DR. JOHN MINER


Address: 100 Eliot St, Chestnut Hill, MA 02467-1435
Phone: 6177820303

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

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

Other Providers JOHN MINER

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

Office Location

Street Address 100 ELIOT ST
City CHESTNUT HILL
State MA
Zip Code 02467-1435

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013542810 Joanne L. Faber Nurse Practitioner 136 Beverly Road, Chestnut Hill, MA 02467 2020-03-12
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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
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942358593 Diane Rae Schodlatz Clinical Neuropsychologist 72 Fairway Rd, Chestnut Hill, MA 02467-1818 2007-01-08

Providers in the same taxonomy and state

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
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Competitor

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City CHESTNUT HILL
Zip Code 02467

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Dataset Information

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.

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