MS. BETH ANNE WATERMAN (NPI# 1619490455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619490455 |
| Entity Type | Individual |
| Full Name | MS. BETH ANNE WATERMAN |
| Practice Address |
1269 Beacon St Brookline MA 02446-5248 |
| Mailing Address |
81 Newbury St Apt 2 Somerville MA 02144-2442 |
| Practice Telephone | 7656316461 |
| Mailing Telephone | 7656316461 |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2017-07-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | MA | Student, Health Care | |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1269 BEACON ST |
| City | BROOKLINE |
| State | MA |
| Zip Code | 02446-5248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043208119 | Saechin Kim | Orthopaedic Surgery | 1269 Beacon St, Brookline, MA 02446-5245 | 2005-10-12 |
| 1376183418 | Elise Marraro | Social Worker | 1269 Beacon St, Brookline, MA 02446-5248 | 2020-01-07 |
| 1245886456 | Shannon R. Pickett | Psychologist | 1269 Beacon St, Brookline, MA 02446-5248 | 2019-08-13 |
| 1306492970 | Christina Zawalski | Psychologist | 1269 Beacon St, Brookline, MA 02446-5248 | 2019-08-09 |
| 1912422551 | Denise Kyte | Counselor | 1269 Beacon St, Brookline, MA 02446-5248 | 2017-08-04 |
| 1790200384 | Regina Marie Musicaro | Student in an Organized Health Care Education/Training Program | 1269 Beacon St, Brookline, MA 02446-5248 | 2017-08-04 |
| 1184148116 | Dominique Alexis Malebranche | Psychologist | 1269 Beacon St, Brookline, MA 02446-5248 | 2017-08-01 |
| 1730602095 | Mariah Rooney O'brien | Counselor | 1269 Beacon St, Brookline, MA 02446-5248 | 2017-07-19 |
| 1407300932 | Noel Hunter | Counselor | 1269 Beacon St, Brookline, MA 02446-5248 | 2016-08-13 |
| 1558815407 | Insight Brookline Psychotherapy | Psychologist | 1269 Beacon St, Floor 3, Brookline, MA 02446-5248 | 2016-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588218127 | Mohammad Ali Zafar | Social Worker | 11 Stearns Rd Apartment#1, Brookline, MA 02446 | 2019-08-01 |
| 1730659368 | Boston Family Therapy & Wellness Pllc | Clinic/Center | 1330 Beacon Street Suite 263, Brookline, MA 02446 | 2018-11-27 |
| 1518442078 | Elizabeth Dorsey | Social Worker | Boston Graduate School of Psychoanalysis, 1581 Beacon Street, Brookline, MA 02446 | 2018-10-01 |
| 1467936732 | Helen Elizabeth Weiner | Social Worker | 6 Churchill Sstreet, Brookline, MA 02446 | 2018-09-21 |
| 1285116640 | Dawn Higgins | Social Worker | 227 Summit Avenue W304, Brookline, MA 02446 | 2018-09-03 |
| 1528540978 | Shana Joan Turowitz | Social Worker | 156 Lawton Street, Brookline, MA 02446 | 2018-09-02 |
| 1528563996 | Lauren H Shin | Pediatrics | 150 Pleasant St Unit 309, Brookline, MA 02446 | 2018-03-28 |
| 1821512872 | Ilana Lindsay Cooper | Psychologist | 1093 Beacon St Ste 401, Brookline, MA 02446 | 2017-08-01 |
| 1538683735 | Elizabeth Apkin | Psychologist | 1330 Beacon Street Suite 201, Brookline, MA 02446 | 2017-07-29 |
| 1366963258 | Maria Antonietta Mazzola | Psychiatry & Neurology | 57 Manchester Rd, Brookline, MA 02446 | 2017-06-29 |
| Find all providers in zip 02446 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093322166 | Mary Miller | Student in an Organized Health Care Education/Training Program | 27 Hurd Rd, Brookline, MA 02445-6911 | 2020-09-23 |
| 1548877616 | Shoshana Moriarty | Student in an Organized Health Care Education/Training Program | 27 Hurd Rd Apt 1, Brookline, MA 02445-6928 | 2020-09-23 |
| 1811504988 | Rachael Morgan Sise | Student in an Organized Health Care Education/Training Program | 33 Pond Ave Apt 621, Brookline, MA 02445-7156 | 2020-09-23 |
| 1366055493 | Rebecca R Schorin | Student in an Organized Health Care Education/Training Program | 48a Harvard Ave Apt 3, Brookline, MA 02446-6282 | 2020-08-28 |
| 1528678992 | Julohn Antonia Teixeira | Student in an Organized Health Care Education/Training Program | 33 Stanton Rd Apt 2, Brookline, MA 02445-6890 | 2020-07-31 |
| 1235750704 | Erik Paul Cadra | Student in an Organized Health Care Education/Training Program | 53 Manchester Rd Apt 4, Brookline, MA 02446-6072 | 2020-05-06 |
| 1619596129 | Adam Chow | Student in an Organized Health Care Education/Training Program | 1900 Beacon St, Brookline, MA 02445-2091 | 2020-04-14 |
| 1922627439 | Richard David James Smith | Student in an Organized Health Care Education/Training Program | 20 Chapel St Apt B306, Brookline, MA 02446-7469 | 2020-04-14 |
| 1457970220 | Alexandra Paige Jureller | Student in an Organized Health Care Education/Training Program | 201 Rawson Rd Apt 2, Brookline, MA 02445-4465 | 2020-04-13 |
| 1336768027 | Erin Margaret Pierce | Student in an Organized Health Care Education/Training Program | 683 Washington St Apt 1, Brookline, MA 02446-4594 | 2020-04-13 |
| Find all providers in BROOKLINE | ||||
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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.