DR. SAMUEL SCHIEFFELIN NORDBERG (NPI# 1679929004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679929004 |
Entity Type | Individual |
Full Name | DR. SAMUEL SCHIEFFELIN NORDBERG |
Credential | PH.D. |
Practice Address |
5 Neponset St Worcester MA 01606-2714 |
Mailing Address |
5 Neponset St Fl Street2 Worcester MA 01606-2714 |
Practice Telephone | 5088560732 |
Practice Fax Number | 5084255126 |
Mailing Telephone | 5083685532 |
Mailing Fax Number | 5084255126 |
Enumeration Date | 2016-05-04 |
Last Update Date | 2019-04-19 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
10352 | MA | Behavioral Health & Social Service Providers |
Street Address |
5 NEPONSET ST |
City | WORCESTER |
State | MA |
Zip Code | 01606-2714 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942203856 | Thomas Lee Rosenfeld | Dermatology | 5 Neponset St, Worcester, MA 01606-2714 | 2005-05-24 |
1831708841 | Lucy Kirakous | Nurse Practitioner | 5 Neponset St, Worcester, MA 01606-2714 | 2020-07-26 |
1174157259 | Krystal Leblanc | Social Worker | 5 Neponset St, Worcester, MA 01606-2714 | 2020-02-27 |
1124664313 | Kedeshia Malin | Nurse Practitioner | 5 Neponset St, Worcester, MA 01606-2714 | 2019-11-21 |
1730627472 | Jessica E. Valletta | Nurse Practitioner | 5 Neponset St, Worcester, MA 01606-2714 | 2017-02-02 |
1447700182 | Margaret Tu-anh Nguyen | Nurse Practitioner | 5 Neponset St, Worcester, MA 01606-2714 | 2016-10-06 |
1922551746 | Danielle N. Lawrence | Nurse Practitioner | 5 Neponset St, Worcester, MA 01606-2714 | 2016-07-28 |
1225496938 | Quynh V. Tu | Dietitian, Registered | 5 Neponset St, Worcester, MA 01606-2714 | 2016-02-09 |
1295105476 | Justin Hall | Physician Assistant | 5 Neponset St, Worcester, MA 01606-2714 | 2015-10-01 |
1407274129 | Hung Giai Trinh | Internal Medicine | 5 Neponset St, Worcester, MA 01606-2714 | 2014-03-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548742612 | Aishea Irine Henry | Counselor | 29 E. Mountian St., Worccester, MA 01606 | 2018-09-05 |
1932689874 | Donna Kesler Pearce | Social Worker | Department of Children and Families, 151 West Boylston Drive, Worcester, MA 01606 | 2018-08-20 |
1689169914 | Ashley Kalel | Social Worker | 151 W Boylston Dr, Worcester, MA 01606 | 2018-06-28 |
1588189039 | Michael Joseph Peters Sr. | Counselor | 56 Malden St, Worcester, MA 01606 | 2017-08-06 |
1811418528 | Shan Rai | Social Worker | 29 East Mountain Street, Worcester, MA 01606 | 2017-07-03 |
1639608045 | Kim Marie Ceccarini | Case Manager/Care Coordinator | 11 Delaval Rd, Worcester, MA 01606 | 2017-06-08 |
1669806139 | Lauren Giuliano | Counselor | 392 Burncoat St, Worcester, MA 01606 | 2013-09-02 |
1508132911 | Joshua D Zierler-broudo | Social Worker | 29 East Mountain St, Worcester, MA 01606 | 2012-03-29 |
1609096098 | Alternatives Unlimited Inc | Day Training, Developmentally Disabled Services | 367 Burncoat Street, Worcester, MA 01606 | 2007-04-26 |
1407908213 | Class One Orthodontic Asso LLC | Dentist | 365 Burncoat St, Worcester, MA 01606 | 2007-01-18 |
Find all providers in zip 01606 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659910867 | Tatiana Gray | Psychologist | 8 Housatonic St, Worcester, MA 01606-1618 | 2020-01-06 |
1841789310 | Ashley Murray | Psychologist | 361 Plantation St., Attn: Forensic Services, Worcester, MA 01605 | 2018-05-09 |
1760830632 | Samantha Anne Minski | Psychologist | 630 Plantation St Fl Street12, Worcester, MA 01605-2038 | 2016-06-01 |
1619201704 | Brenda J King | Psychologist | 78 Burncoat Street, Worcester, MA 01605 | 2009-09-23 |
1841460730 | University of Massachusetts | Psychologist | 275a Belmont Street, Worcester, MA 01604-1675 | 2008-03-06 |
1467508259 | John Michael Madonna Jr. | Psychologist | 469 Chandler Street, Worcester, MA 01602 | 2007-01-26 |
1285799965 | Stuart G Fisher | Psychologist | 124 Newton Ave N, Worcester, MA 01609-1404 | 2006-12-24 |
1881757136 | John Patrick Terry | Psychologist | Psychiatry & Familey Counseling 52 Cedar Street, Worcester, MA 01609 | 2006-12-18 |
1548343742 | Megan Kirby | Psychologist | 21 Cedar St, Worcester, MA 01609 | 2006-10-23 |
1881792034 | Donald A Favreau | Psychologist | 35 Adelle Circuit, Worcester, MA 01607-0563 | 2006-09-20 |
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.