PATRIOT BEHAVIORAL HEALTH INC. (NPI# 1518085968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518085968 |
| Entity Type | Organization |
| Organization Name | PATRIOT BEHAVIORAL HEALTH INC. |
| Other Organization Name | PATRIOT ELDERCARE INC |
| Practice Address |
1261 Furnace Brook Parkway Suite 22 Quincy MA 02169 |
| Practice Telephone | 6173022481 |
| Practice Fax Number | 6174726947 |
| Mailing Telephone | 6173022481 |
| Mailing Fax Number | 6174726947 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-24 |
| Authorized Official Name | ALEXANDRA L ACCARDI (OWNER, CEO) |
| Authorized Official Telephone | 7742191490 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9712411 | 05 |
| Other Name | Type Code |
|---|---|
| Patriot Eldercare Inc | Former Legal Business Name - Organization |
| Street Address |
1261 FURNACE BROOK PARKWAY SUITE 22 |
| City | QUINCY |
| State | MA |
| Zip Code | 02169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992816698 | George J Ducach Dpm PC | Podiatrist | 1261 Furnace Brook Parkway, Suite #18, Quincy, MA 02169 | 2006-08-31 |
| 1477839132 | Patriot Elder Care Inc. | Nursing Facility/Intermediate Care Facility | 1261 Furnace Brook Parkway, Suite 22, Quincy, MA 02169 | 2011-10-26 |
| 1518042217 | Dana M Smith Nasiff | Podiatrist | 1261 Furnace Brook Parkway, Suite 18, Quincy, MA 02169 | 2006-10-25 |
| 1508951906 | Sharon Ricki Leblanc | Social Worker | 1261 Furnace Brook Parkway, Quincy, MA 02169 | 2006-10-03 |
| 1821197419 | Gilbert Howard Peters | Social Worker | 1261 Furnace Brook Parkway, Quincy, MA 02169 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807528 | Centi Psychological Services Pllc | Psychologist | 35 Renwick Rd, Melrose, MA 02176-1218 | 2020-06-29 |
| 1760008072 | Louise Ross | Psychologist | 223 Bishops Forest Dr, Waltham, MA 02452-8804 | 2020-06-23 |
| 1417419060 | John Benjamin Barnes | Psychologist | 76 Davidson Rd, Framingham, MA 01701-3292 | 2019-04-03 |
| 1508351107 | Breanna Wardwell | Psychologist | 110 Maple St Ste 110, Springfield, MA 01105 | 2018-06-26 |
| 1376038372 | Ellen Leigh | Psychologist | 8 Summer St Apt 105, Arlington, MA 02474-3059 | 2018-06-22 |
| 1538650601 | Leonard Anthony Doerfler | Psychologist | 26 Pinedale Rd, Shrewsbury, MA 01545-3502 | 2018-05-24 |
| 1700389749 | Arden Sugeily Lake | Psychologist | 50 Annafran St, Roslindale, MA 02131-4705 | 2018-03-15 |
| 1780183277 | Laurence James Stybel | Psychologist | 27 Bayfield Rd, Wayland, MA 01778-4205 | 2018-02-09 |
| 1114449931 | Stephanie M Ribeiro | Psychologist | 27 Stratfield Ave, Westfield, MA 01085-2222 | 2017-07-13 |
| 1033650908 | Jean Curtis Loud | Psychologist | 17 East Chop Drive, Oak Bluffs, MA 02557 | 2017-03-13 |
| Find all providers with the same taxonomy | ||||
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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.