MR. JONATHAN BLAISDELL (NPI# 1609292192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609292192 |
| Entity Type | Individual |
| Full Name | MR. JONATHAN BLAISDELL |
| Credential | M.A. |
| Practice Address |
200 Trotter Rd Apt 126 Weymouth MA 02190-3821 |
| Practice Telephone | 7817380864 |
| Mailing Telephone | 7817380864 |
| Enumeration Date | 2014-03-09 |
| Last Update Date | 2020-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 10709 | MA | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
10709 | MA | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
10709 | MA | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
10709 | MA | Behavioral Health & Social Service Providers |
| Street Address |
200 TROTTER RD APT 126 |
| City | WEYMOUTH |
| State | MA |
| Zip Code | 02190-3821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285250795 | Mill Pond Counseling LLC | Counselor | 200 Trotter Rd Apt 126, Weymouth, MA 02190-3821 | 2020-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702261 | Maureen L. Colella | Dentist | 33 Union St., So. Weymouth, MA 02190 | 2019-10-25 |
| 1740767060 | Convenientmd LLC | Clinic/Center | 2 Pond Street, Weymouth, MA 02190 | 2018-07-20 |
| 1437654399 | Swati Malik | Dentist | 174 Stonehaven Dr, South Weymouth, MA 02190 | 2018-03-24 |
| 1720496995 | Iona Dental, P.C. | Dentist | 1650 Main St., South Weymouth, MA 02190 | 2014-07-31 |
| 1497094411 | Cecilia R Briggs | Registered Nurse | 541 Main St Ste 414, South Weymouth, MA 02190 | 2013-02-12 |
| 1548523657 | Khaldoun Haj Mahmoud | Internal Medicine | Coastal Medical Associates, 55 Fogg Road, Weymouth, MA 02190 | 2012-06-22 |
| 1881992170 | Megan Elizabeth Lee | Physician Assistant | 851 Main Street, Suite 6, South Shore Neurospine, South Weymouth, MA 02190 | 2011-03-10 |
| 1790082253 | Bonnie Marie Kimball | Counselor | 549 Columbian Street, Weymouth, MA 02190 | 2011-02-18 |
| 1689805731 | Jane Marie Boomer | Early Intervention Provider Agency | 574 Main Street, Weymouth, MA 02190 | 2009-08-06 |
| 1619101136 | Jordan D Paulson | Psychiatry & Neurology | 55 Fogg Rd # 105, Weymouth, MA 02190 | 2009-05-12 |
| Find all providers in zip 02190 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596703 | Courtney Rose Bieda | Counselor | 1340 Washington St Apt 3, Weymouth, MA 02189-2360 | 2020-10-21 |
| 1912466046 | Heart and Soul Counseling LLC | Counselor | 73 Broad Reach Unit M76c, Weymouth, MA 02191-2306 | 2019-03-18 |
| 1528448941 | Henry Yongho | Counselor | 79 Donald St, Weymouth, MA 02188-3961 | 2015-06-01 |
| 1790020956 | Joi D Allen | Counselor | 56 Audubon Rd, Apt. 407, Weymouth, MA 02188-4401 | 2012-11-29 |
| 1114283603 | Milka D Fong | Counselor | 46 Greentree Ln, Weymouth, MA 02190-2055 | 2012-04-09 |
| 1215208368 | Jeffrey A D'angelo | Counselor | 83 Fort Point Rd, Weymouth, MA 02191-2131 | 2012-01-21 |
| 1376839357 | James Shedd | Counselor | 139 Rockway Ave, #35, Weymouth, MA 02188-4418 | 2011-06-28 |
| 1336438241 | Donna Ann Hurley | Counselor | 44 Butler Rd, Weymouth, MA 02189-2646 | 2011-03-31 |
| 1790082253 | Bonnie Marie Kimball | Counselor | 549 Columbian Street, Weymouth, MA 02190 | 2011-02-18 |
| 1104121912 | Heather Ann Northrop | Counselor | 541 Main St Ste 303, Weymouth, MA 02190-1845 | 2011-01-26 |
| Find all providers in WEYMOUTH | ||||
Please comment or provide details below to improve the information on MR. JONATHAN BLAISDELL.
| 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.