JACINE YAEL VILCHES (NPI# 1700369436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700369436 |
| Entity Type | Individual |
| Full Name | JACINE YAEL VILCHES |
| Credential | DNP, FNP-BC, NP-C |
| Practice Address |
103 Commercial St Brockton MA 02302-3133 |
| Practice Telephone | 9046164313 |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2019-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | ARNP9337459 | FL | Allopathic & Osteopathic Physicians |
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
ARNP9337459 | FL | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
RN2329566 | MA | Allopathic & Osteopathic Physicians |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9337459 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
103 COMMERCIAL ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02302-3133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922332816 | Kathryn Doan | Counselor | 103 Commercial St, Brockton, MA 02302-3133 | 2009-09-24 |
| 1841807252 | Allessandra Patrice Meandro | Counselor | 103 Commercial St, Brockton, MA 02302-3133 | 2020-09-29 |
| 1669082657 | Shane Fitzgerald | Speech-Language Pathologist | 103 Commercial St, Brockton, MA 02302-3133 | 2020-08-04 |
| 1699397828 | Ashley Lauren Kelly | Counselor | 103 Commercial St, Brockton, MA 02302-3133 | 2020-05-11 |
| 1568097657 | Sabrina Georges | Behavioral Analyst | 103 Commercial St, Brockton, MA 02302-3133 | 2020-03-09 |
| 1427680347 | Gabriella Daniel | Social Worker | 103 Commercial St, Brockton, MA 02302-3133 | 2020-02-08 |
| 1598305542 | Kayli Marie Hamblin | Behavior Technician | 103 Commercial St, Brockton, MA 02302-3133 | 2020-01-07 |
| 1245892769 | Kristen Sampson | Psychologist | 103 Commercial St, Brockton, MA 02302-3133 | 2019-07-04 |
| 1275193781 | Brittany Wright | Social Worker | 103 Commercial St, Brockton, MA 02302-3133 | 2019-06-17 |
| 1538725759 | Taylor Nicole Bridges | Counselor | 103 Commercial St, Brockton, MA 02302-3133 | 2019-05-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427513373 | Miriam Monteiro | Social Worker | 688 Plain Street, Brockton, MA 02302 | 2019-02-05 |
| 1619432523 | Shirley Elefson | Social Worker | 330 Crescent Street, Brockton, MA 02302 | 2019-02-05 |
| 1578055505 | Steigmward Desir | Specialist | 472 E Ashland St, Brockton, MA 02302 | 2018-06-05 |
| 1114417797 | Katherine Douglas Van Schaik | Student in an Organized Health Care Education/Training Program | Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700376365 | Emmanuel Carrodeguas | Student in an Organized Health Care Education/Training Program | Brockton Hospital, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700303856 | My Care, LLC | Home Health | 307 Field Street, Brockton, MA 02302 | 2017-08-29 |
| 1982124988 | Shavon Franks | Psychologist | 30 Downey Rd, Brockton, MA 02302 | 2017-06-21 |
| 1831629286 | Kings & Queens Empowered | Religious Nonmedical Health Care Institution | 312 Carl Ave, Brockton, MA 02302 | 2017-06-18 |
| 1487193389 | Roseline Eliezer | Licensed Practical Nurse | 17 Simeon Avenue, Brockton, MA 02302 | 2017-02-13 |
| 1184008989 | Danielle Parker | Student in an Organized Health Care Education/Training Program | 23 Grinnell Rd, Brockton, MA 02302 | 2015-07-13 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730444274 | Edwin R Raffi | Psychiatry & Neurology | 940 Belmont St # 116a7, Brockton, MA 02301-5596 | 2012-07-11 |
| 1780816843 | Fawad Taj | Psychiatry & Neurology | 940 Belmont St, Building 5, Rm116a7, Va Boston Healthcare, Brockton, MA 02301 | 2009-08-21 |
| 1922198431 | Ronald J. Gurrera | Psychiatry & Neurology | 940 Belmont St # 116a, Brockton, MA 02301-5596 | 2006-10-13 |
| 1740386689 | Miriam Tankiang Villanueva | Psychiatry & Neurology | 30 Meadowbrook Rd, Brockton, MA 02301-7122 | 2006-09-16 |
| 1124134069 | Dimitris Gerothanassis | Psychiatry & Neurology | 529 Pearl St, Brockton, MA 02301-2825 | 2006-08-22 |
| 1376555276 | Joseph Aaron Shrand | Psychiatry & Neurology | 20 Meadowbrook Rd, Castle, Brockton, MA 02301-7122 | 2006-08-12 |
| 1326086638 | Alejandro Y Mendoza | Psychiatry & Neurology | 235 North Pearl Street, Caritas Good Samaritan Med Ctr, Brockton, MA 02301 | 2006-06-02 |
| 1700873999 | Lyudmila Rakita | Psychiatry & Neurology | 1342 Belmont St, Suite 103, Brockton, MA 02301-4436 | 2005-10-03 |
| 1780181636 | Frank Copeli | Psychiatry & Neurology | 940 Belmont St Bldg 5, Brockton, MA 02301-5596 | 2018-04-08 |
| 1922516053 | Steward Good Samaritan Medical Center, Inc. | Psychiatry & Neurology | 235 N Pearl St, Brockton, MA 02301-1794 | 2018-01-10 |
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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.