MR. DAVID PAUL PENNACCHIA (NPI# 1710254685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710254685 |
| Entity Type | Individual |
| Full Name | MR. DAVID PAUL PENNACCHIA |
| Credential | MSW, LICSW |
| Practice Address |
35 Mitchell Rd Ipswich MA 01938-1218 |
| Practice Telephone | 9783569321 |
| Practice Fax Number | 9783569724 |
| Mailing Telephone | 9783569321 |
| Mailing Fax Number | 9783569724 |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2011-11-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 114459 | MA | Residential Treatment Facilities |
| Street Address |
35 MITCHELL RD |
| City | IPSWICH |
| State | MA |
| Zip Code | 01938-1218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437232014 | Health and Education Services, Inc. | Community/Behavioral Health | 35 Mitchell Rd, Ipswich, MA 01938-1218 | 2006-10-24 |
| 1245678903 | Mollie L. Monaco | Social Worker | 35 Mitchell Rd, Ipswich, MA 01938-1218 | 2013-06-04 |
| 1588914790 | Erica Rachel Capone | Social Worker | 35 Mitchell Rd, Ipswich, MA 01938-1218 | 2012-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019446 | Appleton Eye Associates PC | Optometrist | 21 Market Street, Suite 100, Ipswitch, MA 01938 | 2020-10-08 |
| 1093297442 | Geraldine E Gomery | Social Worker | 6 Stage Hill Road, Ipswich, MA 01938 | 2018-09-02 |
| 1336665041 | Kristen Caggiano | Physical Therapist | 73 Turnpike Rd, Unit 1a Bldgc, Ipswich, MA 01938 | 2017-08-15 |
| 1437548948 | Shabana Mohamed | Social Worker | Lahey Health Primary Care, Ipswich, 36 Essex Road, Ipswich, MA 01938 | 2015-01-21 |
| 1700281771 | Brian Calandra | Physical Therapist | 3 Dix Rd, Ipswich, MA 01938 | 2014-11-03 |
| 1023237153 | Michael P Arsenault | Acupuncturist | Internal Arts Acupuncture, 77 Turnpike Road - Rt. #1, Ipswich, MA 01938 | 2007-04-25 |
| 1629123542 | Jane M Woodman | Clinical Nurse Specialist | Appleton Building 2 No Main St Suite 3, Ipswich, MA 01938 | 2007-01-23 |
| 1417043118 | Paul S. Scioli | Chiropractor | 130 County Rd., Suite L., Ipswich, MA 01938 | 2006-10-04 |
| 1821181561 | Rita V Kelleher | Occupational Therapist | 30 Jeffrey's Neck Road, Ipswich, MA 01938 | 2006-10-02 |
| 1619956794 | Lisa Ann Traveis | Optometrist | 21 Market Street, Ste. 100, Ipswich, MA 01938 | 2006-01-17 |
| Find all providers in zip 01938 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144769167 | Aloria Health of Worcester, LLC | Community Based Residential Treatment Facility, Mental Illness | 1183 Main St, Worcester, MA 01603 | 2017-02-23 |
| 1952784506 | Justice Resource Institute | Community Based Residential Treatment Facility, Mental Illness | 262 Crescent St, Waltham, MA 02453-3417 | 2015-07-01 |
| 1639564214 | Northeast Behavioral Associates | Community Based Residential Treatment Facility, Mental Illness | 23 Dailey Rd, Brockton, MA 02302-2250 | 2015-04-01 |
| 1346641313 | Penikese Island School, Inc | Community Based Residential Treatment Facility, Mental Illness | 565 Woods Hole Rd, Woods Hole, MA 02543-1041 | 2014-09-10 |
| 1750780227 | Westbridge Inc | Community Based Residential Treatment Facility, Mental Illness | 275 Mystic Ave, Ste C, Medford, MA 02155-6301 | 2014-08-20 |
| 1780966606 | Walgreens | Community Based Residential Treatment Facility, Mental Illness | 113 Monument St, Medford, MA 02155-3538 | 2011-09-16 |
| 1851627988 | Hampden County Sherriff's Department | Community Based Residential Treatment Facility, Mental Illness | 701 Center St, Chicopee, MA 01013-1588 | 2009-10-24 |
| 1184958423 | Joseph D Reich | Community Based Residential Treatment Facility, Mental Illness | 475 State Rd, Plymouth, MA 02360-5185 | 2009-09-18 |
| 1922127349 | Department of Mental Health | Community Based Residential Treatment Facility, Mental Illness | Westborough State Hospital Chauncy Hall, Lyman St Daniels 1, Westborough, MA 01581 | 2007-03-28 |
| 1568580736 | Department of Mental Health | Community Based Residential Treatment Facility, Mental Illness | Brighton Irtp - Everett House, 232 Centre St, Dorchester Center, MA 02124-2334 | 2007-03-27 |
| Find all providers with the same taxonomy | ||||
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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.