SANDRA ROBERTSON MUHAMMAD (NPI# 1700355823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700355823 |
| Entity Type | Individual |
| Full Name | SANDRA ROBERTSON MUHAMMAD |
| Credential | M.ED., CAGS, LMHC |
| Practice Address |
1773 Dorchester Ave # Ma Boston MA 02124-2556 |
| Practice Telephone | 6173124476 |
| Practice Fax Number | 6172975515 |
| Mailing Telephone | 6173124476 |
| Mailing Fax Number | 6172975515 |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2018-11-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 10186 | MA | Agencies |
| Street Address |
1773 DORCHESTER AVE # MA |
| City | BOSTON |
| State | MA |
| Zip Code | 02124-2556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109599 | Yolanda Barner | Behavioral Analyst | 241 Norfolk St, Dorchester, MA 02124 | 2020-03-23 |
| 1144878489 | Marissa Sneed | Case Manager/Care Coordinator | 1059 Tremont St Suit 2, Roxbury Crossing, ME 02124 | 2019-08-29 |
| 1407413487 | Adrian Velasquez Md LLC | Internal Medicine | 2110 Dorchester Ave Ste 205, Seton Building, Dorchester, MA 02124 | 2019-05-24 |
| 1164908794 | Genesis 365 Care LLC | Home Health Aide | 114 Fuller St # 1, Dorchester, MA 02124 | 2018-07-17 |
| 1821581422 | Prince Nwaford | Psychologist | 176 Harvard Street, 2, Boston, MA 02124 | 2018-06-08 |
| 1073026753 | Massachusetts Chiropractic Center LLC | Chiropractor | 879-881 Blue Hill Avenue, Dorchester, MA 02124 | 2017-11-16 |
| 1770096620 | Aly Tran | Behavior Technician | 232 Centre St, Dorchester, MA 02124 | 2017-11-14 |
| 1326564386 | Mildred R Gomez | Community Health Worker | 108 Norfolk St, Dorchester, MA 02124 | 2017-08-21 |
| 1871025585 | Dwight Dorcy | Assistant Behavior Analyst | 7 Samoset St # 3, Dorchester, MA 02124 | 2017-03-31 |
| 1346793452 | Jennie Lee | Nurse Practitioner | 425 Harvard St, Dorchester, MA 02124 | 2016-07-26 |
| Find all providers in zip 02124 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619587490 | Maat Therapeutic Solutions Inc. | Community/Behavioral Health | 1773 Dorchester Ave Ste 3, Boston, MA 02124-2556 | 2020-08-05 |
| 1679104194 | Breann Lyn Mcgee | Community/Behavioral Health | 8 Langdon St Apt 3, Boston, MA 02119-2865 | 2020-02-03 |
| 1992282255 | Kary Daviela Suazo | Community/Behavioral Health | 50 Lamartine Street Ext Apt 264, Boston, MA 02130-1636 | 2018-07-19 |
| 1477050185 | Icontrolmyhealth, Inc. | Community/Behavioral Health | 530 Atlantic Ave Apt 512, Boston, MA 02210-2237 | 2018-04-09 |
| 1134622426 | Light House Behavioral Health and Wellness Center Inc. | Community/Behavioral Health | 1 Westinghouse Plaza, A-216, Boston, MA 02136 | 2018-03-13 |
| 1063936078 | New Directions Counseling Service LLC | Community/Behavioral Health | 24 Union Wharf, Boston, MA 02109-1202 | 2017-08-01 |
| 1477002590 | Commonwealth of Massachusetts - Executive Office of Elder Affairs | Community/Behavioral Health | 1 Ashburton Pl Fl 5, Boston, MA 02108-1518 | 2016-09-30 |
| 1285023655 | Justice Resource Institute | Community/Behavioral Health | 3 Pickering Avenue # 1, Boston, MA 02119-2225 | 2015-01-22 |
| 1528494259 | Children Services of Roxbury | Community/Behavioral Health | 375 Columbus Ave, 103, Boston, MA 02116-6043 | 2013-09-26 |
| 1144572165 | Boston Rescue Mission, Inc. | Community/Behavioral Health | 39 Kingston St, Boston, MA 02111-2208 | 2012-10-15 |
| Find all providers in BOSTON | ||||
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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.