MICHAEL BROCK


Address: 7 Haviland St, Boston, MA 02115-2683
Phone: 6172670900

MICHAEL BROCK (NPI# 1740351121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740351121
Entity Type Individual
Full Name MICHAEL BROCK
Credential LICSW
Practice Address 7 Haviland St
Boston
MA 02115-2683
Practice Telephone 6172670900
Practice Fax Number 6172673667
Mailing Telephone 6172670900
Mailing Fax Number 6172673667
Enumeration Date 2006-11-10
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
107584 MA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA 1303546 05

Other Providers MICHAEL BROCK

NPI Name Taxonomy Address Enumeration
1003161282 Michael George Brock Psychologist 2514 Biddle Avenue, Wyandotte, MI 48192 2012-07-13
1740452804 Michael K Brock Physical Therapist 2030 E County Line Rd Unit M, Highlands Ranch, CO 80126-2439 2008-03-29
1639241102 Michael E. Brock Family Medicine 2920 Winchester Ave, Suite 1, Ashland, KY 41101-1962 2006-11-14
1629051198 Michael P Brock Podiatrist 10530 Harrison Ave, Harrison, OH 45030-2141 2005-11-29
1316430945 Michael Brock Peer Specialist 9315 Telegraph Rd, Redford, MI 48239-1260 2018-06-08
1417290909 Michael L. Brock Counselor 12800 Hillcrest Rd, Suite A126, Dallas, TX 75230 2013-04-03
1780945477 Michael Alan Brock Pediatrics 22 S Greene St, Baltimore, MD 21201-1544 2012-05-30
1558415091 Michael Richard Brock Adult Companion 310 Nw Flanders St, Portland, OR 97209-3941 2007-01-22
1194876862 Michael Dalton Brock Nurse Anesthetist, Certified Registered 701 Grove Rd, 2nd Floor Anesthesia Dept, Greenville, SC 29605 2007-01-16

Office Location

Street Address 7 HAVILAND ST
City BOSTON
State MA
Zip Code 02115-2683

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881676849 Ana Maldonado Physician Assistant 7 Haviland St, Boston, MA 02115-2683 2005-11-16
1679728182 Anette Vehus Dietitian, Registered 7 Haviland St, Boston, MA 02115-2683 2008-11-25
1366693723 James Edward Lunderville Social Worker 7 Haviland St, Boston, MA 02115-2683 2008-10-03
1326220476 Deborah A Horowitz Social Worker 7 Haviland St, Boston, MA 02115-2683 2007-11-30
1336340769 Christel Charlesworth Social Worker 7 Haviland St, Boston, MA 02115-2683 2007-05-31
1427183896 Swasnand Balram Pharmacist 7 Haviland St, Boston, MA 02115-2683 2007-02-23
1518038892 Emily Frank Social Worker 7 Haviland St, Boston, MA 02115-2683 2006-11-10
1821169194 Phyllis Dixon Counselor 7 Haviland St, Boston, MA 02115-2683 2006-11-10
1972674364 Erwin Ilano Psychiatry & Neurology 7 Haviland St, Boston, MA 02115-2683 2006-11-10
1700957073 Elizabeth Coolidge Counselor 7 Haviland St, Boston, MA 02115-2683 2006-11-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013524339 Jacqueline Busa Student in an Organized Health Care Education/Training Program Northeastern University 336 Huntington Ave, Boston, MA 02115 2020-09-30
1417564279 Katherine Rose Brainard Student in an Organized Health Care Education/Training Program 336 Huntington Avenue, Boston, MA 02115 2020-09-25
1679189112 Tara Baxter Orthopaedic Surgery Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 2020-09-21
1053923110 Wendy Tu Student in an Organized Health Care Education/Training Program 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 2020-08-20
1477177335 Nicolas Wyvekens Student in an Organized Health Care Education/Training Program 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 2020-06-05
1669095923 Erin Crocker Student in an Organized Health Care Education/Training Program Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 2020-05-21
1033732417 Tyler Francis Hayes Student in an Organized Health Care Education/Training Program Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 2020-05-20
1982225090 Emily Blake Student in an Organized Health Care Education/Training Program 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 2020-04-29
1891315495 Stephanie Schoch Student in an Organized Health Care Education/Training Program 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 2020-04-23
1427678093 Meghan Miles Student in an Organized Health Care Education/Training Program 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 2020-04-23
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063019800 Anabel Rohrer Counselor 189 Princeton St Apt 1, Boston, MA 02128-3517 2020-10-05
1174138499 Rachel Theresa Feddor Counselor 1970 Commonwealth Ave Apt 48, Boston, MA 02135-5820 2020-09-14
1356953673 Colleen Murray Counselor 45 Montcalm Ave, Boston, MA 02135-2839 2020-08-18
1326657487 Laqueen Arleen Battle Counselor 101 Arch Street, 8th Floor, Ste 869, Boston, MA 02110 2020-07-24
1134737240 Jeandrilie Font-llorens Counselor 440 Mcclellan Hwy Ste 105b, Boston, MA 02128-1101 2020-07-15
1255959524 Discover Healing Therapy LLC Counselor 185 Devonshire St Ste 501, Boston, MA 02110-1415 2020-07-13
1538783089 Yutsz Cherng Counselor 870r Commonwealth Avenue, Boston, MA 02215 2020-06-01
1013537992 James Jeffrey Yelinek Jr. Counselor 80 Fenwood Rd Unit 614, Boston, MA 02115-6148 2020-04-21
1952944290 Chabreah Alston Counselor 23 Cameron St Apt 3, Boston, MA 02125-4463 2019-10-18
1720620271 Cheryl Pamela Lewis Counselor 155 Northampton St Apt 408, Boston, MA 02118-1845 2019-10-16
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Competitor

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City BOSTON
Zip Code 02115

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Dataset Information

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.

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