KATHRYN MARIE CARUSO (NPI# 1578198172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578198172 |
Entity Type | Individual |
Full Name | KATHRYN MARIE CARUSO |
Practice Address |
400 Washington St Ste 106 Braintree MA 02184-4764 |
Practice Telephone | 7818176386 |
Practice Fax Number | 7818176427 |
Mailing Telephone | 7818176386 |
Mailing Fax Number | 7818176427 |
Enumeration Date | 2020-03-04 |
Last Update Date | 2020-03-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
400 WASHINGTON ST STE 106 |
City | BRAINTREE |
State | MA |
Zip Code | 02184-4764 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568834562 | Lisa Morrill | Counselor | 400 Washington St Ste 106, Braintree, MA 02184 | 2015-10-29 |
1477168383 | Lindsay Beebe | Counselor | 400 Washington St Ste 106, Braintree, MA 02184-4764 | 2020-09-09 |
1225654650 | Patrick Glennon | Counselor | 400 Washington St Ste 106, Braintree, MA 02184-4764 | 2020-06-22 |
1982223590 | Mary Rogers Shea | Counselor | 400 Washington St Ste 106, Braintree, MA 02184-4764 | 2020-04-14 |
1558980110 | Abed Serdji Pierre | Counselor | 400 Washington St Ste 106, Braintree, MA 02184-4764 | 2020-04-14 |
1003452392 | Josh Coronis | Counselor | 400 Washington St Ste 106, Braintree, MA 02184-4764 | 2019-11-21 |
1336798461 | Jessica Lebwith | Counselor | 400 Washington St Ste 106, Braintree, MA 02184-4764 | 2019-09-11 |
1366091951 | Rachael Anne Downey | Counselor | 400 Washington St Ste 106, Braintree, MA 02184-4764 | 2019-09-06 |
1649825761 | Derek Anthony Carvalho | Counselor | 400 Washington St Ste 106, Braintree, MA 02184-4764 | 2019-08-06 |
1629620729 | Christine Sorensen | Counselor | 400 Washington St Ste 106, Braintree, MA 02184-4764 | 2019-07-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396342234 | Albert Jusu | Counselor | Arbour Counseling Services, 400 Washington Street, Braintree, MA 02184 | 2020-10-05 |
1356952378 | Samantha Taylor O'malley | Student in an Organized Health Care Education/Training Program | 639 Granite Street, N/a, Brainetree, MA 02184 | 2020-08-13 |
1184104499 | Andrea Boudreau | Social Worker | Coastal Dcf, 220 R Forbes Road, Braintree, MA 02184 | 2018-08-16 |
1144747221 | Mina Schafft Dmd Pllc | Dentist | 321 Washington Street, Unit 101, Westwood, MA 02184 | 2017-08-29 |
1922520592 | Samson Michel | Counselor | 400 Washington St. Suite 106, Braintree, MA 02184 | 2017-07-14 |
1760912653 | Shannon R Harvey | Behavioral Analyst | 501 Commerce Dr 4207, Braintree, MA 02184 | 2017-06-14 |
1275074429 | Colleen Dalton | Behavioral Analyst | 32 Powder Hill Dr, Braintree, MA 02184 | 2017-03-20 |
1295273266 | Jessica Morris | Occupational Therapist | 16 Kensington Street, Braintree, MA 02184 | 2017-02-09 |
1831560382 | Dr Dental of Braintree PC | Dentist | 284 Grove St, Braintree, MA 02184 | 2015-10-09 |
1730527581 | Nutrition for Healing, Inc | Nutritionist | 501 John Mahar Highway, 3rd Floor, Braintree, MA 02184 | 2013-06-13 |
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Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861010043 | Christopher Solomon | Peer Specialist | 8201 Inwood Dr, Woburn, MA 01801-5161 | 2020-07-14 |
1346878725 | Dynamicare Health | Peer Specialist | 288 Norfolk St Ste 4, Cambridge, MA 02139-1430 | 2020-03-31 |
1114553989 | Theresa Buccico | Peer Specialist | 284 Union Ave, Framingham, MA 01702-6318 | 2020-03-12 |
1235762741 | Peter Douglas Mantell IIi | Peer Specialist | 130 Millers Falls Rd, Turners Falls, MA 01376-2250 | 2020-02-13 |
1083259154 | Darlene Cruz | Peer Specialist | 5121 Crane Brook Way, Peabody, MA 01960-8526 | 2019-11-13 |
1700437571 | Edith Silva | Peer Specialist | 131 W Main St Ste 101, Orange, MA 01364-1157 | 2019-09-24 |
1225505720 | Stephanie Wamback | Peer Specialist | 20 Green St # 2, Dudley, MA 01571-3210 | 2018-11-01 |
1366918724 | Coretta Mcgill | Peer Specialist | 12 Montague St, Worcester, MA 01603-3125 | 2018-10-23 |
1902380017 | Choice Recovery Coaching Inc. | Peer Specialist | 155 Maple St., Suite 305, Springfield, MA 01105 | 2018-09-24 |
1891219747 | Daniel Robert Proulx | Peer Specialist | 2 Endicott Ave, Marblehead, MA 01945-1617 | 2017-08-02 |
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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.