JAVIER RICRADO SALCIDO NEGRETE (NPI# 1598203465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598203465 |
| Entity Type | Individual |
| Full Name | JAVIER RICRADO SALCIDO NEGRETE |
| Practice Address |
255 Grapevine Rd Wenham MA 01984-1813 |
| Practice Telephone | 9177681966 |
| Mailing Telephone | 9177681966 |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2017-02-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
255 GRAPEVINE RD |
| City | WENHAM |
| State | MA |
| Zip Code | 01984-1813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033108584 | Marie Lucey | Physical Therapist | 255 Grapevine Rd, Wenham, MA 01984 | 2005-10-18 |
| 1396350492 | Rachel Ryder | Physical Therapist | 255 Grapevine Rd, Wenham, MA 01984-1813 | 2020-09-15 |
| 1740891126 | Luke Harmeling | Physical Therapist | 255 Grapevine Rd, Wenham, MA 01984-1813 | 2020-08-11 |
| 1881217800 | Meredith Conroy | Physical Therapist | 255 Grapevine Rd, Wenham, MA 01984-1813 | 2020-05-26 |
| 1992340962 | Stephanie Kalanta | Physical Therapist | 255 Grapevine Rd, Wenham, MA 01984-1813 | 2019-11-13 |
| 1467093633 | Rachel Nelson | Physical Therapist | 255 Grapevine Rd, Wenham, MA 01984-1813 | 2019-09-30 |
| 1972155422 | Congenial Healthcare, LLC | Clinic/Center | 255 Grapevine Rd, Wenham, MA 01984 | 2019-07-15 |
| 1164904744 | Deana Trefry | Social Worker | 255 Grapevine Rd, Wenham, MA 01984 | 2018-08-30 |
| 1881113090 | Kevin Kinnard | Physical Therapist | 255 Grapevine Rd, Wenham, MA 01984-1813 | 2017-09-19 |
| 1881133478 | Sarah Collins | Physical Therapist | 255 Grapevine Rd, Wenham, MA 01984-1813 | 2017-02-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497880041 | Gail P Borgman | Social Worker | Gordon College, Grapevine Rd, Wenham, MA 01984 | 2007-02-23 |
| 1043374788 | Phyllis Brooks | Social Worker | 225 Main Street, Wenham, MA 01984 | 2006-12-20 |
| 1184709784 | Amy K Hubbard | Counselor | 152r Main Street, Wenham, MA 01984 | 2006-10-25 |
| 1962426072 | Cathy Goldstein Mullin | Social Worker | 48 Cherry Street, Wenham, MA 01984 | 2006-07-26 |
| 1912094202 | Donald Deblock | Psychologist | 135 Main Street, Wenham, MA 01984 | 2006-10-06 |
| 1013083443 | Eric Wilson Bowman | Counselor | 11 Longfellow Rd, Wenham, MA 01984-1329 | 2006-11-28 |
| 1548806672 | Adrienne Dooley | Speech-Language Pathologist | 5 South St, Wenham, MA 01984-1331 | 2019-11-25 |
| 1205458411 | Amy Kolano | Nurse Practitioner | 4 Bruce Ln, Wenham, MA 01984-1404 | 2020-05-11 |
| 1952813354 | Alexandra Bliss Colarusso | Physician Assistant | 14 Juniper St, Wenham, MA 01984-1414 | 2017-10-26 |
| 1679832273 | Victoria Leigh Varney | Specialist | 162 Main St, Wenham, MA 01984-1415 | 2012-05-16 |
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| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093296246 | Joanne Marie Lynch | Counselor | 8 Onion River Rd, Wenham, MA 01984-1830 | 2018-08-26 |
| 1336370709 | Joseph Kenneth Varela | Counselor | 113 Maple St, Apt 2, Wenham, MA 01984-1926 | 2009-08-04 |
| 1013083443 | Eric Wilson Bowman | Counselor | 11 Longfellow Rd, Wenham, MA 01984-1329 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303739 | Michael James Brackett | Counselor | 81 Bedford St, Bridgewater, MA 02324-2504 | 2020-10-14 |
| 1245838200 | Rachel Lamusta | Counselor | 76 Crest Rd, Lynnfield, MA 01940-1904 | 2020-10-13 |
| 1336747435 | Jackline Alston | Counselor | 50 Lebanon St, Melrose, MA 02176-6311 | 2020-10-12 |
| 1366049652 | Sabrina Salameh | Counselor | 11 Freely Drive, Stoughton, MA 02072-0207 | 2020-10-08 |
| 1689271397 | Maximilian Richert | Counselor | 25 Kingston St, 4r, Boston, MA 02111 | 2020-10-06 |
| 1396342234 | Albert Jusu | Counselor | Arbour Counseling Services, 400 Washington Street, Braintree, MA 02184 | 2020-10-05 |
| 1508463688 | April Chante Rowell | Counselor | 25 Kingston St Ste 4r, Boston, MA 02111-2200 | 2020-10-02 |
| 1720695919 | Albert Bruce Myers Iv | Counselor | 139 Ash St, Brockton, MA 02301-3663 | 2020-09-30 |
| 1033726765 | Nathanael Lopez | Counselor | 328 Main St Apt #1, Southbridge, MA 01550 | 2020-09-27 |
| 1588271274 | Simon Hayward Waters | Counselor | 67 Rockrimmon Rd, Worcester, MA 01602-2231 | 2020-09-26 |
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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.