DANIELLE SHARON EDERI (NPI# 1790268837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790268837 |
| Entity Type | Individual |
| Full Name | DANIELLE SHARON EDERI |
| Practice Address |
55 Dimock St Roxbury MA 02119-1029 |
| Mailing Address |
464 Commonwealth Ave Apt 43 Boston MA 02215-2707 |
| Practice Telephone | 6174428800 |
| Mailing Telephone | 3054097507 |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2018-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
55 DIMOCK ST |
| City | ROXBURY |
| State | MA |
| Zip Code | 02119-1029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831197896 | Kelly Flynn | Obstetrics & Gynecology | 55 Dimock St, Roxbury, MA 02119-1029 | 2005-07-13 |
| 1114574019 | Mary Rose Maiullari | Pharmacist | 55 Dimock St, Roxbury, MA 02119-1029 | 2019-08-25 |
| 1508421033 | Zachary Biedermann | Developmental Therapist | 55 Dimock St, Roxbury, MA 02119-1029 | 2019-05-09 |
| 1851858401 | Yvelande Boursiquot | Social Worker | 55 Dimock St, Roxbury, MA 02119-1029 | 2019-03-01 |
| 1225527914 | Jevae Nelson | Dentist | 55 Dimock St, Roxbury, MA 02119-1029 | 2018-05-08 |
| 1760996821 | Rachel Shotkin | Social Worker | 55 Dimock St, Roxbury, MA 02119-1029 | 2017-11-28 |
| 1568981421 | Marzieh Bonakdarhashemi | Counselor | 55 Dimock St, Roxbury, MA 02119-1029 | 2017-09-12 |
| 1225554140 | Stacy Lin Longo | Pharmacist | 55 Dimock St, Roxbury, MA 02119-1029 | 2017-08-22 |
| 1639624703 | Cindy Stafford | Counselor | 55 Dimock St, Roxbury, MA 02119-1029 | 2016-08-18 |
| 1205289634 | Alice Han | Obstetrics & Gynecology | 55 Dimock St, Roxbury, MA 02119-1029 | 2016-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661644 | Christina Kim Hunt | Case Manager/Care Coordinator | 75 Amory St, Garden Level, Boston, MA 02119 | 2020-08-27 |
| 1962021089 | Taha Fathima Khan | Student in an Organized Health Care Education/Training Program | Boston Medical Center, 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-04-09 |
| 1154957132 | Katherine Erin Douglas | Pediatrics | 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-03-21 |
| 1720536568 | Ramy Y Barrett | Counselor | 77 Savin Street, Apartment # 3, Boston, MA 02119 | 2016-09-21 |
| 1083089676 | Natasha Cruz | Counselor | 263 Eustis Street, Roxbury, MA 02119 | 2015-12-08 |
| 1922478486 | Natalie Jones | Counselor | 520 Dudley St., Roxbury, MA 02119 | 2015-09-28 |
| 1922484799 | Dina Ghaly-habib | Student in an Organized Health Care Education/Training Program | 100 East Newton St., G-706, Boston, MA 02119 | 2015-08-04 |
| 1942697248 | Pyramid Builders | Case Management | 11 Roxbury Street, Boston, MA 02119 | 2015-04-24 |
| 1063810984 | Sophia Smalls | Counselor | 250 Walnut Ave, Apt. 10, Boston, MA 02119 | 2014-12-09 |
| 1750705059 | Alasa Hawkins | Counselor | 502 Dudley St, Roxbury, MA 02119 | 2014-02-07 |
| Find all providers in zip 02119 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661511 | A Bucket for The Well LLC. | Counselor | 100 Warren St Ste 1a, Roxbury, MA 02119-3259 | 2020-08-28 |
| 1689292831 | Maria Pia Biggs | Counselor | 409 Walnut Ave, Roxbury, MA 02119-3133 | 2020-07-13 |
| 1699322313 | Kristen Lourens | Counselor | 64b Regent St, Roxbury, MA 02119-1980 | 2019-08-19 |
| 1366954570 | Anthony Dewayne Quarles Jr. | Counselor | 520 Dudley St Fl 2, Roxbury, MA 02119-2769 | 2017-10-27 |
| 1043694060 | Jennifer Price | Counselor | 82 Rockland St, Apt. 3f, Roxbury, MA 02119-1966 | 2015-07-20 |
| 1255710851 | Jacqueline Smith | Counselor | 40 Dimock Services, Roxbury, MA 02119-0000 | 2015-05-28 |
| 1154749331 | Keyana Jones | Counselor | 11 Roxbury St Fl 2, Roxbury, MA 02119-1720 | 2014-04-03 |
| 1902221344 | Lakia Cherry | Counselor | 11 Roxbury St, Second Floor, Roxbury, MA 02119-1720 | 2014-02-21 |
| 1942633748 | Gelen Zepeda | Counselor | 1544 Columbus Ave, Roxbury, MA 02119-1026 | 2013-08-15 |
| 1932547353 | Chandra C Williams | Counselor | 504 Dudley Street, Roxbury, MA 02121 | 2013-06-07 |
| Find all providers in ROXBURY | ||||
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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.