MARY STATHOS (NPI# 1720690357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720690357 |
Entity Type | Individual |
Full Name | MARY STATHOS |
Practice Address |
380 Pleasant St Ste 12 Malden MA 02148-8127 |
Practice Telephone | 7813966530 |
Enumeration Date | 2020-08-17 |
Last Update Date | 2020-08-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
Street Address |
380 PLEASANT ST STE 12 |
City | MALDEN |
State | MA |
Zip Code | 02148-8127 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427680743 | Cambridge Public Health Commission | Pharmacy | 350 Main Street Suite 640, Malden, MA 02148 | 2020-02-05 |
1568932192 | Stephanie L Octave | Behavior Technician | 28 Wolcott St, Malden, MA 02148 | 2018-11-27 |
1477036549 | Fabienne Odney | Registered Nurse | 41 Alpine St, Malden, MA 02148 | 2018-09-13 |
1972085322 | Donna Watson | Social Worker | 33 Goodwin Avenue, Malden, MA 02148 | 2018-09-02 |
1588144505 | Michael William Sage | Physician Assistant | Cha Malden Care Center, 195 Canal Street, Malden, MA 02148 | 2018-08-20 |
1255827432 | Martineau Louine | Internal Medicine | 11 Dennis Road, Malden, MA 02148 | 2018-07-10 |
1700378098 | Catherine Grieves | Social Worker | 785 Main St Apt. 6, Malden, MA 02148 | 2018-06-01 |
1215427901 | Leam Thomas | Counselor | 175 Summer Street, Apt204, Malden, MA 02148 | 2018-05-17 |
1629593637 | David Acuna | Counselor | 22 Plesant Street, Malden, MA 02148 | 2017-08-10 |
1295258580 | Judith P Phillips | Physician Assistant | 24 Auburn Street, Malden, MA 02148 | 2017-07-19 |
Find all providers in zip 02148 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578185641 | Joseph Prever | Counselor | 6 Pleasant St # 6, Malden, MA 02148-5100 | 2020-05-12 |
1952959058 | Edmund Seth Addo | Counselor | 22 Pleasant St Ste 206, Malden, MA 02148-5119 | 2019-09-01 |
1215427901 | Leam Thomas | Counselor | 175 Summer Street, Apt204, Malden, MA 02148 | 2018-05-17 |
1013452085 | Jenny Brunot | Counselor | 12 Pearl Ct, Malden, MA 02148-6443 | 2016-12-30 |
1184073876 | Tim Martin | Counselor | 8 Quarry Lane #1416, Malden, MA 02148 | 2016-06-03 |
1841609674 | Liliana Patino | Counselor | 200 Mountain Ave Apt 63, Malden, MA 02148-2748 | 2014-08-06 |
1619308400 | Roxana Perez-flores | Counselor | 130 Avon St Apt 54, Malden, MA 02148-7232 | 2013-12-05 |
1427482777 | Dwight Sankey | Counselor | 45 Loomis St Apt 101, Malden, MA 02148-2009 | 2013-08-22 |
1215286257 | Frederick Louis Howcroft | Counselor | 730 Eastern Ane, Malden, MA 02148 | 2012-09-06 |
1003112897 | Maryann Touchette | Counselor | 50 Bishop Rd, Malden, MA 02148-3058 | 2011-01-27 |
Find all providers in MALDEN |
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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.