RELIANT MEDICAL GROUP, INC. (NPI# 1528103025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528103025 |
| Entity Type | Organization |
| Organization Name | RELIANT MEDICAL GROUP, INC. |
| Practice Address |
425 N Lake Ave Worcester MA 01605-2047 |
| Mailing Address |
630 Plantation St, Wot 12th Fl Attn: Medical Staff Services Worcester MA 01605-2038 |
| Practice Telephone | 5088520600 |
| Mailing Telephone | 5083685424 |
| Mailing Fax Number | 5083685530 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2012-01-30 |
| Authorized Official Name | DR. ROBIN RICHMAN (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 5088520600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407064488 | Reliant Medical Group, Inc. | Eyewear Supplier (Equipment, not the service) | 135 Gold Star Blvd, Worcester, MA 01606-2738 | 2007-05-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RELIANT MEDICAL GROUP, INC. | 5 Neponset St, Worcester, MA 01606-2714 |
| Massachusetts Corporations | RELIANT MEDICAL GROUP, INC. | 100 Front St., Worcester, MA 01608 |
| Street Address |
425 N LAKE AVE |
| City | WORCESTER |
| State | MA |
| Zip Code | 01605-2047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164413860 | Madeleine R Fay | Internal Medicine | 425 N Lake Ave, Worcester, MA 01605-2047 | 2005-11-02 |
| 1437127719 | Joel H Popkin | Internal Medicine | 425 N Lake Ave, Worcester, MA 01605 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228340 | Francisca A Bediako | Registered Nurse | Commonwealth Care Alliance, 100 North Parkway-suite # 202, Worcester, MA 01605 | 2020-09-03 |
| 1922660646 | Jenna Patricia Mullarkey | Counselor | Ummmc, Hahnemann Family Health Center, 279 Lincoln Street, Worcester, MA 01605 | 2019-07-02 |
| 1295219293 | Valerie Ann Wedge | Social Worker | 382 Plantation Street, Worcester, MA 01605 | 2018-09-17 |
| 1154800290 | Keri Innis-grant | Counselor | 108 Grove Street, Ste Ll11, Worcester, MA 01605 | 2018-08-09 |
| 1184119463 | Madiinah Namutebi | Registered Nurse | 56 Olga Ave, Worcester, MA 01605 | 2018-06-28 |
| 1841789310 | Ashley Murray | Psychologist | 361 Plantation St., Attn: Forensic Services, Worcester, MA 01605 | 2018-05-09 |
| 1184126419 | Nadia Saforo | Nurse Practitioner | 509 Plantation St Apt 221, Worcester, MA 01605 | 2018-03-02 |
| 1548779044 | Arnold Kamau Thuku | Behavioral Analyst | 55 Erie Ave, Worcester, MA 01605 | 2017-09-27 |
| 1417466483 | Sabine Erica Charles-arbouet | Registered Nurse | 25 Oriol Drive, Worcester, MA 01605 | 2017-09-21 |
| 1548787864 | Alyssa Lynn Champagne | Behavioral Analyst | 19 Judson Rd, Worcester, MA 01605 | 2017-08-28 |
| Find all providers in zip 01605 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386126704 | Sarah J Macdonald | Psychologist | 27 Sever St, Worcester, MA 01609 | 2018-09-01 |
| 1780902767 | Richard Thomas Lanza | Psychologist | 686 Elmore Rd, Worcester, VT 05682-9640 | 2010-05-14 |
| 1780890020 | Wendy Huang | Psychologist | One College Street, Worcester, MA 01610-2395 | 2007-05-15 |
| 1407909484 | Martin John Mcglynn | Psychologist | 20 Indian Lake Pkwy, Worcester, MA 01605-1216 | 2007-01-21 |
| 1306903125 | Sheila Hunt Rosenblatt | Psychologist | 14 Hunthurst Cir, Worcester, MA 01602-2831 | 2007-01-02 |
| 1760576276 | Norma Lorraine Medway | Psychologist | 130 Elm St Ste 100, Worcester, MA 01609 | 2006-10-02 |
| 1740399666 | Neil Ryan Castronovo | Psychologist | 19 Marwood Rd, Worcester, MA 01602-1716 | 2006-08-30 |
| 1508972845 | Craig B Wiener | Psychologist | 48 Cedar St., Worcester, MA 00109-0010 | 2006-08-21 |
| 1295713113 | Leslie S Bourne | Psychologist | 5 Neponset St Fl Street12, Worcester, MA 01606-2714 | 2006-01-03 |
| 1992709448 | Brian Wayne Litzenberger | Psychologist | 9 Cedar St, Worcester, MA 01609-2505 | 2005-06-10 |
| Find all providers in WORCESTER | ||||
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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.