DR. STEPHANIE MATOS-TABASHNECK (NPI# 1770073058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770073058 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE MATOS-TABASHNECK |
| Other Name | DR. STEPHANIE TABASHNECK |
| Credential | PSY.D. |
| Practice Address |
240 Heath St Apt 102 Boston MA 02130-1141 |
| Practice Telephone | 2488403186 |
| Mailing Telephone | 2488403186 |
| Enumeration Date | 2018-05-13 |
| Last Update Date | 2018-05-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC1900X |
Psychologist Specialization: Counseling |
10142 | MI | Behavioral Health & Social Service Providers |
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
10142 | MI | Behavioral Health & Social Service Providers |
| Street Address |
240 HEATH ST APT 102 |
| City | BOSTON |
| State | MA |
| Zip Code | 02130-1141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913121 | Virginia Dawn Pratt | Social Worker | Ethos, 555 Amory Street, Jamaica Plain, MA 02130 | 2020-08-19 |
| 1689139917 | Lina Skiba | Speech-Language Pathologist | Thom Child & Family Services, 555 Armory St, Jamaica Plain, MA 02130 | 2019-01-31 |
| 1841775442 | Melissa Rocklen | Social Worker | 30 Germania St Bldg C, Jamaica Plain, MA 02130 | 2018-09-28 |
| 1902389281 | Susan N. Berkman | Social Worker | 111 Perkins St., Apt.120, Jamaica Plain, MA 02130 | 2018-09-12 |
| 1326551912 | Cindy Tromp | Counselor | Arbour Hospital, 49 Robinwood Ave, Jamaica Plain, MA 02130 | 2017-11-06 |
| 1811415128 | Jesse Myles Carmen | Social Worker | 555 Armory Street, Jamaica Plain, MA 02130 | 2017-09-07 |
| 1881119410 | Melanie Suzanne Witman | Counselor | 1125 Centre Street, Boston, MA 02130 | 2017-08-04 |
| 1740702125 | Farah Clermont | Counselor | 3815 Washington St., Jamaica Plain, MA 02130 | 2017-07-07 |
| 1346777554 | Anjalie L Pieres | Counselor | 157 Green Streey, Jamaica Plain, MA 02130 | 2017-05-18 |
| 1316480098 | Caroline Amina Shaw-moss | Counselor | 7 Burr St., Boston, MA 02130 | 2016-11-29 |
| Find all providers in zip 02130 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346863172 | Zoe Ray | Psychologist | 24 New Chardon St Ste 200, Boston, MA 02114-4703 | 2020-05-27 |
| 1043831118 | Carol G Feldman | Psychologist | 23 Rutland Sq, Boston, MA 02118-3105 | 2020-04-30 |
| 1255823795 | Stephen Delisi | Psychologist | 85 E Newton St, Boston, MA 02118-2841 | 2018-05-31 |
| 1629595475 | Ryan Palmer Brimigion | Psychologist | 85 E Newton St, Boston, MA 02118-2841 | 2017-08-23 |
| 1255643128 | Stephanie A Hansen | Psychologist | 85 E Newton St, Boston, MA 02118-2340 | 2010-07-08 |
| 1891702494 | Deborah O. White | Psychologist | 25 Staniford St, Plaza Level, Boston, MA 02114-2503 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326533654 | Susan E Flood | Psychologist | 25 Whittier St, Cambridge, MA 02140-2611 | 2018-06-28 |
| 1649762832 | Katrina H Colistra | Psychologist | 45 Williams St, Marlborough, MA 01752-6054 | 2018-06-04 |
| 1447741988 | Robert A Fein | Psychologist | 1770 Massachusetts Ave Ste 197, Cambridge, MA 02140-2808 | 2018-05-21 |
| 1063902740 | Carla Alexandra Lourenco | Psychologist | 52 Obery St, Plymouth, MA 02360-2199 | 2018-05-17 |
| 1821588617 | Jonathan Parad | Psychologist | 4 The Lope, Haydenville, MA 01039-9726 | 2018-05-16 |
| 1902396864 | Priscilla Hoffnung | Psychologist | 29 Ashcroft St, Jamaica Plain, MA 02130-4325 | 2018-05-16 |
| 1093205502 | Barbara Quinones | Psychologist | 39 Mount Hope St, Norwell, MA 02061-1017 | 2018-05-10 |
| 1942790472 | Hilary Novak | Psychologist | 2200 Cranberry Hwy, West Wareham, MA 02576-1219 | 2018-05-10 |
| 1801385489 | Thomas Grisso | Psychologist | 4 Candlewood Way, Shrewsbury, MA 01545-1728 | 2018-05-09 |
| 1871082727 | Robert H. Joss | Psychologist | 70 Washington St Ste 210, Salem, MA 01970-3510 | 2018-05-07 |
| 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.