YUI KITAYAMA (NPI# 1639633530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639633530 |
Entity Type | Individual |
Full Name | YUI KITAYAMA |
Credential | MSN, APRN, PMHNP-BC |
Practice Address |
72 Jaques Ave Worcester MA 01610-2476 |
Practice Telephone | 5088601294 |
Enumeration Date | 2019-01-24 |
Last Update Date | 2020-05-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN2326641 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
25 Staniford St, Boston, MA 021142503 | 6179127800 | |
26 Queen St, Worcester, MA 016102473 | 5088601055 |
Street Address |
72 JAQUES AVE |
City | WORCESTER |
State | MA |
Zip Code | 01610-2476 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104898147 | Jordan A Oshlag | Social Worker | 72 Jaques Ave, Worcester, MA 01610-2476 | 2006-02-03 |
1811555873 | Victoria Leigh Lenihan | Registered Nurse | 72 Jaques Ave, Worcester, MA 01610-2476 | 2019-06-04 |
1386209880 | Rebecca Mauricio | Counselor | 72 Jaques Ave, Worcester, MA 01610-2476 | 2019-05-09 |
1336602077 | Cathy A Foulkrod-pickett | Social Worker | 72 Jaques Ave, Worcester, MA 01610-2476 | 2019-04-10 |
1477061521 | Kelley Guilfoil-zinkevich | Social Worker | 72 Jaques Ave, Worcester, MA 01610-2476 | 2018-01-10 |
1295240117 | Phillip Hodson | Counselor | 72 Jaques Ave, Worcester, MA 01610-2476 | 2017-12-14 |
1063923266 | Shanique Boykin | Social Worker | 72 Jaques Ave, Worcester, MA 01610-2476 | 2017-10-16 |
1053821744 | Kaden Trifilio | Social Worker | 72 Jaques Ave, Worcester, MA 01610-2476 | 2017-10-07 |
1255859559 | Katie Duclos-zagame | Social Worker | 72 Jaques Ave, Worcester, MA 01610-2476 | 2017-09-07 |
1356877278 | Latamara Durr | Social Worker | 72 Jaques Ave, Worcester, MA 01610-2476 | 2017-05-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881189355 | Amber Hall | Counselor | 26 Queen St, 6th Floor, Worcester, MA 01610 | 2018-06-27 |
1417401951 | Kelsey Moran | Counselor | 1 College Street, Box D, Worcester, MA 01610 | 2016-08-13 |
1245685809 | Walter Trisdale | Specialist/Technologist | One College St., College of The Holy Cross, Worcester, MA 01610 | 2016-05-02 |
1669866430 | Shannon Smith | Student in an Organized Health Care Education/Training Program | 26 Queen St, Ground Floor, Ambulatory Psychiatry Service, Ummmc, Worcester, MA 01610 | 2015-03-19 |
1063815348 | Terri Boettcher | Social Worker | 72 Jacques Street, Worcester, MA 01610 | 2014-10-01 |
1700222866 | Kalynn Lucashensky | Occupational Therapist | 105 Woodland St. Apt. A, Worcester, MA 01610 | 2013-05-16 |
1093053993 | Chrissy Marie Ryan | Registered Nurse | 26 Queen St 6th Floor, Flow Pact, Worcester, MA 01610 | 2013-01-28 |
1851681324 | Renaissance Adult Day Care, LLC | Clinic/Center | 1040 Southbridge Street, Worcester, MA 01610 | 2011-04-18 |
1912203217 | Goddard/homestead | Custodial Care Facility | 10 Homestead Avenue, Worcester, MA 01610 | 2011-02-03 |
1912173196 | Rahman Ullah | Dentist | Park Ave Dental Center, 456 Park Avenue, Worchester, MA 01610 | 2008-05-07 |
Find all providers in zip 01610 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144829177 | Amiee N Caruso | Nurse Practitioner | 26 Queen St Ste 4, Worcester, MA 01610-2473 | 2020-10-21 |
1871110221 | Jillian Bradley | Nurse Practitioner | 507 Plantation St Apt 519, Worcester, MA 01605-4326 | 2020-07-01 |
1407393010 | John Job | Nurse Practitioner | 130 Lincoln St Ste 6, Worcester, MA 01605-2430 | 2017-01-21 |
1457701807 | Jee Yeah Park | Nurse Practitioner | 162 Chandler Street, Worcester, MA 01609-2924 | 2016-06-16 |
1174137434 | Grace Njeri Ngumi | Nurse Practitioner | 30 Park Ave, Worcester, MA 01605-3945 | 2020-09-03 |
1518578426 | Aldona Angele Vainius | Nurse Practitioner | 255 Park Ave Ste 804, Worcester, MA 01609-1984 | 2020-08-13 |
1518505973 | Jessica Lynn Weissman | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2019-12-17 |
1063970234 | Edith N/a Claros | Nurse Practitioner | 19 Tacoma St, Worcester, MA 01605-3516 | 2019-03-06 |
1710469549 | Kevin Phillipp Nardone | Nurse Practitioner | 435 Shrewsbury St, Worcester, MA 01604-1689 | 2018-08-29 |
1780165498 | Stephen Zombil | Nurse Practitioner | 107 Lincoln St, Worcester, MA 01605-2401 | 2018-08-22 |
Find all providers in WORCESTER |
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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.