DR. JOHN MINER (NPI# 1558380360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558380360 |
Entity Type | Individual |
Full Name | DR. JOHN MINER |
Credential | PSY.D. |
Practice Address |
100 Eliot St Chestnut Hill MA 02467-1435 |
Mailing Address |
10 Portsmouth St Boston MA 02135-1411 |
Practice Telephone | 6177820303 |
Mailing Telephone | 6177820303 |
Enumeration Date | 2006-07-19 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 103G00000X | Clinical Neuropsychologist | 4462 | MA | Behavioral Health & Social Service Providers |
X | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
4462 | MA | Behavioral Health & Social Service Providers |
X | 103TC0700X |
Psychologist Specialization: Clinical |
4462 | MA | Behavioral Health & Social Service Providers |
X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
4462 | MA | Behavioral Health & Social Service Providers |
X | 103TS0200X |
Psychologist Specialization: School |
166523 | MA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | UNITED BEHAVIORAL HEALTH | 0495668 | 01 |
MA | TUFTS HEALTH CARE | 732087 | 01 |
MA | HANCOCK | 13632 | 01 |
MA | 0518255 | 05 | |
MA | AETNA | 7764376 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528111762 | John Allen Miner | Psychiatry & Neurology | 25 Housatonic St, Lenox, MA 01240 | 2007-01-19 |
1932289121 | John E Miner | Anesthesiology | 1380 East Medical Center Drive, Dixie Regional Medical Center, St. George, UT 84790 | 2006-10-16 |
1023008844 | John E Miner | Dermatology | 1740 E Paris Ave Se, Grand Rapids, MI 49546-6204 | 2005-10-24 |
Street Address |
100 ELIOT ST |
City | CHESTNUT HILL |
State | MA |
Zip Code | 02467-1435 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013542810 | Joanne L. Faber | Nurse Practitioner | 136 Beverly Road, Chestnut Hill, MA 02467 | 2020-03-12 |
1992338859 | Kim Elizabeth Chaplain | Physical Therapy Assistant | 615 Heath Street, Chestnut Hill, Ma. 02467, Chestnut Hill, MA 02467 | 2020-02-19 |
1407325251 | Tara Paulauskas | Social Worker | 791 Hammond St, Chestnut Hill, MA 02467 | 2018-11-21 |
1932684776 | Jeannine Kremer | Social Worker | 140 Commonweakth Ave, Chestnut Hill, MA 02467 | 2018-09-27 |
1639671563 | Kathleen Houlihan | Social Worker | Boston College Campus School - Campion 197, 140 Commonwealth Ave, Chestnut Hill, MA 02467 | 2018-03-07 |
1609374891 | The Counseling Center At Cela | Counselor | 675 Vfw Parkway #271, Chestnut Hill, MA 02467 | 2018-01-23 |
1033566328 | Boston Body Evolution LLC | Specialist | 1290 Boylston Street, Chestnut Hill, MA 02467 | 2016-05-17 |
1669827630 | Mikayla Wynter | Counselor | 393 Hammond St, Chestnut Hill, MA 02467 | 2016-04-27 |
1043697675 | Accurate Care Afc, Inc. | Home Health | 50/56 Broadlawn Park, Apt 506, Chestnut Hill, MA 02467 | 2015-05-04 |
1609285360 | Oba LLC | Anesthesiology | 6 Eliot Crescent, Brookline, MA 02467 | 2014-08-07 |
Find all providers in zip 02467 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942358593 | Diane Rae Schodlatz | Clinical Neuropsychologist | 72 Fairway Rd, Chestnut Hill, MA 02467-1818 | 2007-01-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154949873 | Erica Rose Appleman | Clinical Neuropsychologist | 134 Horace St, Boston, MA 02128-1581 | 2020-07-09 |
1578187613 | Nancy Schneider-pruett | Clinical Neuropsychologist | The Neuropsychology Service, 100 Cummings Center, Beverly, MA 01982 | 2020-06-04 |
1194365312 | Erin Grace Kitchener | Clinical Neuropsychologist | 1 Wells Ave Fl 4, Newton, MA 02459-3211 | 2020-01-15 |
1407330509 | Coastal Psychological Center, LLC. | Clinical Neuropsychologist | 36 Woburn St Ste 6, Reading, MA 01867-2903 | 2018-09-24 |
1881102515 | Matthew S Conway | Clinical Neuropsychologist | 26 Chestnut St Ste 2e, Andover, MA 01810-3600 | 2018-01-16 |
1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
1346792637 | Margaret Alice Mcphee | Clinical Neuropsychologist | 29 Regina Dr, Chelmsford, MA 01824-4540 | 2016-11-02 |
1154870814 | Jessica Pan | Clinical Neuropsychologist | 1 Bowdoin St, 7th Floor, Boston, MA 02114-4201 | 2016-09-22 |
1508217506 | Donald Bearden | Clinical Neuropsychologist | 30 Iroquois St, Unit 33, Roxbury Crossing, MA 02120-2848 | 2016-06-30 |
1497115612 | Susan Magocsi | Clinical Neuropsychologist | 13 Meetinghouse Ln, Milton, MA 02186-2415 | 2016-03-01 |
Find all providers with the same taxonomy |
City | CHESTNUT HILL |
Zip Code | 02467 |
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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.