MICHAEL GEOGHEGAN (NPI# 1699290924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699290924 |
| Entity Type | Individual |
| Full Name | MICHAEL GEOGHEGAN |
| Credential | PMHNP-BC |
| Practice Address |
200 May St South Attleboro MA 02703 |
| Mailing Address |
200 May St Attleboro MA 02703-5520 |
| Practice Telephone | 5087618500 |
| Mailing Telephone | 5088382250 |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2018-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 217504 | TN | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN2318977 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730383225 | Michael Edward Geoghegan | Surgery | 22202 Beech St, Dearborn, MI 48124-2704 | 2007-06-11 |
| 1336249663 | Michael J Geoghegan | Orthopaedic Surgery | 23550 Park St, Ste. 100, Dearborn, MI 48124-2592 | 2006-09-25 |
| Street Address |
200 MAY ST |
| City | SOUTH ATTLEBORO |
| State | MA |
| Zip Code | 02703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851830780 | Courtney Cole | Counselor | 200 May St, South Attleboro, MA 02703-5520 | 2017-02-13 |
| 1821493982 | Nicole Ginzberg | Social Worker | 200 May St, South Attleboro, MA 02703-5520 | 2014-10-30 |
| 1538586979 | Kimberly Rodrigues | Social Worker | 200 May St, South Attleboro, MA 02703-5520 | 2014-03-24 |
| 1184862229 | Gregory S Handel | Psychologist | 200 May St, South Attleboro, MA 02703-5520 | 2009-01-28 |
| 1013949916 | Bashir Ahmad | Psychiatry & Neurology | 200 May St, South Attleboro, MA 02703-5520 | 2006-07-07 |
| 1740219534 | Kalpana R Polu | Psychiatry & Neurology | 200 May St, South Attleboro, MA 02703-5520 | 2006-07-02 |
| 1447296900 | Shashikala R Prabhu | Psychiatry & Neurology | 200 May St, South Attleboro, MA 02703-5520 | 2006-06-22 |
| 1467497180 | Suvasini A Pandit | Psychiatry & Neurology | 200 May St, South Attleboro, MA 02703-5520 | 2006-06-17 |
| 1992749436 | Sajid M Choudhry | Psychiatry & Neurology | 200 May St, South Attleboro, MA 02703-5520 | 2006-06-15 |
| 1689615403 | Frank M Kahr | Psychiatry & Neurology | 200 May St, South Attleboro, MA 02703-5520 | 2006-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447735196 | Neha Juneja | Dentist | 4 Park St., Attleboro, MA 02703 | 2018-09-28 |
| 1366960981 | Michael Crowley | Physical Therapist | 21 North Main Street, Attleboro, MA 02703 | 2017-09-04 |
| 1649719931 | Alpha Dental Center of Attleboro | Dentist | 140 Park St., Suite 3, Attleboro, MA 02703 | 2017-02-20 |
| 1134668874 | Matthew Camara | Developmental Therapist | 98 Middle Street, Attleboro, MA 02703 | 2017-02-14 |
| 1922543453 | Hannah Cho | Dentist | 4 Park Street, Attleboro, MA 02703 | 2016-12-19 |
| 1902340532 | Whitney Randant | Counselor | 23 Whineys Way, Attleboro, MA 02703 | 2016-12-16 |
| 1396193603 | Eric Boynton | Behavioral Analyst | 33 Perry Ave., Attleboro, MA 02703 | 2016-05-26 |
| 1316374770 | Sandy Glover | Counselor | 8 North Main St., Attleboro, MA 02703 | 2013-10-01 |
| 1790120830 | New England Behavioral Service, Inc. | Behavioral Analyst | 21 Park St., Suite 414, Attleboro, MA 02703 | 2013-05-02 |
| 1124390026 | Maria Jasmin Morales | Community/Behavioral Health | The Bates Building, 7 North Main Street, Attleboro, MA 02703 | 2012-02-08 |
| Find all providers in zip 02703 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639552 | Kelly Ann Hancock | Nurse Practitioner | 6 Margot Ln, East Bridgewater, MA 02333-1689 | 2020-11-03 |
| 1366042715 | Jacqueline Ann Owens | Nurse Practitioner | 32 Hammond Ave, Cohasset, MA 02025-1928 | 2020-10-27 |
| 1144829177 | Amiee N Caruso | Nurse Practitioner | 26 Queen St Ste 4, Worcester, MA 01610-2473 | 2020-10-21 |
| 1629676234 | Sandpiper Wellness, LLC | Nurse Practitioner | 345 Union St Unit 5, New Bedford, MA 02740-3679 | 2020-10-15 |
| 1912505777 | Samantha Deglaoui | Nurse Practitioner | 1 Clarks Hl Ste 302, Framingham, MA 01702-8172 | 2020-10-14 |
| 1699372235 | Square Behavioral Health, LLC | Nurse Practitioner | 733 Turnpike St # 162, North Andover, MA 01845-6137 | 2020-10-06 |
| 1184221046 | Abdonne Ngo Nyele Mbouadeu | Nurse Practitioner | 34 Tannery Rd, Sturbridge, MA 01518-1171 | 2020-10-05 |
| 1013524164 | Atlee Quarrier | Nurse Practitioner | 29 Birch Meadow Rd, Merrimac, MA 01860-1826 | 2020-09-23 |
| 1669086997 | Unique Psych Services LLC | Nurse Practitioner | 10 Mazzeo Dr Ste 201f, Randolph, MA 02368-3433 | 2020-09-03 |
| 1457961138 | Savina Nicole Setze | Nurse Practitioner | 15 N Beacon St Apt 914, Allston, MA 02134-1941 | 2020-08-06 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH ATTLEBORO |
| Zip Code | 02703 |
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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.