SOUTH SHORE PSYCHIATRIC SERVICES PC (NPI# 1588062244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588062244 |
| Entity Type | Organization |
| Organization Name | SOUTH SHORE PSYCHIATRIC SERVICES PC |
| Practice Address |
435 Furnace St Marshfield MA 02050-2328 |
| Practice Telephone | 7818378833 |
| Practice Fax Number | 7817350457 |
| Mailing Telephone | 7818378833 |
| Mailing Fax Number | 7817350457 |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2014-12-11 |
| Authorized Official Name | DR. MARY ANN MCDONNELL (OWNER/CLINICIAN) |
| Authorized Official Telephone | 7818378833 |
| Authorized Official Credential | PHD, RNCS, FPNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0807X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Adolescent |
198161 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
435 FURNACE ST |
| City | MARSHFIELD |
| State | MA |
| Zip Code | 02050-2328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013908417 | T David Gill | Pediatrics | 435 Furnace St, Marshfield, MA 02050-2328 | 2005-11-03 |
| 1730433129 | St George Pharmacy Inc | Pharmacy | 435 Furnace St, Marshfield, MA 02050-2328 | 2012-11-06 |
| 1467706853 | Atef Ayoub | Pharmacist | 435 Furnace St, Marshfield, MA 02050-2328 | 2012-11-06 |
| 1477862761 | Marshfield Dental Group | Dentist | 435 Furnace St, Marshfield, MA 02050-2328 | 2010-10-04 |
| 1972816809 | Caitlin Pinard | Nurse Practitioner | 435 Furnace St, Marshfield, MA 02050-2328 | 2010-07-20 |
| 1235374638 | Christopher Charles Sullivan | Pediatrics | 435 Furnace St, Marshfield, MA 02050-2328 | 2008-12-13 |
| 1295920742 | Tharwat A Hanna Md PC | Internal Medicine | 435 Furnace St, Marshfield, MA 02050-2328 | 2007-09-07 |
| 1205815768 | Tharwat A Hanna | Internal Medicine | 435 Furnace St, Marshfield, MA 02050 | 2006-01-12 |
| 1235111865 | Robert W Walker | Pediatrics | 435 Furnace St, Marshfield, MA 02050-2328 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244051 | Leslie Ann Maxwell | Social Worker | 76 Ferry Hill Road, Marshfield, MA 02050 | 2020-10-30 |
| 1073039418 | Walgreen Co | Pharmacy | 1914 Ocean St, Marshfield, MA 02050 | 2017-08-17 |
| 1912454562 | Cait Southwood | Behavioral Analyst | 181 Winslow Street, Marshfield, MA 02050 | 2016-09-01 |
| 1013182740 | Tiffany Alexandria Mcadams | Dentist | 16 Snow Rd, All Smiles Family Dentistry PC, Marshfield, MA 02050 | 2008-04-23 |
| 1689857666 | Lindsey Lennon | Speech-Language Pathologist | 55 Marshhawk Way, Marshfield, MA 02050 | 2007-12-12 |
| 1922151349 | Robert John Romano | Psychologist | 475 Furnace Street, Marshfield, MA 02050 | 2007-01-19 |
| 1841348232 | Roland P Duprey | Dentist | One Snow Rd, Marshfield, MA 02050 | 2007-01-08 |
| 1568525327 | Elizabeth Ann Spaulding | Social Worker | 650 Ferry Street, Marshfield, MA 02050 | 2006-12-19 |
| 1649348194 | Mark A. Kelley | Internal Medicine | 6 Kent Ave, Marshfield, MA 02050 | 2006-12-01 |
| 1134212996 | Ann Marie D Mackinnon | Social Worker | 475 School Street Suite 14-17, Marshfield, MA 02050 | 2006-10-02 |
| Find all providers in zip 02050 | ||||
| Taxonomy Code | 364SP0807X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881203263 | Linda I Roedder | Clinical Nurse Specialist | 275 Princess Kate Cir, Taunton, MA 02780-2885 | 2020-07-30 |
| 1003118852 | Sharon Lynne Curtin | Clinical Nurse Specialist | 220 Reservoir St Ste 21, Needham, MA 02494-3133 | 2010-11-30 |
| 1013090430 | Kerri Ryder | Clinical Nurse Specialist | 411 Chandler St, Worcester, MA 01602 | 2006-10-21 |
| 1821179730 | Marilyn Litman | Clinical Nurse Specialist | 102 Grasmere St, Newton, MA 02458 | 2006-10-18 |
| 1952498354 | Anita D Freeman | Clinical Nurse Specialist | 28 Green Street, Newbury, MA 01951 | 2006-10-06 |
| 1295833028 | Gretchen Ann Berkowitch | Clinical Nurse Specialist | 100 Cummings Ctr Ste 365d, Beverly, MA 01915 | 2006-09-20 |
| 1881604635 | Patrice C Creighton | Clinical Nurse Specialist | 251 Fenn Street, Pittsfield, MA 01201 | 2006-08-08 |
| 1336169549 | Susan C. Broughton | Clinical Nurse Specialist | 50 North Second St, New Bedford, MA 02740 | 2006-07-20 |
| 1700815040 | Catherine L Lacoste-hamel | Clinical Nurse Specialist | 1082 Davol St, Arbour Counseling Services, Fall River, MA 02720 | 2006-06-30 |
| 1922073600 | Terese C Chipman | Clinical Nurse Specialist | 14 Fordham Rd, The Boston Center 2nd Floor, Allston, MA 02134-3006 | 2006-02-17 |
| Find all providers with the same taxonomy | ||||
| City | MARSHFIELD |
| Zip Code | 02050 |
Please comment or provide details below to improve the information on SOUTH SHORE PSYCHIATRIC SERVICES PC.
| 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.