MS. JEAN SERVELLO (NPI# 1497076657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497076657 |
| Entity Type | Individual |
| Full Name | MS. JEAN SERVELLO |
| Credential | MA CLINICAL PSYCHE |
| Practice Address |
1 Hawthorne Cir Andover MA 01810-2816 |
| Practice Telephone | 9784753506 |
| Practice Fax Number | 9784753506 |
| Mailing Telephone | 9784753506 |
| Mailing Fax Number | 9784753506 |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2010-06-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 447 | MA | Behavioral Health & Social Service Providers |
| Street Address |
1 HAWTHORNE CIR |
| City | ANDOVER |
| State | MA |
| Zip Code | 01810-2816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871123513 | Jill Katherine Priestley | Registered Nurse | 251 South Main Street, Andover, MA 01810 | 2020-01-22 |
| 1023672086 | Diane Marie Gallant | Occupational Therapy Assistant | 5606 80 Andover Street, Andover, MA 01810 | 2019-04-25 |
| 1932677473 | Jessica Howie | Physician Assistant | 28 Andover St Fl 1, Andover, MA 01810 | 2018-11-02 |
| 1972087138 | Mia Cloonan | Social Worker | 1 Punchard Avenue, Apt. 3 Rear, Andover, MA 01810 | 2018-09-23 |
| 1063995462 | Janet Suleski | Social Worker | 10 Stevens St, Andover, MA 01810 | 2018-09-11 |
| 1942794706 | Alison Catherine Lynch | Optometrist | 7 Parthenon Cir, Andover, MA 01810 | 2018-06-15 |
| 1740773647 | Wandajune Bishop-towle | Psychologist | 75 Wild Rose Dr., Andover, MA 01810 | 2018-06-14 |
| 1235689860 | Jo-ann Elizabeth Newcomb | Registered Nurse | 12 Hemlock Rd, Andover, MA 01810 | 2016-10-06 |
| 1922476712 | Marianela Rivera | Physical Therapist | 32 Osgood St., Andover, MA 01810 | 2015-09-10 |
| 1447535935 | Kathleen L Mccracken | Occupational Therapy Assistant | 200 Brickstone Square, 3rd Floor, Genesis Rehab Services, Andover, MA 01810 | 2011-10-15 |
| Find all providers in zip 01810 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548884117 | Jennifer Adams | Marriage & Family Therapist | 215 S Andover Rd Ste E, Andover, KS 67002-8055 | 2020-05-30 |
| 1467090522 | Ecp Family Counseling | Marriage & Family Therapist | 21 Central St Unit 21, Andover, MA 01810-3703 | 2019-12-19 |
| 1508416330 | Deanna Dawn Phillips | Marriage & Family Therapist | 1400 Terradyne Dr Ste 209, Andover, KS 67002-7941 | 2019-09-13 |
| 1851759559 | Brandi Maia Loudermilk | Marriage & Family Therapist | 149 S Andover Rd Ste 800, Andover, KS 67002-8064 | 2016-02-09 |
| 1811128580 | Kilee Mae Armstrong | Marriage & Family Therapist | 1400 Terradyne Dr Ste 222, Andover, KS 67002-7943 | 2009-07-29 |
| 1033350087 | Amy Owens Schreffler | Marriage & Family Therapist | 149 S Andover Rd Ste 100, Andover, KS 67002-7935 | 2009-03-19 |
| 1659524296 | Joel Ybarra | Marriage & Family Therapist | 1831 E 21st St, Andover, KS 67002-8495 | 2008-10-28 |
| 1992961890 | Jennifer Lee Willson | Marriage & Family Therapist | 433 Hillcrest Ct N, Andover, KS 67002-9651 | 2008-07-31 |
| 1982824199 | Amy J. Hodgson | Marriage & Family Therapist | 13750 Crosstown Dr., Suite 102, Andover, MN 55304 | 2007-04-27 |
| 1053967737 | Brice Sanner | Marriage & Family Therapist | 149 S Andover Rd Ste 100, Andover, KS 67002-7935 | 2019-08-17 |
| Find all providers in ANDOVER | ||||
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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.