse | 72 Jaques Ave, Worcester, MA 01610-2476 | 2019-06-04 |
| 1386209880 | Rebecca Mauricio | Counselor | 72 Jaques Ave, Worcester, MA 01610-2476 | 2019-05-09 |
| 1336602077 | Cathy A Foulkrod-pickett | Social Worker | 72 Jaques Ave, Worcester, MA 01610-2476 | 2019-04-10 |
| 1639633530 | Yui Kitayama | Nurse Practitioner | 72 Jaques Ave, Worcester, MA 01610-2476 | 2019-01-24 |
| 1477061521 | Kelley Guilfoil-zinkevich | Social Worker | 72 Jaques Ave, Worcester, MA 01610-2476 | 2018-01-10 |
| 1295240117 | Phillip Hodson | Counselor | 72 Jaques Ave, Worcester, MA 01610-2476 | 2017-12-14 |
| 1063923266 | Shanique Boykin | Social Worker | 72 Jaques Ave, Worcester, MA 01610-2476 | 2017-10-16 |
| 1053821744 | Kaden Trifilio | Social Worker | 72 Jaques Ave, Worcester, MA 01610-2476 | 2017-10-07 |
| 1255859559 | Katie Duclos-zagame | Social Worker | 72 Jaques Ave, Worcester, MA 01610-2476 | 2017-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881189355 | Amber Hall | Counselor | 26 Queen St, 6th Floor, Worcester, MA 01610 | 2018-06-27 |
| 1417401951 | Kelsey Moran | Counselor | 1 College Street, Box D, Worcester, MA 01610 | 2016-08-13 |
| 1245685809 | Walter Trisdale | Specialist/Technologist | One College St., College of The Holy Cross, Worcester, MA 01610 | 2016-05-02 |
| 1669866430 | Shannon Smith | Student in an Organized Health Care Education/Training Program | 26 Queen St, Ground Floor, Ambulatory Psychiatry Service, Ummmc, Worcester, MA 01610 | 2015-03-19 |
| 1063815348 | Terri Boettcher | Social Worker | 72 Jacques Street, Worcester, MA 01610 | 2014-10-01 |
| 1700222866 | Kalynn Lucashensky | Occupational Therapist | 105 Woodland St. Apt. A, Worcester, MA 01610 | 2013-05-16 |
| 1093053993 | Chrissy Marie Ryan | Registered Nurse | 26 Queen St 6th Floor, Flow Pact, Worcester, MA 01610 | 2013-01-28 |
| 1851681324 | Renaissance Adult Day Care, LLC | Clinic/Center | 1040 Southbridge Street, Worcester, MA 01610 | 2011-04-18 |
| 1912203217 | Goddard/homestead | Custodial Care Facility | 10 Homestead Avenue, Worcester, MA 01610 | 2011-02-03 |
| 1912173196 | Rahman Ullah | Dentist | Park Ave Dental Center, 456 Park Avenue, Worchester, MA 01610 | 2008-05-07 |
| Find all providers in zip 01610 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659910867 | Tatiana Gray | Psychologist | 8 Housatonic St, Worcester, MA 01606-1618 | 2020-01-06 |
| 1841789310 | Ashley Murray | Psychologist | 361 Plantation St., Attn: Forensic Services, Worcester, MA 01605 | 2018-05-09 |
| 1760830632 | Samantha Anne Minski | Psychologist | 630 Plantation St Fl Street12, Worcester, MA 01605-2038 | 2016-06-01 |
| 1619201704 | Brenda J King | Psychologist | 78 Burncoat Street, Worcester, MA 01605 | 2009-09-23 |
| 1841460730 | University of Massachusetts | Psychologist | 275a Belmont Street, Worcester, MA 01604-1675 | 2008-03-06 |
| 1467508259 | John Michael Madonna Jr. | Psychologist | 469 Chandler Street, Worcester, MA 01602 | 2007-01-26 |
| 1285799965 | Stuart G Fisher | Psychologist | 124 Newton Ave N, Worcester, MA 01609-1404 | 2006-12-24 |
| 1881757136 | John Patrick Terry | Psychologist | Psychiatry & Familey Counseling 52 Cedar Street, Worcester, MA 01609 | 2006-12-18 |
| 1548343742 | Megan Kirby | Psychologist | 21 Cedar St, Worcester, MA 01609 | 2006-10-23 |
| 1881792034 | Donald A Favreau | Psychologist | 35 Adelle Circuit, Worcester, MA 01607-0563 | 2006-09-20 |
| Find all providers in WORCESTER | ||||
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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.