IVETTE DIAZ (NPI# 1609152669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609152669 |
| Entity Type | Individual |
| Full Name | IVETTE DIAZ |
| Practice Address |
231 Main Street Suite 300 Brockton MA 02301 |
| Practice Telephone | 5085862660 |
| Practice Fax Number | 5084271505 |
| Mailing Telephone | 5085862660 |
| Mailing Fax Number | 5084271505 |
| Enumeration Date | 2011-10-22 |
| Last Update Date | 2011-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053961680 | Ivette Diaz | Social Worker | 2020 Ave Borinquen, San Juan, PR 00915-3822 | 2019-09-16 |
| 1447805106 | Ivette Diaz | Behavior Technician | 264 Landis Ave Ste 200, Chula Vista, CA 91910-2651 | 2019-08-08 |
| 1013324474 | Ivette Diaz | Marriage & Family Therapist | 1501 Hughes Way Ste 100, Long Beach, CA 90810-1877 | 2014-07-17 |
| 1871643312 | Ivette Diaz | Dentist | 1901 Kirby St, Suite 103, Pearland, TX 77584-5704 | 2007-01-10 |
| 1134109374 | Ivette E. Diaz | Internal Medicine | 304 Federal Rd, Suite 201, Brookfield, CT 06804-2418 | 2006-01-21 |
| Street Address |
231 MAIN STREET SUITE 300 |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982980942 | Michelle Sara Lyons | Counselor | 231 Main Street, Suite 300, Brockton, MA 02301 | 2011-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222531 | Antoinett Gomes | Counselor | 11 Battles St Apt 3, Brockton, MA 02301-2236 | 2020-10-16 |
| 1316545510 | Leonard Paul Dagesse | Counselor | 51 Gladstone St, Brockton, MA 02302-3338 | 2020-10-12 |
| 1962014936 | Tjocelyne Counseling & Consulting Clinic LLC | Counselor | 425 Pleasant St Ste 102, Brockton, MA 02301-2533 | 2020-08-20 |
| 1841801461 | Peaceful Healing Soul Counseling Center, LLC | Counselor | 130 Spring St Apt 2, Brockton, MA 02301-4371 | 2020-08-17 |
| 1487271573 | Ruth Abraham Mentor | Counselor | 114 Sinclair Rd, Brockton, MA 02302-4451 | 2020-07-06 |
| 1508492661 | Carlos G Semedo | Counselor | 93 Myrtle St, Brockton, MA 02301-6139 | 2020-03-20 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1730724931 | Izaiah Dimanche-silva | Counselor | 5 Addison St, Brockton, MA 02301-1401 | 2019-11-12 |
| 1700427804 | Jessica Roberts | Counselor | 117 Colonel Bell Dr Apt 6, Brockton, MA 02301-1965 | 2019-10-01 |
| 1003460031 | Krista Hojlo | Counselor | 67 Brian Dr, Brockton, MA 02301-4601 | 2019-07-29 |
| Find all providers in BROCKTON | ||||
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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.