PCA IN PRIMARY CARE LLC (NPI# 1528498615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528498615 |
| Entity Type | Organization |
| Organization Name | PCA IN PRIMARY CARE LLC |
| Practice Address |
12 Alfred St Suite 200 Woburn MA 01801-1972 |
| Practice Telephone | 7816460500 |
| Practice Fax Number | 7816467130 |
| Mailing Telephone | 7816460500 |
| Mailing Fax Number | 7816467130 |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2013-11-26 |
| Authorized Official Name | DR. MICHAEL F JACQUES (OWNER) |
| Authorized Official Telephone | 7816460500 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers |
| Street Address |
12 ALFRED ST SUITE 200 |
| City | WOBURN |
| State | MA |
| Zip Code | 01801-1972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477550754 | Peter A Orlov | Psychiatry & Neurology | 12 Alfred St, Suite 200, Woburn, MA 01801-1972 | 2005-07-01 |
| 1780130898 | Stephanie Fernandez | Psychologist | 12 Alfred St, Woburn, MA 01801-1972 | 2016-08-29 |
| 1083099097 | Caroline Avitabile | Psychologist | 12 Alfred St, Woburn, MA 01801-1972 | 2015-07-21 |
| 1922416163 | Psychological Care Associates | Psychologist | 12 Alfred St, Suite 200, Woburn, MA 01801-1972 | 2014-07-31 |
| 1013347103 | Pca In Pediatric Primary Care LLC | Psychologist | 12 Alfred St, Suite 200, Woburn, MA 01801-1972 | 2013-11-26 |
| 1821363615 | Diane G Reilly | Psychologist | 12 Alfred St, Suite 200, Woburn, MA 01801-1972 | 2012-03-13 |
| 1215200126 | Stephen E Hylan | Social Worker | 12 Alfred St, Suite 200, Woburn, MA 01801-1972 | 2012-02-23 |
| 1609158328 | Haneen A Haddad | Counselor | 12 Alfred St, Woburn, MA 01801-1972 | 2011-09-20 |
| 1265725816 | Donna J. Graham | Psychologist | 12 Alfred St, Suite 200, Woburn, MA 01801-1972 | 2011-05-16 |
| 1548550346 | Ian M Kelleher | Social Worker | 12 Alfred St, Suite 200, Woburn, MA 01801-1972 | 2011-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267684 | Leticia Siqueiros | Counselor | Health Care Resource Center Woburn, 9 Forbes Rd, Woburn, MA 01801 | 2019-10-28 |
| 1144882739 | Sarah Martino | Registered Nurse | 7 Alfred Street, Baldwin Park II, Woburn, MA 01801 | 2019-07-03 |
| 1780154005 | Julie Paster-kinnicutt | Social Worker | Lahey Accountable Care Unit, 12 Alfred Street, Suite 207, Woburn, MA 01801 | 2018-11-29 |
| 1164906418 | Amanda Chryslan Scippa | Dietitian, Registered | 2 Oak Knoll Drive, Woburn, MA 01801 | 2018-09-22 |
| 1902383276 | Winchester Physician Associates, Inc. | Occupational Therapist | 100 Unicorn Park, Suite 102, Woburn, MA 01801 | 2018-07-19 |
| 1104317494 | Pauline P Reilly | Dentist | 90 Pleasant Street, Dental Health Care of Woburn, P. C., Woburn, MA 01801 | 2018-05-23 |
| 1134628027 | Caroline Rose Scheck | Behavior Technician | 331 Montvale Ave 5th Floor, Woburn, MA 01801 | 2018-02-06 |
| 1396252425 | Sabrina Voegelin | Social Worker | 410 Russell St, Woburn, MA 01801 | 2018-01-10 |
| 1467975730 | Francine Forbes | Behavior Technician | 10 Gill St., J, Woburn, MA 01801 | 2017-07-19 |
| 1568985851 | Lukasiewicz and Bellavance LLC | Dentist | 3 Baldwin Green Common Suite 101, Woburn, MA 01801 | 2017-07-19 |
| Find all providers in zip 01801 | ||||
| Taxonomy Code | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659856458 | Margot Anna Lafortune-flionis | Psychologist | Cameron Middle School, 215 Elm Street, Framingham, MA 01701 | 2018-09-27 |
| 1891276200 | Elizabeth Hope Ross | Psychologist | 2 Gardner Rd Unit 1, Brookline, MA 02445-4561 | 2018-08-23 |
| 1124535729 | Longevity Group LLC | Psychologist | 76 N Bedford St Unit A-4, East Bridgewater, MA 02333-1182 | 2018-01-04 |
| 1326459587 | Eileen Rose Hiatt | Psychologist | 113 Prospect St, Newburyport, MA 01950-3008 | 2014-05-09 |
| 1770921777 | Urbano Psychological & Wellness Services, LLC | Psychologist | 101 Tremont St Ste 205-208, Boston, MA 02108-5004 | 2013-06-12 |
| 1750301966 | Human Relations Service, Inc | Psychologist | 11 Chapel Pl, Wellesley, MA 02481-3130 | 2006-07-20 |
| 1235743923 | Melissa Ross | Psychologist | 520 Dudley St, Roxbury, MA 02119-2769 | 2020-09-01 |
| 1316570369 | Lauren Elizabeth Peterson | Psychologist | 52 Oak St, Middleboro, MA 02346-2078 | 2020-02-18 |
| 1144851692 | Nashley Ivette Nieves | Psychologist | 50 Aldrin Rd, Plymouth, MA 02360-4827 | 2020-02-03 |
| 1174932313 | Mckar, LLC | Psychologist | 170 Common St, Suite 204, Lawrence, MA 01840-1558 | 2014-08-12 |
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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.