MR. GARTH RAYMOND RETALLACK (NPI# 1659611085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659611085 |
| Entity Type | Individual |
| Full Name | MR. GARTH RAYMOND RETALLACK |
| Practice Address |
346 Elliott St Beverly MA 01915-2347 |
| Practice Telephone | 9786972744 |
| Mailing Telephone | 9786972744 |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2013-02-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
346 ELLIOTT ST |
| City | BEVERLY |
| State | MA |
| Zip Code | 01915-2347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377253 | Janice E. Schwartz | Psychologist | 100 Cummings Center, 232 C, Beverly, MA 01915 | 2020-05-14 |
| 1720625452 | Campos Dental Care PC | Dentist | 127 Dodge Street, Beverly, MA 01915 | 2019-12-02 |
| 1144781477 | Nutrimedy | Dietitian, Registered | 6 Oceanside Drive, Beverly, MA 01915 | 2019-03-28 |
| 1376001073 | Benjamin David Stebbings | Counselor | 199 Rosewood Dr. Suite 250, Beverly, MA 01915 | 2019-03-12 |
| 1376000455 | Patrick Matthew Noble | Occupational Therapist | Peer Projects - Therapy From The Heart, 100 Cummings Center Suite 350g, Beverly, MA 01915 | 2019-02-26 |
| 1174007900 | Nicole Morreo | Psychologist | 480 Rantoul St., 208, Beverly, MA 01915 | 2018-09-18 |
| 1891282299 | Jeanne Tomich | Psychologist | 110 Hart St., Beverly, MA 01915 | 2018-04-20 |
| 1518469089 | Kathleen L Golemon | Specialist | 100 Cummings Center Suite 158-d, Beverly, MA 01915 | 2018-03-01 |
| 1629582556 | Sarah Elizabeth Tsouvalas | Nurse Practitioner | 900 Cummings Center, Suite 111w, Lahey Health Primary Care, Beverly, Beverly, MA 01915 | 2017-11-30 |
| 1235657339 | Kathleen Ann Downey | Registered Nurse | Element Care, 166d Cummings Center, Beverly, MA 01915 | 2017-09-08 |
| Find all providers in zip 01915 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376001073 | Benjamin David Stebbings | Counselor | 199 Rosewood Dr. Suite 250, Beverly, MA 01915 | 2019-03-12 |
| 1740745066 | Jonna L Clark | Counselor | 19 Beckford St Apt 1, Beverly, MA 01915-3136 | 2019-01-31 |
| 1083130157 | Sean David Carmichael | Counselor | 900 Cummings Ctr # 324-s, Beverly, MA 01915-6198 | 2017-08-20 |
| 1679927115 | Julie St Peter | Counselor | 50 Folly Pond Rd, 32, Beverly, MA 01915-5344 | 2016-04-21 |
| 1750764676 | Mason Devlin Billings | Counselor | 23 Thorndike St, Beverly, MA 01915-5835 | 2015-07-09 |
| 1588078422 | Karlos Elioref Sotelo-leal | Counselor | 49 Essex St, Apt 1, Beverly, MA 01915-4642 | 2014-06-18 |
| 1821426271 | Kelli Rose Marshall | Counselor | 800 Cummings Ctr Ste 360u, Beverly, MA 01915-6174 | 2013-10-23 |
| 1205263274 | Daniel Gerard Fortunato | Counselor | 28 Williams St, Beverly, MA 01915-2324 | 2013-10-04 |
| 1295169878 | Meaghan Lyons Bonner | Counselor | 100 Cummings Ctr Ste 451c, Beverly, MA 01915-6132 | 2013-08-30 |
| 1326329202 | Leighanne Munroe | Counselor | 12 Old Rubbly Rd, Beverly, MA 01915-1510 | 2011-09-06 |
| Find all providers in BEVERLY | ||||
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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.