DR. KAREN SHAW PATRICK (NPI# 1639210800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639210800 |
| Entity Type | Individual |
| Full Name | DR. KAREN SHAW PATRICK |
| Credential | PSY.D. |
| Practice Address |
415 South St Waltham MA 02453-2728 |
| Mailing Address |
187 Great Rd C-9 Acton MA 01720-5737 |
| Practice Telephone | 7817363728 |
| Mailing Telephone | 9786351927 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2012-04-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
7438 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS PROVIDER NUMBER | W05824 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366577603 | Karen Ellen Patrick | Social Worker | 5674 Caito Dr Bldg 6 Ste 110, Indpls, IN 46226-1369 | 2007-02-23 |
| 1790221661 | Karen Marie Patrick | Counselor | 2101 E 1st St, Santa Ana, CA 92705-4007 | 2017-01-16 |
| 1992132021 | Karen Patrick | Social Worker | 3607 Main St, Fremont, CA 94538-4390 | 2013-10-03 |
| 1710240908 | Karen Steifle Patrick | Radiology | 101 E Wood St, Spartanburg, SC 29303-3040 | 2012-06-21 |
| 1831401470 | Karen Grace Patrick | Counselor | 3493 Woods Edge, Suite 103, Okemos, MI 48864-5911 | 2010-07-12 |
| Street Address |
415 SOUTH ST |
| City | WALTHAM |
| State | MA |
| Zip Code | 02453-2728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033585245 | Leslie Zebrowitz | Psychologist | 415 South St, Brandeis University Department of Psychology Ms 062, Waltham, MA 02453-2728 | 2015-08-12 |
| 1649656554 | Inna Goldberg | Social Worker | 415 South St, Ms061, Waltham, MA 02453-2728 | 2015-08-03 |
| 1073905162 | Amy Krentzman | Social Worker | 415 South St, Waltham, MA 02453-2728 | 2015-02-26 |
| 1295126894 | Brandeis University | Case Manager/Care Coordinator | 415 South St, Ms061, Waltham, MA 02453-2728 | 2015-02-18 |
| 1669880696 | Jason David Byrne | Specialist/Technologist | 415 South St, Brandeis University Sports Medicine Ms007, Waltham, MA 02453-2728 | 2014-07-22 |
| 1326390816 | Nick Forti | Psychologist | 415 South St, Ms 061, Waltham, MA 02453-2728 | 2012-10-08 |
| 1578850616 | Caroline Eichmann | Counselor | 415 South St, Waltham, MA 02453-2728 | 2011-07-08 |
| 1790090124 | Laura Horn | Psychologist | 415 South St, Ms 061 Mailman House, Waltham, MA 02453-2728 | 2010-08-10 |
| 1508099797 | Jenna Marion | Psychologist | 415 South St, Brandeis University, Ms061, Waltham, MA 02453-2728 | 2009-09-03 |
| 1043466436 | Michael J Lafarr Jr. | Psychologist | 415 South St, Counseling Center, Brandeis University, Waltham, MA 02453-2728 | 2008-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595770 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 66 Seyon St, Waltham, MA 02453 | 2020-10-13 |
| 1679040935 | Elsa L. Lichman | Social Worker | 52 Derby Street, Waltham, MA 02453 | 2018-10-25 |
| 1760957468 | Sherry Leigh Miller | Counselor | C/o Children's Charter, 77 Rumford Ave, Waltham, MA 02453 | 2018-10-09 |
| 1639644651 | Leo V Sarkissian | Social Worker | The Arc of Massachusetts, 217 South Street, Waltham, MA 02453 | 2018-10-05 |
| 1629569512 | Abaytum Investments Inc | Home Health | 24 Crescent Street, Suite 104, Waltham, MA 02453 | 2018-05-25 |
| 1225542970 | Mikayla E Culpo | Nurse Practitioner | 9 Hope Ave Fl Bch4, Waltham, MA 02453 | 2017-11-16 |
| 1568975449 | Twyla Atherna Everett | Massage Therapist | 212 Calvary St, Waltham, MA 02453 | 2017-11-14 |
| 1407369382 | Eli Miller | Counselor | 431 River Street, Suite 1, Waltham, MA 02453 | 2017-11-14 |
| 1396263927 | Jill Zaricor | Student in an Organized Health Care Education/Training Program | 77 Rumford Ave C/o Children's Charter, Waltham, MA 02453 | 2017-09-04 |
| 1538683008 | Michael Scaduto | Physical Therapist | 110-1 Clematis Ave, Waltham, MA 02453 | 2017-07-27 |
| Find all providers in zip 02453 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558850479 | Laurie Horowitz Humbert | Psychologist | 60 Clements Rd, Waltham, MA 02453-8208 | 2018-05-07 |
| 1467978569 | Rachel Margaret Kantor | Psychologist | 860 Winter St, Waltham, MA 02451-1449 | 2017-08-21 |
| 1750779005 | Katherine L E Craigen | Psychologist | 69 Hickory Dr Ste 2000, Waltham, MA 02451-1011 | 2015-01-08 |
| 1972903250 | Emily Brooke Hotz | Psychologist | 40 Crescent St Ste 201, Waltham, MA 02453-4313 | 2014-08-24 |
| 1770992059 | Hope Elisabeth Forbes | Psychologist | 175 Forest St., Bentley University Counseling Center, Waltham, MA 02452 | 2014-08-12 |
| 1992015275 | Julia Fomicheva | Psychologist | 411 Waverley Oaks Rd., #104, Waltham, MA 02452-8449 | 2010-10-20 |
| 1477792679 | Ronald Howard Evans | Psychologist | 415 South St., Brandeis University, Psychological Counseling, Mailman, Waltham, MA 02454-9110 | 2009-02-11 |
| 1871768762 | Vicky Lyn Anderson | Psychologist | 45 South Street Mailmun House, Brandeis University Psychological Counseling Center, Waltham, MA 02453 | 2008-04-23 |
| 1902023591 | Jane L. Forsyth | Psychologist | 30 Curve Street, Waltham, MA 02451 | 2007-04-18 |
| 1982752168 | Aurelie Jones Goodwin | Psychologist | 159 Virginia Rd, Waltham, MA 02453-7615 | 2007-01-06 |
| Find all providers in WALTHAM | ||||
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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.