HENRY TYRA (NPI# 1558853150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558853150 |
| Entity Type | Individual |
| Full Name | HENRY TYRA |
| Practice Address |
695 Truman Pwky Boston MA 02136 |
| Practice Telephone | 8887637272 |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
695 TRUMAN PWKY |
| City | BOSTON |
| State | MA |
| Zip Code | 02136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952892564 | Dionne Latrice | Counselor | 695 Truman Pwky, Boston, MA 02136 | 2018-05-21 |
| 1760974372 | Ciara Randolph | Counselor | 695 Truman Pwky, Boston, MA 02136 | 2018-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134622426 | Light House Behavioral Health and Wellness Center Inc. | Community/Behavioral Health | 1 Westinghouse Plaza, A-216, Boston, MA 02136 | 2018-03-13 |
| 1396168795 | Living Well | Home Health | 53 Oak St, Hyde Park, MA 02136 | 2014-01-22 |
| 1891051074 | Marie Ronique Yilain | Licensed Practical Nurse | 59 Cromwell Rd, Hyde Park, MA 02136 | 2012-04-02 |
| 1033410543 | Stephanie Sabrina Seigle | Counselor | 5 Linden Ave, Hyde Park, MA 02136 | 2010-11-15 |
| 1699075747 | Jeffrey Meisner | Physical Therapist | 188 Providence Street, Boston Pain Clinic, Hyde Park, MA 02136 | 2010-10-22 |
| 1356593743 | Supplemantal Health Care Services | Residential Treatment Facility, Physical Disabilities | 731 Truman Hwy, Hyde Park, MA 02136 | 2008-10-16 |
| 1407023047 | Amy Elizabeth Delaney | Nurse Practitioner | 695 Truman Parkway, Suite 203, Hyde Park Pediatrics, Hyde Park, MA 02136 | 2008-05-13 |
| 1629254263 | Alla Urman | Nurse Practitioner | 1274 Hyde Park Ave, Hyde Park, MA 02136 | 2008-01-14 |
| 1912106980 | Marina Williams | Counselor | 1158 Hyde Park Ave, Hyde Park, MA 02136 | 2007-07-11 |
| 1184837999 | Nigel O'neal Best | Physical Therapy Assistant | 84 Tacoma St, Hyde Park, MA 02136 | 2007-05-08 |
| Find all providers in zip 02136 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019800 | Anabel Rohrer | Counselor | 189 Princeton St Apt 1, Boston, MA 02128-3517 | 2020-10-05 |
| 1174138499 | Rachel Theresa Feddor | Counselor | 1970 Commonwealth Ave Apt 48, Boston, MA 02135-5820 | 2020-09-14 |
| 1356953673 | Colleen Murray | Counselor | 45 Montcalm Ave, Boston, MA 02135-2839 | 2020-08-18 |
| 1326657487 | Laqueen Arleen Battle | Counselor | 101 Arch Street, 8th Floor, Ste 869, Boston, MA 02110 | 2020-07-24 |
| 1134737240 | Jeandrilie Font-llorens | Counselor | 440 Mcclellan Hwy Ste 105b, Boston, MA 02128-1101 | 2020-07-15 |
| 1255959524 | Discover Healing Therapy LLC | Counselor | 185 Devonshire St Ste 501, Boston, MA 02110-1415 | 2020-07-13 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1013537992 | James Jeffrey Yelinek Jr. | Counselor | 80 Fenwood Rd Unit 614, Boston, MA 02115-6148 | 2020-04-21 |
| 1952944290 | Chabreah Alston | Counselor | 23 Cameron St Apt 3, Boston, MA 02125-4463 | 2019-10-18 |
| 1720620271 | Cheryl Pamela Lewis | Counselor | 155 Northampton St Apt 408, Boston, MA 02118-1845 | 2019-10-16 |
| 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.