CHRISTOPHER HICKS (NPI# 1710394994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710394994 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER HICKS |
| Credential | MSN, APRN, PMHNP-BC |
| Practice Address |
115 Mill St Belmont MA 02478-1064 |
| Practice Telephone | 6178552356 |
| Mailing Telephone | 6178552356 |
| Enumeration Date | 2014-07-19 |
| Last Update Date | 2020-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN2284853 | MA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN2284853 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 203 Main St, Building A, Polson, MT 598602119 | 4068834061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003301268 | Christopher Hicks | Case Manager/Care Coordinator | 3515 Senator Ct, Columbus, OH 43204-5202 | 2018-06-28 |
| 1124153010 | Christopher Aaron Hicks | Physical Therapist | 707 Woodrow Wilson Ray Cir, Bridgeport, TX 76426 | 2007-02-22 |
| 1477661635 | Christopher Joe Hicks | Nurse Anesthetist, Certified Registered | 993-d Johnson Ferry Rd., Suite 300, Atlanta, GA 30342 | 2006-08-28 |
| 1548226376 | Christopher L Hicks | Nurse Practitioner | 203 N Cedar Ave, Cookeville, TN 38501 | 2006-04-21 |
| 1114925328 | Christopher Kip Hicks | Specialist | 813a Franklin St Se, Huntsville, AL 35801-4311 | 2005-07-12 |
| 1316438856 | Christopher Michael Hicks | Speech-Language Pathologist | 502 E General Stewart Way Ste C, Hinesville, GA 31313-2643 | 2018-05-21 |
| 1154718633 | Christopher Hicks | Counselor | 55 W 125th St, New York, NY 10027-4516 | 2015-04-22 |
| 1093120545 | Christopher Hicks | Physical Medicine & Rehabilitation | 5841 S Maryland Ave # Mc3079, Chicago, IL 60637-1443 | 2014-06-24 |
| 1427478510 | Christopher Raymond Hicks | Obstetrics & Gynecology | 2439 Bee Ridge Rd, Sarasota, FL 34239-6304 | 2014-04-16 |
| 1255687232 | Christopher R Hicks | Hearing Instrument Specialist | 798 Downtowner Blvd, Suite A, Mobile, AL 36609-5424 | 2012-07-27 |
| Street Address |
115 MILL ST |
| City | BELMONT |
| State | MA |
| Zip Code | 02478-1064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467454652 | Jacqueline Anne Samson | Psychologist | 115 Mill St, Belmont, MA 02478-1041 | 2005-06-01 |
| 1326647520 | Jacqueline Bullis | Psychologist | 115 Mill St, Belmont, MA 02478-1048 | 2020-10-20 |
| 1578162707 | Caleb Zachary Demers | Social Worker | 115 Mill St, Belmont, MA 02478-1048 | 2020-10-19 |
| 1083221428 | Noa Kupfer | Social Worker | 115 Mill St, Belmont, MA 02478-1064 | 2020-09-29 |
| 1154936490 | Remy Sky Leutwyler | Social Worker | 115 Mill St, Belmont, MA 02478-1064 | 2020-09-14 |
| 1699380295 | Denice Cronin | Psychologist | 115 Mill St, Belmont, MA 02478-1064 | 2020-09-10 |
| 1033724851 | Amanda Sedgewick, Pllc | Clinic/Center | 115 Mill St, Belmont, MA 02478-1064 | 2020-09-09 |
| 1013529015 | Miqveh Steinhart | Social Worker | 115 Mill St, Belmont, MA 02478-1064 | 2020-08-20 |
| 1801407820 | Lindsay Amateis | Social Worker | 115 Mill St, Belmont, MA 02478-1064 | 2020-08-13 |
| 1790395671 | Patrick Shanley | Social Worker | 115 Mill St, Mclean Hospital Mail Stop 106, Belmont, MA 02478 | 2020-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089924 | Emily Boyko | Physical Therapist | 413 Trapelo Rd, 2, Belmont, MA 02478 | 2020-10-01 |
| 1326695636 | Kristen Perrelli | Social Worker | 115 Mill Street Mail Stop 207, Belmont, MA 02478 | 2019-08-21 |
| 1265905210 | Deborah J Fenn | Social Worker | 88 Palfrey Rd, Belmont, MA 02478 | 2019-01-02 |
| 1922578855 | The Psych Garden LLC | Counselor | 25 Flanders Road, Belmont, MA 02478 | 2018-12-04 |
| 1083199855 | Wendi Goldberg | Social Worker | 1 15 Mill Street, Belmont, MA 02478 | 2018-09-27 |
| 1124514146 | Ann Polcari | Clinical Nurse Specialist | Service Building Mc Lean Hospital, 115 Mill Street, Belmont, MA 02478 | 2018-07-02 |
| 1245722701 | Jeremy Stewart | Psychologist | Mclean Hospital, 115 Mill Street, Mailstop 331, Belmont, MA 02478 | 2018-05-31 |
| 1295257848 | Stephanie Boyer | Psychologist | Mclean Hospital, 115 Mill St., Mail Stop 131, Belmont, MA 02478 | 2017-07-14 |
| 1497281893 | The Meraki Center for Therapeutic Arts | Community/Behavioral Health | 431 Trapelo Rd, Belmont, MA 02478 | 2017-05-04 |
| 1275908063 | Alex Jordan | Psychologist | 115 Mill Street, Mail Stop 217, Mclean Hospital, Belmont, MA 02478 | 2015-12-05 |
| Find all providers in zip 02478 | ||||
| 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 |
|---|---|---|---|---|
| 1992760714 | Carey Margaret Martin | Nurse Practitioner | 300 Harbor Blvd Bldg E, Belmont, CA 94002-4018 | 2006-04-18 |
| 1265056527 | Middlesex Mental Health, LLC | Nurse Practitioner | 9 Alexander Ave, Belmont, MA 02478-4802 | 2020-06-02 |
| 1184199747 | Susan Maria Cullaty-purvis | Nurse Practitioner | 115 Mill St, Belmont, MA 02478-1048 | 2018-10-10 |
| 1205348752 | Edward Barton | Nurse Practitioner | 115 Mill St, Belmont, MA 02478-1064 | 2017-10-24 |
| 1013370436 | Cassandra Marie Godzik | Nurse Practitioner | 115 Mill St, Mail Stop 336, Belmont, MA 02478-1064 | 2016-04-02 |
| 1033527403 | Amy M Clark | Nurse Practitioner | 115 Mill St, Belmont, MA 02478-1064 | 2014-07-29 |
| 1871874222 | Katherine Frances Cederbaum | Nurse Practitioner | 115 Mill St, Belmont, MA 02478-1064 | 2011-08-30 |
| 1689954893 | Karen Jennings | Nurse Practitioner | 115 Mill St, Belmont, MA 02478-1064 | 2011-08-18 |
| 1841584299 | Theresa Maria Damien | Nurse Practitioner | 115 Mill St, Mclean Hospital, Belmont, MA 02486 | 2011-06-02 |
| 1922059781 | Vona Faye Davis | Nurse Practitioner | 115 Mill St, Belmont, MA 02478-1048 | 2006-05-15 |
| Find all providers in BELMONT | ||||
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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.