CEDAR HILL PEDIATRICS LLC (NPI# 1508351784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508351784 |
| Entity Type | Organization |
| Organization Name | CEDAR HILL PEDIATRICS LLC |
| Practice Address |
1324 Belmont St Ste 105 Brockton MA 02301-4435 |
| Practice Telephone | 5084276000 |
| Practice Fax Number | 5084276010 |
| Mailing Telephone | 5084276000 |
| Mailing Fax Number | 5084276010 |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2019-02-07 |
| Authorized Official Name | DR. LAURA ROBERTSON (MANAGER) |
| Authorized Official Telephone | 5084276000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 217107 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
1324 BELMONT ST STE 105 |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-4435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780128025 | Jessica Redon | Nurse Practitioner | 1324 Belmont St Ste 105, Brockton, MA 02301-4435 | 2016-12-06 |
| 1033680541 | Lauren Kaplan | Nurse Practitioner | 1324 Belmont St Ste 105, Brockton, MA 02301-4435 | 2018-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518436153 | Marybeth Adams-khoury | Pediatrics | 63 Main St Fl 3, Brockton, MA 02301-4042 | 2018-11-13 |
| 1518353820 | Thomas Devries | Pediatrics | 110 Liberty St Ste 1a, Brockton, MA 02301 | 2015-04-13 |
| 1871768291 | Kavita Gupta-shah | Pediatrics | 63 Maing Street, Brockton, MA 02301-4042 | 2008-04-26 |
| 1548374713 | Doris M. Kim | Pediatrics | 670 Centre Street, Brockton, MA 02302 | 2006-08-18 |
| 1023037454 | Sharon M Parnes | Pediatrics | 830 Oak St Ste 220e, Brockton, MA 02301-1191 | 2006-07-18 |
| 1134171671 | Alan Bulotsky, Md & Associates, PC | Pediatrics | 201 Quincy St, Brockton, MA 02302-2926 | 2006-05-16 |
| 1790763324 | David Alvarez-morales | Pediatrics | 179 Quincy St, Brockton, MA 02302-2959 | 2006-01-04 |
| 1164412839 | Howard H Kay | Pediatrics | 65 Libby St, Brockton, MA 02302-2949 | 2005-10-25 |
| 1427042969 | Joseph W Dullea | Pediatrics | 340 Pleasant St, Brockton, MA 02301-3236 | 2005-09-09 |
| 1639178502 | David S. Chung | Pediatrics | 370 Oak St, Suite A, Brockton, MA 02301-1341 | 2005-07-21 |
| Find all providers in BROCKTON | ||||
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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.