HARVARD VANGUARD MEDICAL ASSOCIATES (NPI# 1649449778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649449778 |
| Entity Type | Organization |
| Organization Name | HARVARD VANGUARD MEDICAL ASSOCIATES |
| Practice Address |
20 Wall St Behavioral Health Dept Burlington MA 01803-4758 |
| Mailing Address |
275 Grove St Suite 3-300 Auburndale MA 02466-2272 |
| Practice Telephone | 6175598374 |
| Practice Fax Number | 6174213487 |
| Mailing Telephone | 6175598374 |
| Mailing Fax Number | 6174213487 |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2008-02-22 |
| Authorized Official Name | H. EUGENE LINDSEY JR. (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6175598374 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 364SP0807X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Adolescent |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS | 669493 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285880369 | Harvard Vanguard Medical Associates | Clinic/Center | 230 Worcester St, Wellesley Hvma, Wellesley, MA 02481-5420 | 2008-08-08 |
| 1699937524 | Harvard Vanguard Medical Associates | Radiology | 51 Performance Dr, Radiation Oncology, Weymouth, MA 02189-3104 | 2008-07-01 |
| 1437326196 | Harvard Vanguard Medical Associates | Clinic/Center | 228 Billerica Rd, Chelmsford, MA 01824-3604 | 2008-05-13 |
| 1891907366 | Harvard Vanguard Medical Associates | Psychiatry & Neurology | 1153 Centre St, Boston, MA 02130 | 2007-05-04 |
| 1003939703 | Harvard Vanguard Medical Associates | Social Worker | 133 Brookline Ave, Boston, MA 02215-3904 | 2007-04-09 |
| 1730208554 | Harvard Vanguard Medical Associates | Counselor | 40 Holland St, Somerville, MA 02144-2705 | 2007-03-29 |
| 1649399460 | Harvard Vanguard Medical Associates | Counselor | 230 Worcester St, Wellesley, MA 02481-5420 | 2007-03-29 |
| 1912064114 | Harvard Vanguard Medical Associates | Clinic/Center | 20 Wall St, Burlington, MA 01803-4758 | 2007-01-03 |
| 1770645806 | Harvard Vanguard Medical Associates | Dentist | 133 Brookline Ave, Boston, MA 02215-3904 | 2006-12-14 |
| 1124180252 | Harvard Vanguard Medical Associates | Dentist | 2 Essex Center Dr, Peabody, MA 01960-2902 | 2006-12-14 |
| Street Address |
20 WALL ST BEHAVIORAL HEALTH DEPT |
| City | BURLINGTON |
| State | MA |
| Zip Code | 01803-4758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265417265 | Pamela G. Swearingen | Pediatrics | 20 Wall St, Burlington, MA 01803-4758 | 2005-12-13 |
| 1922615475 | Lindsey Leigh Gallagher | Nurse Practitioner | 20 Wall St, Burlington, MA 01803-4758 | 2020-09-29 |
| 1730709460 | Dong Keun Lee | Pharmacy Technician | 20 Wall St, Burlington, MA 01803-4758 | 2020-04-22 |
| 1831670785 | Amanda Mary Jasiak | Nurse Practitioner | 20 Wall St, Burlington, MA 01803-4758 | 2018-08-28 |
| 1942703186 | Sarah Wolff Alimi | Physical Therapist | 20 Wall St, Burlington, MA 01803-4758 | 2018-03-14 |
| 1477916153 | Laurie Mckechnie | Nurse Practitioner | 20 Wall St, Burlington, MA 01803-4758 | 2016-03-31 |
| 1003282963 | Marlene A Brady | Nurse Practitioner | 20 Wall St, Burlington, MA 01803-4758 | 2015-08-14 |
| 1033507868 | Nicole Annette Clarke Jagodowski | Nurse Practitioner | 20 Wall St, Burlington, MA 01803-4758 | 2015-01-01 |
| 1265839336 | Sritharani Kandasamy | Obstetrics & Gynecology | 20 Wall St, Burlington, MA 01803-4758 | 2014-12-04 |
| 1346649662 | Julia O'donnell | Social Worker | 20 Wall St, Burlington, MA 01803-4758 | 2014-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219089 | Mallika Tara Iyer | Behavior Technician | 64 S Bedford Street, Burlington, MA 01803 | 2020-03-06 |
| 1518445709 | Patriot Urgent Care Professionals, PC | General Practice | 90 Middlesex Turnpike, Burlington, MA 01803 | 2018-07-31 |
| 1932608122 | Danielle Berkowitz | Registered Nurse | 90 Middlesex Tpke Ste G, Burlington, MA 01803 | 2018-02-02 |
| 1255861860 | David William Mahnken | Social Worker | 11a Cypress Drive, Burlington, MA 01803 | 2017-06-15 |
| 1770030710 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1300 Middlesex Turnpike, Burlington, MA 01803 | 2016-09-07 |
| 1083091557 | Burlington Eye Group, Inc | Optometrist | 74 Burlington Mall Road, Burlington, MA 01803 | 2015-05-04 |
| 1720485535 | Db2 Practice Management | Clinic/Center | 11 Cambridge St, Burlington, MA 01803 | 2014-11-21 |
| 1689081812 | Jasmit Minhas | Internal Medicine | 9 Kimball Court, Apt 112, Burlington, MA 01803 | 2014-07-21 |
| 1528404993 | Alexander David Neusner | Surgery | 40 Mall Rd, Burlington, MA 01803 | 2013-05-13 |
| 1730421389 | First Choice Dental Group | Dentist | 11 Camridge Street, Burlington, MA 01803 | 2013-03-21 |
| Find all providers in zip 01803 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124676853 | Towanda Geary | Psychologist | 1 Lawson Ln Ste 200c, Burlington, VT 05401-8445 | 2019-08-27 |
| 1891348645 | Amy Curtis | Psychologist | 35 King St Ste 8, Burlington, VT 05401-4787 | 2019-07-22 |
| 1700371416 | Emily Betz | Psychologist | 100 Main St Unit 8, Burlington, VT 05401-8475 | 2018-06-25 |
| 1851885305 | Angele Paul, Licensed Psychologist - Ma, P.l.c. | Psychologist | 86 Saint Paul St Ste 202, Burlington, VT 05401-4958 | 2018-06-19 |
| 1720578081 | Randall Matthew Dwyer | Psychologist | 6 Fred St, Burlington, MA 01803-4546 | 2018-05-12 |
| 1063902302 | Grace Janusis | Psychologist | 134 Bedford St, Burlington, MA 01803-2732 | 2018-05-12 |
| 1407375900 | Brian Kelly Ashley | Psychologist | 100 Main St Ofc 14, Burlington, VT 05401-8475 | 2017-09-15 |
| 1679950398 | Tara Mccuin | Psychologist | 111 Colchester Ave # Patrick4, Burlington, VT 05401-1473 | 2015-05-01 |
| 1194153130 | Ann Williams | Psychologist | 2521 Saintsbury Dr, Burlington, NC 27215-5699 | 2013-10-30 |
| 1679825335 | Shiquita Marie Graham Hyman | Psychologist | 1388 Falkirk Dr, Burlington, NC 27215-9863 | 2012-10-04 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 01803 |
Please comment or provide details below to improve the information on HARVARD VANGUARD MEDICAL ASSOCIATES.
| 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.