JERRY WACKS, MD (NPI# 1801087226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801087226 |
| Entity Type | Organization |
| Organization Name | JERRY WACKS, MD |
| Practice Address |
35 Bedford St Suite 1 Lexington MA 02420-4320 |
| Practice Telephone | 7818626767 |
| Practice Fax Number | 7818616953 |
| Mailing Telephone | 7818626767 |
| Mailing Fax Number | 7818616953 |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2007-08-14 |
| Authorized Official Name | DR. JERRY WACKS (OWNER) |
| Authorized Official Telephone | 7818616767 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 3999 | MA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
1023844 | MA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
110987 | MA | Behavioral Health & Social Service Providers |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
28783 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
35 BEDFORD ST SUITE 1 |
| City | LEXINGTON |
| State | MA |
| Zip Code | 02420-4320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629067897 | Thomas A. Caldwell | Specialist | 35 Bedford St, Suite 19, Lexington, MA 02420-4320 | 2005-10-19 |
| 1932348117 | Debra Ludwig | Physical Therapist | 35 Bedford St, Suite 5, Lexington, MA 02420-4320 | 2009-02-12 |
| 1407018146 | Nyssa Matson-keats | Social Worker | 35 Bedford St, Lexington, MA 02420-4320 | 2008-06-25 |
| 1194910547 | Susan Laviolette | Physical Therapist | 35 Bedford St, Suite 5, Lexington, MA 02420-4320 | 2007-09-10 |
| 1023131091 | Janet H Seide | Psychologist | 35 Bedford St, Lexington, Lexington, MA 02420-4320 | 2007-04-06 |
| 1508987082 | Kan Liu | Physical Medicine & Rehabilitation | 35 Bedford St, # 10, Lexington, MA 02420-4320 | 2007-04-03 |
| 1356482277 | Charles Matthew Alperin | Social Worker | 35 Bedford St, Suite 1, Lexington, MA 02420-4320 | 2007-02-12 |
| 1215078357 | Amy Sterling-bratt | Social Worker | 35 Bedford St, Lexington, MA 02420-4320 | 2007-02-10 |
| 1033261987 | Lexington Medical Management P.C. | Internal Medicine | 35 Bedford St, Suite 18a, Lexington, MA 02420-4320 | 2007-01-18 |
| 1699827881 | Jerry Wacks | Psychiatry & Neurology | 35 Bedford St, Suite 1, Lexington, MA 02420-4320 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568958643 | Kristen Gargiulo | Physical Therapist | 57 Bedord Street, Ste 202, Lexington, MA 02420 | 2018-07-02 |
| 1902311616 | Lindsey Nicole Wilcox | Physical Therapist | 57 Bedford St Ste 202, Lexington, MA 02420 | 2017-12-05 |
| 1629590443 | Jeffrey Phillip Winer | Psychologist | 57 Bedford St Ste 230, Lexington, MA 02420 | 2017-07-13 |
| 1235678178 | Rebecca Munini | Counselor | 76 Bedford Street, Suite 12, Office 1, Lexington, MA 02420 | 2017-02-13 |
| 1700332376 | Aretha Cohen | Speech-Language Pathologist | 840 Emerson Gardens Road, Excel Center, Lexington, MA 02420 | 2016-09-01 |
| 1710387915 | Niravkumar Patel | Internal Medicine | 4 Hadley Rd, Lexington, MA 02420 | 2014-08-26 |
| 1316368749 | Triad Adolescent Services | Counselor | 363 Mass Ave, Suite 204, Lexington, MA 02420 | 2014-01-03 |
| 1447698063 | Emily Flier Matteodo | Psychiatry & Neurology | 35 Bedford Street, Suite #6, Lexington, MA 02420 | 2013-06-05 |
| 1780941914 | Varun Kapur | Surgery | 33 York St, Lexington, MA 02420 | 2012-04-12 |
| 1992091433 | Karolyn Mary Franz | Acupuncturist | 238 Bedford St Ste 5, Lexington, MA 02420 | 2011-06-23 |
| Find all providers in zip 02420 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003343518 | Daniella Gavito | Psychiatry & Neurology | 245 Fountain Ct # 225, Lexington, KY 40509-1888 | 2017-05-15 |
| 1407393945 | Lexington Psychiatry LLC | Psychiatry & Neurology | 1666 Mass Ave, Floor 2 Suite 3, Lexington, MA 02420-5317 | 2017-01-23 |
| 1639532534 | Chelsea Ann Atwater | Psychiatry & Neurology | 245 Fountain Ct # P225, Lexington, KY 40509 | 2016-03-30 |
| 1093108474 | National Behavioral Health | Psychiatry & Neurology | 3793 Everetts Dl, Lexington, KY 40514-1190 | 2015-03-10 |
| 1285053058 | Tms Center of Lexington, Pllc | Psychiatry & Neurology | 1000 Monarch St Ste 280, Lexington, KY 40513-1494 | 2014-04-09 |
| 1447698063 | Emily Flier Matteodo | Psychiatry & Neurology | 35 Bedford Street, Suite #6, Lexington, MA 02420 | 2013-06-05 |
| 1558601823 | Gregory Theodore Kotonias | Psychiatry & Neurology | 401 Katahdin Dr, Lexington, MA 02421-6445 | 2013-02-25 |
| 1831464072 | Gurvinder Singh Arora | Psychiatry & Neurology | 35 Bedford St Ste 8, Lexington, MA 02420-4320 | 2012-03-21 |
| 1740574052 | Benjamin Marshall | Psychiatry & Neurology | 228 E. Reynolds Rd, Ste B2, Lexington, KY 40517 | 2011-06-03 |
| 1386951366 | Beth T. Housman, Md, Pllc | Psychiatry & Neurology | 121 Walton Ave # 125, Lexington, KY 40508-2315 | 2010-09-11 |
| Find all providers in LEXINGTON | ||||
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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.