LYNN COMMUNITY HEALTH CENTER (NPI# 1518376367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518376367 |
| Entity Type | Organization |
| Organization Name | LYNN COMMUNITY HEALTH CENTER |
| Practice Address |
20 Central Ave 3rd Floor Lynn MA 01901-1201 |
| Practice Telephone | 7815962501 |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2014-08-26 |
| Authorized Official Name | MR. JOSE A. MORELL (LEAD CLINICIAN, DIRECTOR OF INTERN) |
| Authorized Official Telephone | 7815962502 |
| Authorized Official Credential | M. ED., CAGS, LM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 1013997691 | MA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164824157 | Lynn Community Health Center | Clinic/Center | 269 Union St, Lynn, MA 01901-1314 | 2014-09-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LYNN COMMUNITY HEALTH CENTER | 269 Union St, Lynn, MA 01901-1314 |
| Street Address |
20 CENTRAL AVE 3RD FLOOR |
| City | LYNN |
| State | MA |
| Zip Code | 01901-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962485748 | Anthony Carl Erdmann | Psychiatry & Neurology | 20 Central Ave, Lynn, MA 01901-1201 | 2005-11-25 |
| 1760035836 | Christine Marie Leibert | Registered Nurse | 20 Central Ave, Lynn, MA 01901-1201 | 2019-07-18 |
| 1336708734 | Mary Dy | Optometrist | 20 Central Ave, Lynn, MA 01901-1201 | 2019-06-10 |
| 1043782717 | Kannika Chap | Student in an Organized Health Care Education/Training Program | 20 Central Ave, Lynn, MA 01901-1201 | 2018-12-19 |
| 1568931459 | Cindi C Flores | Student in an Organized Health Care Education/Training Program | 20 Central Ave, Lynn, MA 01901-1201 | 2018-11-20 |
| 1538636303 | Wanda D Visnick | Registered Nurse | 20 Central Ave, Lynn, MA 01901-1201 | 2018-10-30 |
| 1962902569 | Nakiba Nelson | Registered Nurse | 20 Central Ave, Lynn, MA 01901-1201 | 2018-02-20 |
| 1033619879 | Saida Aitbouali | Counselor | 20 Central Ave, Lynn, MA 01901-1201 | 2018-02-19 |
| 1245730258 | Sheillanne Wambui | Student in an Organized Health Care Education/Training Program | 20 Central Ave, Lynn, MA 01901-1201 | 2018-02-16 |
| 1255849733 | Catherine Giello | Registered Nurse | 20 Central Ave, Lynn, MA 01901-1201 | 2018-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427515923 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 173 Oxford Street, Lowel Level, Suite P, Lynn, MA 01901 | 2019-02-21 |
| 1730680125 | Sarah Sawulski | Registered Nurse | 269 Union Stree01901t, Lynn, MA 01901 | 2018-02-22 |
| 1184142895 | Adrienne Wood | Case Manager/Care Coordinator | 100 Willow Street, Lynn, MA 01901 | 2017-09-01 |
| 1831613199 | Marie Linda Yannaco-grant | Social Worker | 62 Market Street, Lynn, MA 01901 | 2017-07-28 |
| 1942723457 | Michael Xinyu Miao | Physical Therapy Assistant | 1 Market Street, 3rd Floor, Lynn, MA 01901 | 2017-07-18 |
| 1730544743 | Pediatric Dental Professionals LLC | Dentist | 391 Lynn Way, Bldg A, Lynn, MA 01901 | 2015-12-17 |
| 1346667748 | Emily G. Joseph | Social Worker | 112 Market Street, 2nd Floor, Lynn, MA 01901 | 2014-03-24 |
| 1548510621 | Serena M Smith | Counselor | 181 Union Street, Suite J, Lynn, MA 01901 | 2012-09-14 |
| 1043575624 | Timothy J Bossie | Optometrist | 20 Central Avenue, Lynn, MA 01901 | 2012-07-10 |
| 1689946923 | Lynn Dental Center | Dentist | 232 Union Street, Lynn, MA 01901 | 2012-02-02 |
| Find all providers in zip 01901 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841755386 | Cindy Christina Garcia | Community/Behavioral Health | 165 Verona St, Lynn, MA 01904-2041 | 2019-02-08 |
| 1538661434 | Ruth's Way Inc | Community/Behavioral Health | 26 Waitt Ave, Lynn, MA 01902-1415 | 2018-03-06 |
| 1841634870 | Child and Family Support Services | Community/Behavioral Health | 20 Central Ave Ste 507, Lynn, MA 01901-1201 | 2013-04-21 |
| 1891343018 | Lyndsay Taylor Krisel | Community/Behavioral Health | 181 Union St, Lynn, MA 01901-1311 | 2019-08-30 |
| 1427545029 | Meghan Elisabeth Friel | Community/Behavioral Health | 181 Union St Ste J, Lynn, MA 01901-1311 | 2018-04-18 |
| 1841702883 | Oscar Castro | Community/Behavioral Health | 181 Union St Ste J, Lynn, MA 01901-1311 | 2017-10-31 |
| 1821447897 | Greater Lynn Senior Services | Community/Behavioral Health | 8 Silsbee St, Lynn, MA 01901-1404 | 2016-06-09 |
| 1366896136 | Oxford Intensive Outpatient Recovery Program,llc | Community/Behavioral Health | 173 Oxford St, 1st Floor, Lynn, MA 01901-1117 | 2016-04-19 |
| 1548644370 | South Bay Mental Health | Community/Behavioral Health | 181 Union St, Suite J, Lynn, MA 01901-1311 | 2015-07-10 |
| 1790069532 | Eliot Community Human Services, Inc. | Community/Behavioral Health | 95 Pleasant St, Lynn, MA 01901-1524 | 2011-09-28 |
| Find all providers in LYNN | ||||
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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.