MEAGHAN CREEDON (NPI# 1669746228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669746228 |
| Entity Type | Individual |
| Full Name | MEAGHAN CREEDON |
| Practice Address |
40 Spring St Ste 215 Watertown MA 02472-3474 |
| Practice Telephone | 5082073112 |
| Mailing Telephone | 5082073112 |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2018-04-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
9804 | MA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 564 Main St, Waltham, MA 024525516 | 7816933800 | 7816933817 |
| Street Address |
40 SPRING ST STE 215 |
| City | WATERTOWN |
| State | MA |
| Zip Code | 02472-3474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497261481 | Alexander Solodyna Psyd | Clinic/Center | 40 Spring St Ste 215, Watertown, MA 02472-3474 | 2017-12-28 |
| 1427462837 | Naama Poker-malkesman | Social Worker | 40 Spring St Ste 215, Watertown, MA 02472-3474 | 2014-06-13 |
| 1649525486 | Elizabeth Harris | Social Worker | 40 Spring St Ste 215, Watertown, MA 02472 | 2012-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548735327 | Gladys Nakungu Kasansula | Counselor | Square Medical Group, 124 Watertown Street, Suite 2d, Watertown, MA 02472 | 2018-10-09 |
| 1447741962 | Hannah Edward | Optometrist | 550 Arsenal Street, Watertown, MA 02472 | 2018-05-21 |
| 1982193504 | Ruth Audrey Silverstein | Social Worker | Perkins School for The Blind, 175 North Beacon Street, Watertown, MA 02472 | 2018-05-09 |
| 1376067355 | Mostafa Medhati | Acupuncturist | 265 Lexington St., Watertown, MA 02472 | 2017-08-01 |
| 1003346313 | Eric Trant | Specialist/Technologist | 50 Columbia Street, Watertown, MA 02472 | 2017-06-19 |
| 1477007730 | Neangkanika Chea | Nurse Practitioner | 2 Repton Place, Apt 2204, Watertown, MA 02472 | 2016-08-04 |
| 1396128120 | Michelle Soares Darocha | Dentist | 18 Hovey Street, Watertown, MA 02472 | 2015-06-29 |
| 1760875496 | Ece Evin Yildirim | Acupuncturist | 557 Mt. Auburn St, Watertown, MA 02472 | 2015-03-05 |
| 1396140927 | Fabrizia Torazzi | Behavioral Analyst | 51 Water Street, Suite 200, Watertown, MA 02472 | 2014-10-24 |
| 1265774392 | Emilia Ann Fulop | Social Worker | 127 North Beacon Street, Watertown, MA 02472 | 2013-03-27 |
| Find all providers in zip 02472 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285123893 | Jennifer Smith Phd LLC | Psychologist | 10 Oliver Rd Unit 3, Watertown, MA 02472-4136 | 2018-05-09 |
| 1699078295 | Sean Martin Markey | Psychologist | 124 Watertown St Ste 2d, Watertown, MA 02472 | 2010-12-21 |
| 1396052940 | Katherine Dellaporta | Psychologist | 124 Watertown St Ste 3d, Watertown, MA 02472 | 2010-09-02 |
| 1922331123 | Alexander Solodyna | Psychologist | 40 Spring Street, Suite 215, Watertown, MA 02472 | 2009-09-08 |
| 1477763316 | Soren R. Ekstrom | Psychologist | 29 Chester St, Watertown, MA 02472-4002 | 2007-05-22 |
| 1164574448 | Cheryl Morrier | Psychologist | 19472 Washington Street, Watertown, NY 13601-3694 | 2007-01-17 |
| 1952469389 | Jeanne Emery | Psychologist | 238 Arsenal St., Watertown, NY 13601 | 2006-12-05 |
| 1750455044 | William Michael Keane | Psychologist | 17 Spring St, Watertown, MA 02472-3411 | 2006-11-20 |
| 1619061108 | Michael D Figueroa | Psychologist | 9933 Aspen St., Watertown, NY 13601 | 2006-10-02 |
| 1053413229 | William Humphrey Kimball | Psychologist | 1502 Washington St, Watertown, NY 13601-9301 | 2006-09-01 |
| Find all providers in WATERTOWN | ||||
Please comment or provide details below to improve the information on MEAGHAN CREEDON.
| 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.