ZACHARY BIEDERMANN (NPI# 1508421033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508421033 |
| Entity Type | Individual |
| Full Name | ZACHARY BIEDERMANN |
| Practice Address |
55 Dimock St Roxbury MA 02119-1029 |
| Practice Telephone | 6174428800 |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
55 DIMOCK ST |
| City | ROXBURY |
| State | MA |
| Zip Code | 02119-1029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831197896 | Kelly Flynn | Obstetrics & Gynecology | 55 Dimock St, Roxbury, MA 02119-1029 | 2005-07-13 |
| 1114574019 | Mary Rose Maiullari | Pharmacist | 55 Dimock St, Roxbury, MA 02119-1029 | 2019-08-25 |
| 1851858401 | Yvelande Boursiquot | Social Worker | 55 Dimock St, Roxbury, MA 02119-1029 | 2019-03-01 |
| 1790268837 | Danielle Sharon Ederi | Counselor | 55 Dimock St, Roxbury, MA 02119-1029 | 2018-09-14 |
| 1225527914 | Jevae Nelson | Dentist | 55 Dimock St, Roxbury, MA 02119-1029 | 2018-05-08 |
| 1760996821 | Rachel Shotkin | Social Worker | 55 Dimock St, Roxbury, MA 02119-1029 | 2017-11-28 |
| 1568981421 | Marzieh Bonakdarhashemi | Counselor | 55 Dimock St, Roxbury, MA 02119-1029 | 2017-09-12 |
| 1225554140 | Stacy Lin Longo | Pharmacist | 55 Dimock St, Roxbury, MA 02119-1029 | 2017-08-22 |
| 1639624703 | Cindy Stafford | Counselor | 55 Dimock St, Roxbury, MA 02119-1029 | 2016-08-18 |
| 1205289634 | Alice Han | Obstetrics & Gynecology | 55 Dimock St, Roxbury, MA 02119-1029 | 2016-07-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661644 | Christina Kim Hunt | Case Manager/Care Coordinator | 75 Amory St, Garden Level, Boston, MA 02119 | 2020-08-27 |
| 1962021089 | Taha Fathima Khan | Student in an Organized Health Care Education/Training Program | Boston Medical Center, 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-04-09 |
| 1154957132 | Katherine Erin Douglas | Pediatrics | 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-03-21 |
| 1720536568 | Ramy Y Barrett | Counselor | 77 Savin Street, Apartment # 3, Boston, MA 02119 | 2016-09-21 |
| 1083089676 | Natasha Cruz | Counselor | 263 Eustis Street, Roxbury, MA 02119 | 2015-12-08 |
| 1922478486 | Natalie Jones | Counselor | 520 Dudley St., Roxbury, MA 02119 | 2015-09-28 |
| 1922484799 | Dina Ghaly-habib | Student in an Organized Health Care Education/Training Program | 100 East Newton St., G-706, Boston, MA 02119 | 2015-08-04 |
| 1942697248 | Pyramid Builders | Case Management | 11 Roxbury Street, Boston, MA 02119 | 2015-04-24 |
| 1063810984 | Sophia Smalls | Counselor | 250 Walnut Ave, Apt. 10, Boston, MA 02119 | 2014-12-09 |
| 1750705059 | Alasa Hawkins | Counselor | 502 Dudley St, Roxbury, MA 02119 | 2014-02-07 |
| Find all providers in zip 02119 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407202708 | Anicia Fernandes | Developmental Therapist | 68 Annunciation Rd, Roxbury, MA 02120-1808 | 2016-05-05 |
| 1770843971 | Lindsay Elizabeth Young | Developmental Therapist | 1800 Columbus Ave, Roxbury, MA 02119-1042 | 2012-05-22 |
| 1831374503 | Maria Helen Stack | Developmental Therapist | 55 Dimock St, Roxbury, MA 02119-1029 | 2007-12-31 |
| 1417137373 | Edna De Pina | Developmental Therapist | 1800 Columbus Ave, Roxbury, MA 02119-1042 | 2007-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527090 | Kelsey Pomare Deschene | Developmental Therapist | 22 Currier Ave, Haverhill, MA 01830-6441 | 2020-10-29 |
| 1063012243 | Megan Alicia Harty | Developmental Therapist | 183 I St, Boston, MA 02127-4049 | 2020-10-28 |
| 1255939971 | Myriame Germain | Developmental Therapist | 74 Highcrest Rd, Roslindale, MA 02131-4824 | 2020-10-14 |
| 1659988202 | Jordan Taylor Clauson | Developmental Therapist | 300 E Main St Ste 104, Milford, MA 01757-2806 | 2020-09-28 |
| 1659905248 | Adrienne Nicole Wilson | Developmental Therapist | 15 Atherton Rd Apt 1, Brookline, MA 02446-2770 | 2020-02-24 |
| 1144853920 | Jamie Saunders | Developmental Therapist | 77 Gravel Bank Rd, Clarksburg, MA 01247-9731 | 2020-02-19 |
| 1164060612 | Shelby Morgan Johnson | Developmental Therapist | 11 Argyle St, Andover, MA 01810-2706 | 2019-12-16 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1356987606 | Teodora Veleva | Developmental Therapist | Kennedy Donovan Cape & Islands Early Intervention, 80 Pearl Street, Hyannis, MA 02601 | 2019-11-21 |
| 1245875376 | Courtney Rose Bird | Developmental Therapist | 87 Orchard St, Adams, MA 01220-2324 | 2019-11-13 |
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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.