NICOLE CHAROS PLLC (NPI# 1770148470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770148470 |
| Entity Type | Organization |
| Organization Name | NICOLE CHAROS PLLC |
| Practice Address |
330 Brookline Ave # Rabb2 Boston MA 02215-5491 |
| Practice Telephone | 7815149946 |
| Mailing Telephone | 2012300200 |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-05-08 |
| Authorized Official Name | NICOLE CHAROS (OWNER) |
| Authorized Official Telephone | 2012300200 |
| Authorized Official Credential | LICSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11 River St Ste 2, Wellesley, MA 024812005 | 7815149946 |
| Street Address |
330 BROOKLINE AVE # RABB2 |
| City | BOSTON |
| State | MA |
| Zip Code | 02215-5491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083989354 | John Blake Torous | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave # Rabb2, Boston, MA 02215-5400 | 2012-03-20 |
| 1467077875 | Petr Vitkovskiy | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave # Rabb2, Boston, MA 02215-5400 | 2020-06-11 |
| 1083174916 | Elizabeth Greenwald | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave # Rabb2, Boston, MA 02215-5400 | 2019-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1164994232 | Commonwealth Collaborative Care, LLC | Clinic/Center | 143 Newbury St Ste 4, Boston, MA 02116-2925 | 2018-12-29 |
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| 1114561776 | Sparsha S Reddy Md Pllc | Clinic/Center | 399 Boylston St Ste 900b, Boston, MA 02116-3305 | 2019-11-06 |
| 1871150540 | Lesley Fields Psyd LLC | Clinic/Center | 75 Arlington St Fl 5, Boston, MA 02116-3936 | 2019-05-28 |
| 1336705631 | Rachel Duda Psyd LLC | Clinic/Center | 45 Newbury St Ste 333, Boston, MA 02116-3177 | 2019-05-13 |
| 1972098937 | Harwal Healing Alliance PC | Clinic/Center | 399 Boylston St Ste 900, Boston, MA 02116-3305 | 2018-06-22 |
| 1023522927 | Dr. Laura Fasciano LLC | Clinic/Center | 101 Arch St Fl 8, Boston, MA 02110-7500 | 2017-11-30 |
| 1619481470 | Cascade Counseling & Wellness | Clinic/Center | 29 Commonwealth Ave Ste 902, Boston, MA 02116-2349 | 2017-11-30 |
| 1851774053 | Helen M. Farrell, M.d., LLC | Clinic/Center | 29 Commonwealth Ave, Suite 906, Boston, MA 02116-2349 | 2015-07-07 |
| 1386071215 | Brigham and Women's Hospital | Clinic/Center | 221 Longwood Ave, Boston, MA 02115-5804 | 2013-10-10 |
| Find all providers in BOSTON | ||||
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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.