TERESA LYNN BLEVINS (NPI# 1487913406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487913406 |
| Entity Type | Individual |
| Full Name | TERESA LYNN BLEVINS |
| Credential | PH.D. |
| Practice Address |
872 Massachusetts Ave Suite 2-2, 2-7 Cambridge MA 02139-3073 |
| Mailing Address |
2314 W 2nd Ave Apt C Spokane WA 99201-5831 |
| Practice Telephone | 6173955806 |
| Mailing Telephone | 3347509827 |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2012-05-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
9516 | MA | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
9516 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285823252 | Teresa Ellen Blevins | Occupational Therapy Assistant | 1440 Snow Road, Parma, OH 44134 | 2007-10-16 |
| Street Address |
872 MASSACHUSETTS AVE SUITE 2-2, 2-7 |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02139-3073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740282094 | Wayne Edward Brunell | Psychiatry & Neurology | 872 Massachusetts Ave, Ste 1-4, Cambridge, MA 02139-3013 | 2005-06-01 |
| 1821631995 | Juliet Pellicane | Counselor | 872 Massachusetts Ave, Cambridge, MA 02139-3073 | 2019-10-22 |
| 1770912610 | Francis Guerriero | Social Worker | 872 Massachusetts Ave, Suite 2-2, Cambridge, MA 02139-3073 | 2013-11-01 |
| 1851656458 | Mark Nickolas | Counselor | 872 Massachusetts Ave, Suite 2-2, Cambridge, MA 02139-3073 | 2012-07-10 |
| 1518277573 | Rebecca Lawrence | Social Worker | 872 Massachusetts Ave, Suite 2-1, Cambridge, MA 02139-3073 | 2010-10-08 |
| 1881923043 | Blumit Shmolak | Counselor | 872 Massachusetts Ave, Cambridge, MA 02139-3073 | 2009-12-17 |
| 1851557789 | Brittany J Hartman | Counselor | 872 Massachusetts Ave, Suite 2-7, Cambridge, MA 02139-3073 | 2008-07-30 |
| 1538340591 | Jennifer Strong | Psychologist | 872 Massachusetts Ave, Suite 2-7, Cambridge, MA 02139 | 2007-11-19 |
| 1801952841 | Seymour H Andrus | Dentist | 872 Massachusetts Ave, Suite 2-6, Cambridge, MA 02139-3073 | 2006-12-27 |
| 1447315049 | Vikki L Brown | Psychologist | 872 Massachusetts Ave, Ste 2-1, Cambridge, MA 02139-3072 | 2006-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316044 | Diane Greenleaf | Registered Nurse | Cha Windsor Clinic, 119 Windsor St, Cambridge, MA 02139 | 2019-09-26 |
| 1730738345 | Martin Bednar | Student in an Organized Health Care Education/Training Program | 350 Massachusetts Avenue, Cambridge, MA 02139 | 2019-09-06 |
| 1861050049 | Rebecca Marie Addison | Dietitian, Registered | 75 Auburn St, Cambridge, MA 02139 | 2019-06-03 |
| 1285103051 | Jenna Halloran | Social Worker | 929 Massaschusetts Ave, Cambridge, MA 02139 | 2018-11-21 |
| 1750859286 | Lisa Marie Keovongsa | Dietitian, Registered | 186 1/2 Hampshire St., Cambridge, MA 02139 | 2018-11-02 |
| 1245714237 | Eleanor Coffin | Occupational Therapist | 1483 Cambridge St, Cambridge, MA 02139 | 2018-09-17 |
| 1649758277 | Sariya Idriss | Social Worker | Cambridge Health Alliance, 1493 Cambridge St., Cambridge, MA 02139 | 2018-08-06 |
| 1538647151 | Ari Pehkonen | Social Worker | Cambridge Health Alliance, Cambridge Hospital, 1493 Cambridge St., Cambridge, MA 02139 | 2018-08-06 |
| 1972080893 | Esther Cazeau | Counselor | 237 Hampshire St., Cambridge, MA 02139 | 2018-07-24 |
| 1528596533 | Adam Liebling | Acupuncturist | 11 Fiske Pl., Cambridge, MA 02139 | 2017-06-03 |
| Find all providers in zip 02139 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477001139 | Eva Simone Wilson | Psychologist | 23 Irving St, Apt 2, Cambridge, MA 02138-3042 | 2016-09-12 |
| 1023244852 | Jeb Thomas Fowler | Psychologist | 1 Arnold Cir Ste 7, Cambridge, MA 02139-2250 | 2009-06-08 |
| 1780833731 | Judith Rose Nelson-barnett | Psychologist | 32393 Rendova Cir Ne, Cambridge, MN 55008-6643 | 2008-09-15 |
| 1093836983 | Barbara Olivia Erickson | Psychologist | 237 2nd Ave Sw, Cambridge, MN 55008-1536 | 2007-04-02 |
| 1831230853 | Charlotte B Temin | Psychologist | 15a Channing St, Cambridge, MA 02138-4713 | 2007-02-11 |
| 1205989662 | Robert Adelberg | Psychologist | 18 Bellevue Ave, Cambridge, MA 02140-3635 | 2007-01-19 |
| 1356411862 | North Charles Mental Health Research & Training Foundation, Inc | Psychologist | 54 Washburn Ave, Cambridge, MA 02140-1128 | 2006-11-09 |
| 1386673242 | Mark Lamar Byers | Psychologist | 2 Arnold Cir, Cambridge, MA 02139-2213 | 2006-07-02 |
| 1770537656 | Francine Davis | Psychologist | 1 Mifflin Pl, Suite 260, Cambridge, MA 02138-4907 | 2006-05-22 |
| 1083277297 | Jessica Liu | Psychologist | 1493 Cambridge St, Cambridge, MA 02139-1099 | 2019-04-15 |
| Find all providers in CAMBRIDGE | ||||
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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.