PATRICIA WORNUM (NPI# 1801264981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801264981 |
| Entity Type | Individual |
| Full Name | PATRICIA WORNUM |
| Practice Address |
10 Meadowbrook Rd Brockton MA 02301-7122 |
| Practice Telephone | 8572946744 |
| Mailing Telephone | 8572946744 |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2015-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| Street Address |
10 MEADOWBROOK RD |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-7122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053407429 | Timothy William Corliss | Social Worker | 10 Meadowbrook Rd, Brockton, MA 02301 | 2006-10-05 |
| 1346858347 | Kevin Alonzo Davis | Counselor | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2020-07-16 |
| 1194333229 | Timothy Duncan Carmichael | Counselor | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2020-07-15 |
| 1053939496 | Elaine Ruth Enos | Counselor | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2020-07-13 |
| 1598387862 | William Perry Petitpas | Substance Abuse Rehabilitation Facility | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2020-05-10 |
| 1760003701 | Laurie Williams-pipkins | Counselor | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2020-04-30 |
| 1780210278 | Tori-anne Charette-bjorkman | Counselor | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2020-03-17 |
| 1265067557 | Tiffany Menard | Counselor | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2020-03-06 |
| 1174163661 | Desteny M Mcsween | Counselor | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2020-01-13 |
| 1043858129 | Bonita Carrasquillo | Counselor | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2019-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295823441 | Kevin C. Clancy | Psychologist | 940 Belmont St Rm C134, Brockton, MA 02301-5596 | 2006-10-11 |
| 1881016897 | Edlin Rodriguez | Psychologist | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2014-01-09 |
| 1417230384 | Jackie Mascher | Psychologist | 1115 West Chestnut Street, Brockton, MA 02301 | 2011-09-27 |
| 1790795003 | Louise Bonnie Graham | Psychologist | 940 Belmont St, Brockton, MA 02301-5596 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817489 | Trevor Allan Cote | Psychologist | 137 Newbury St # 6b, Boston, MA 02116-2912 | 2020-10-08 |
| 1942840244 | Joshua Michael Edwards | Psychologist | 200 Southwick Rd Apt 12, Westfield, MA 01085-4797 | 2020-01-14 |
| 1235787045 | Joy Victoria Albiani | Psychologist | 500 Amory St Ste 300, Jamaica Plain, MA 02130-2775 | 2019-08-27 |
| 1144882234 | Barbara Fritts Phd Licensed Psychologist | Psychologist | 23 Water St # 105, Holliston, MA 01746-2364 | 2019-06-28 |
| 1114496031 | Melanie Cadet | Psychologist | 440 Hancock St Ste 8-248, Quincy, MA 02171-2442 | 2018-11-20 |
| 1710466685 | Denise A Green | Psychologist | 21 Matoon St, Amherst, MA 01002-2107 | 2018-08-10 |
| 1639663065 | Martha Hardy Lamb | Psychologist | 7 Commonwealth Ave, Dedham, MA 02026-1403 | 2018-06-19 |
| 1740773977 | Jennifer Grossman | Psychologist | 192 Carlton Rd, Waban, MA 02468-1836 | 2018-06-12 |
| 1467945022 | Carmen M Torres | Psychologist | 21 Fenwood Rd Apt 2, Boston, MA 02115-6101 | 2018-06-08 |
| 1144712936 | Jacqueline Bearce | Psychologist | 132 Pondview Dr, Amherst, MA 01002-3258 | 2018-06-06 |
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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.