DR. SANDRA MATTAR (NPI# 1558843631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558843631 |
| Entity Type | Individual |
| Full Name | DR. SANDRA MATTAR |
| Credential | PSYD |
| Practice Address |
Boston Medical Center 1 Boston Medical Center Place Boston MA 02118 |
| Mailing Address |
720 Harrison Ave Dob 503 Boston MA 02118 |
| Practice Telephone | 6174145245 |
| Practice Fax Number | 6174145520 |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
10362 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598855843 | Sandra Mattar | Speech-Language Pathologist | 2811 Wilshire Blvd, Suite 785, Santa Monica, CA 90403-4803 | 2006-10-14 |
| Street Address |
BOSTON MEDICAL CENTER 1 BOSTON MEDICAL CENTER PLACE |
| City | BOSTON |
| State | MA |
| Zip Code | 02118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407888936 | Philip Cefalo | Internal Medicine | Boston Medical Center, 1 Boston Medical Center Place, Boston, MA 02118 | 2006-07-07 |
| 1134759665 | Sokhira Christina Yang | Nurse Practitioner | Boston Medical Center, 88 E Newton Street, Boston, MA 02118 | 2020-01-23 |
| 1972065779 | Sabrina Karim | Student in an Organized Health Care Education/Training Program | Boston Medical Center, 1 Boston Medical Center Place Department of Pediatrics, Boston, MA 02118 | 2019-04-02 |
| 1871081901 | Davood Tarzi | Student in an Organized Health Care Education/Training Program | Boston Medical Center, One Boston Medical Center Place, Boston, MA 02118-0226 | 2018-04-24 |
| 1396249470 | Wesley Ross Pate | Student in an Organized Health Care Education/Training Program | Boston Medical Center, One Boston Medical Center Place, Boston, MA 02127 | 2018-03-22 |
| 1851700751 | Stanley Madu Nwabudike | Internal Medicine | Boston Medical Center, 830 Harrison Avenue, Boston, MA 02118-2905 | 2014-08-05 |
| 1669531034 | Wael I Nasr | Surgery | Boston Medical Center, One Boston Medical Center Palce, Boston, MA 02118 | 2006-12-08 |
| 1811060049 | Neema C Kaseje | Surgery | Boston Medical Center, 88 East Newton Street, C515, Boston, MA 02118 | 2006-11-16 |
| 1548333776 | Roger K Morgan | Internal Medicine | Boston Medical Center, 715 Albany Street, Boston, MA 02118 | 2006-11-16 |
| 1891801668 | Neha Shah | Internal Medicine | Boston Medical Center, 715 Albany Street, Boston, MA 02118 | 2006-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314330 | Deborah Cohen | Psychologist | 25 State St Fl 26, Boston, MA 02109-2700 | 2020-07-30 |
| 1710596697 | Boston Center for Health Psychology and Biofeedback, LLC | Psychologist | 10 Post Office Sq., Ste 800 South, Boston, MA 02109 | 2020-07-27 |
| 1619599594 | Bozena Forbes | Psychologist | 7 Clarkson St, Boston, MA 02125-2525 | 2020-05-13 |
| 1376189845 | Nicholas Alexander Livingston | Psychologist | 150 S Huntington Ave Rm B13-79, Boston, MA 02130-4817 | 2019-11-20 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1841844693 | Darcy Elizabeth Burgers | Psychologist | 450 Brookline Ave # Jf-736d, Boston, MA 02215-5450 | 2019-07-30 |
| 1780161091 | Andrea Knestel | Psychologist | 224 Clarendon St Ste 51, Boston, MA 02116-3793 | 2018-07-20 |
| 1386121630 | Miryam Yusufov | Psychologist | 375 Longwood Ave # Lw-603, Boston, MA 02215-5395 | 2018-07-19 |
| 1144715798 | Benjamin David Goodlett | Psychologist | 300 Longwood Ave Fegan 4 Genetics, Boston, MA 02115 | 2018-06-26 |
| 1033600887 | Lizabeth Roemer | Psychologist | 100 Morrissey Blvd Dept Of, Boston, MA 02125-3300 | 2018-05-28 |
| Find all providers in BOSTON | ||||
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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.