DR. SUSAN LEIBOWITZ (NPI# 1598978561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598978561 |
| Entity Type | Individual |
| Full Name | DR. SUSAN LEIBOWITZ |
| Credential | ED.D. |
| Practice Address |
173 Chelsea St Everett MA 02149-4632 |
| Mailing Address |
180 Gardner St Apt. 2 - 3 Arlington MA 02474-3805 |
| Practice Telephone | 7813886234 |
| Practice Fax Number | 6173879768 |
| Mailing Telephone | 7816485226 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2008-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 8178 | MA | Behavioral Health & Social Service Providers |
| Street Address |
173 CHELSEA ST |
| City | EVERETT |
| State | MA |
| Zip Code | 02149-4632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063499168 | Tracy J Wilbraham | Nurse Practitioner | 173 Chelsea St, Everett, MA 02149-4632 | 2005-12-29 |
| 1104438498 | Anne Susan Keliher | Counselor | 173 Chelsea St, Everett, MA 02149-4632 | 2020-08-19 |
| 1790395960 | Ines Del Carmen Herrero | Counselor | 173 Chelsea St, Everett, MA 02149-4632 | 2020-08-03 |
| 1194340075 | Andrew Miller Shegda | Counselor | 173 Chelsea St, Everett, MA 02149-4632 | 2020-06-16 |
| 1497379994 | Raeanna M Lucey | Counselor | 173 Chelsea St, Everett, MA 02149-4632 | 2020-06-01 |
| 1720637408 | Lauren Michelle Sullivan | Social Worker | 173 Chelsea St, Everett, MA 02149-4632 | 2019-09-05 |
| 1740842293 | Kimberly Ann Knowles | Counselor | 173 Chelsea St, Everett, MA 02149-4632 | 2019-07-05 |
| 1669036950 | Amanda Thorne | Social Worker | 173 Chelsea St, Everett, MA 02149-4632 | 2019-04-23 |
| 1104386945 | Benjamin Christian Warren | Counselor | 173 Chelsea St, Everett, MA 02149-4632 | 2019-03-20 |
| 1740763168 | Casey Campbell Frieling | Registered Nurse | 173 Chelsea St, Everett, MA 02149-4632 | 2018-09-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336550 | Berthonya Joas | Physical Therapy Assistant | 62 Lawrence St, Everett, MA 02149 | 2020-11-03 |
| 1053940031 | Sarah Ann Bottiglio | Pharmacist | Whidden Hospital, 103 Garland Street, Everett, MA 02149 | 2020-04-02 |
| 1417494139 | Tsering Dolkar | Registered Nurse | Department of Surgery 103 Garland Street, Everett Hospital, Everett, MA 02149 | 2017-01-20 |
| 1073060190 | Egenie Desir | Registered Nurse | 102 Edith St, Everett, MA 02149 | 2016-09-07 |
| 1295113215 | Tracy Guan | Speech-Language Pathologist | 213 Springvale Ave, Everett, MA 02149 | 2015-05-11 |
| 1386075562 | Maritza Andrea Romano | Licensed Practical Nurse | 77 Clark Street, Everett, MA 02149 | 2013-12-12 |
| 1619221454 | Nicole Marie Shanahan | Social Worker | 23 Union Street, Apartment 2, Everett, MA 02149 | 2012-11-01 |
| 1760764997 | Ashish Agarwal | Pharmacist | 317 Ferry Street, Everett, MA 02149 | 2011-09-14 |
| 1851684856 | Jocelyn Ronda | Internal Medicine | Mgh Everett Family Care, 19 Norwood St, Everett, MA 02149 | 2011-05-24 |
| 1720292204 | Geraldine Chandra Martin | Optometrist | 2 Mystic View Road, Everett, MA 02149 | 2007-05-10 |
| Find all providers in zip 02149 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699043950 | Jonathan Troll | Psychologist | 11611 Airport Rd Ste 206, Everett, WA 98204-3782 | 2011-12-01 |
| 1326266727 | Western Washington Medical Group, Inc Ps | Psychologist | 3525 Colby Ave Ste 200, Everett, WA 98201-4782 | 2007-04-23 |
| 1336271022 | Barry A Nyman | Psychologist | 3728 Rucker Ave, Everett, WA 98201-4678 | 2007-03-09 |
| 1972612687 | Steve Clancy | Psychologist | 1604 Hewitt Ave 615, Everett, WA 98201-3536 | 2006-08-29 |
| 1407802507 | Howard M Aposhyan | Psychologist | 3525 Colby Ave, Suite 200, Everett, WA 98201-4782 | 2006-05-26 |
| 1063026417 | Susan Johannsen | Psychologist | 1717 13th St, Everett, WA 98201-1621 | 2020-09-02 |
| 1346870235 | Sadie Marie Teal | Psychologist | 3501 Colby Ave Ste 105, Everett, WA 98201-4795 | 2020-01-21 |
| 1538728233 | Eric Scott Rosmith | Psychologist | 1728 W Marine View Dr, Everett, WA 98201-2094 | 2019-06-07 |
| 1659898864 | Noel Elizabeth Clark | Psychologist | 3501 Colby Ave Ste 105, Everett, WA 98201-4795 | 2017-08-28 |
| 1033631643 | Pooja Niranjan Dave | Psychologist | 391 Broadway, Everett, MA 02149-3470 | 2017-07-14 |
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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.