DANIELLE PROVENCHER (NPI# 1699208835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699208835 |
| Entity Type | Individual |
| Full Name | DANIELLE PROVENCHER |
| Practice Address |
22 Pleasant St Suite 2000 Malden MA 02148-5119 |
| Mailing Address |
442 E 5th St Apt. 3 Boston MA 02127-3045 |
| Practice Telephone | 8604637304 |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
22 PLEASANT ST SUITE 2000 |
| City | MALDEN |
| State | MA |
| Zip Code | 02148-5119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346712346 | Alisa Marie Sweet | Counselor | 22 Pleasant St, Malden, MA 02148-5119 | 2019-01-02 |
| 1487123394 | Kayion Chambers | Counselor | 22 Pleasant St, Malden, MA 02148-5119 | 2018-11-20 |
| 1992280408 | Kerry Cavanagh | Counselor | 22 Pleasant St, Malden, MA 02148-5119 | 2018-10-01 |
| 1104309160 | Lisa Annette Robinson | Counselor | 22 Pleasant St, Malden, MA 02148-5119 | 2018-09-14 |
| 1902389257 | Bridget Lewis-barker | Social Worker | 22 Pleasant St, Malden, MA 02148-5119 | 2018-09-12 |
| 1720560097 | Fabienne C Pierre | Social Worker | 22 Pleasant St, Malden, MA 02148-5119 | 2018-09-04 |
| 1760964167 | Omar Carranza | Community/Behavioral Health | 22 Pleasant St, Suite 2000, Malden, MA 02148 | 2018-08-31 |
| 1639650963 | Ann Beck | Social Worker | 22 Pleasant St, Malden, MA 02148-5119 | 2018-08-24 |
| 1376023192 | Gail Wagner | Social Worker | 22 Pleasant St, Malden, MA 02148-5119 | 2018-08-21 |
| 1598259087 | Kristenmarie Piquette | Counselor | 22 Pleasant St, Malden, MA 02148-5119 | 2018-06-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427680743 | Cambridge Public Health Commission | Pharmacy | 350 Main Street Suite 640, Malden, MA 02148 | 2020-02-05 |
| 1568932192 | Stephanie L Octave | Behavior Technician | 28 Wolcott St, Malden, MA 02148 | 2018-11-27 |
| 1477036549 | Fabienne Odney | Registered Nurse | 41 Alpine St, Malden, MA 02148 | 2018-09-13 |
| 1972085322 | Donna Watson | Social Worker | 33 Goodwin Avenue, Malden, MA 02148 | 2018-09-02 |
| 1588144505 | Michael William Sage | Physician Assistant | Cha Malden Care Center, 195 Canal Street, Malden, MA 02148 | 2018-08-20 |
| 1255827432 | Martineau Louine | Internal Medicine | 11 Dennis Road, Malden, MA 02148 | 2018-07-10 |
| 1700378098 | Catherine Grieves | Social Worker | 785 Main St Apt. 6, Malden, MA 02148 | 2018-06-01 |
| 1215427901 | Leam Thomas | Counselor | 175 Summer Street, Apt204, Malden, MA 02148 | 2018-05-17 |
| 1629593637 | David Acuna | Counselor | 22 Plesant Street, Malden, MA 02148 | 2017-08-10 |
| 1295258580 | Judith P Phillips | Physician Assistant | 24 Auburn Street, Malden, MA 02148 | 2017-07-19 |
| Find all providers in zip 02148 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164996971 | Helen Marie Spignese | Counselor | 8 Knollin St, Malden, MA 02148-2825 | 2019-01-15 |
| 1871083246 | Tyera Nicole Godfrey | Counselor | 12 Perkins Ave, Malden, MA 02148-7502 | 2018-05-11 |
| 1629593637 | David Acuna | Counselor | 22 Plesant Street, Malden, MA 02148 | 2017-08-10 |
| 1215464441 | Amy Kade | Counselor | 22 Pleasant St # 2000, Malden, MA 02148-5119 | 2017-05-18 |
| 1972053841 | Ashley Monique Farrar | Counselor | 32 Holyoke St Unit 1, Malden, MA 02148-5609 | 2016-10-04 |
| 1548687023 | Maria Lopes | Counselor | 429 Ferry St, Malden, MA 02148-7847 | 2014-03-24 |
| 1154744886 | Gabriela Demello | Counselor | 6 Pleasant St Ste 407, Malden, MA 02148-5167 | 2014-01-31 |
| 1114236726 | Yves Bellevue Sr. | Counselor | 220 Belmont St, 3, Malden, MA 02148-7831 | 2010-09-29 |
| 1447491311 | Ishman Williams | Counselor | 6 Pleasant St Ste 513, Malden, MA 02148-5167 | 2009-03-23 |
| 1073708764 | Jennifer Louise Stebbins-han | Counselor | 45 Claremont St, Malden, MA 02148-4644 | 2007-09-06 |
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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.