KENDALL SQUARE THERAPEUTIC HEALTH CENTER, P.C. (NPI# 1811136732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811136732 |
| Entity Type | Organization |
| Organization Name | KENDALL SQUARE THERAPEUTIC HEALTH CENTER, P.C. |
| Other Organization Name | HARVARD SQUARE CHIROPRACTIC |
| Practice Address |
15 Story St Cambridge MA 02138-4950 |
| Practice Telephone | 6174410101 |
| Practice Fax Number | 6174410100 |
| Mailing Telephone | 6174410101 |
| Mailing Fax Number | 6174410100 |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2009-02-17 |
| Authorized Official Name | PATRICK JAMES DOODY (PRESIDENT) |
| Authorized Official Telephone | 6174410101 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2770 | MA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1607201 | 05 |
| Other Name | Type Code |
|---|---|
| Harvard Square Chiropractic | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | KENDALL SQUARE THERAPEUTIC HEALTH CENTER, P.C. | 15 Story St., Cambridge, MA 02138 |
| Street Address |
15 STORY ST |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02138-4950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922071901 | Rosalind V Kearney | Psychologist | 15 Story St, # 4, Cambridge, MA 02138-4950 | 2006-02-09 |
| 1689122632 | Christopher Neal Johnson | Chiropractor | 15 Story St, Basement Level, Cambridge, MA 02138-4950 | 2016-09-20 |
| 1144608985 | Boston Nutrition Consulting, LLC | Dietitian, Registered | 15 Story St, #1, Cambridge, MA 02138-4950 | 2015-05-13 |
| 1841620002 | Maya Disko | Social Worker | 15 Story St, Cambridge, MA 02138 | 2013-11-25 |
| 1679757249 | Maya Chaudhuri | Acupuncturist | 15 Story St, Cambridge, MA 02138-4950 | 2007-12-19 |
| 1619098001 | Jasen Whalen Harlow | Social Worker | 15 Story St, Suite 1, Cambridge, MA 02138-4950 | 2007-04-03 |
| 1871641050 | Dorothy H Gampel | Psychologist | 15 Story St, Cambridge, MA 02138-4950 | 2007-01-06 |
| 1750302766 | Jeffrey A Botman | Psychologist | 15 Story St, Cambridge, MA 02138-4950 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618610 | Khushboo Vijay Bhatia | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program, Mount Auburn Hospi, 330 Mt. Auburn Street, Cambridge, MA 02138 | 2020-08-06 |
| 1780204156 | Ashna Grover | Student in an Organized Health Care Education/Training Program | 330 Mt Auburn Street Mount Auburn Hospital, Internal Medicine Residency Program, Cambridge, MA 02138 | 2020-04-25 |
| 1790330298 | Cambridge Periodontics LLC | Dentist | 1692 Massachusetts Ave Ste 3, Cambridge, MA 02138 | 2019-08-02 |
| 1295389765 | Yulia Levit | Technician/Technologist | 1208 Massachussets Av, Cambridge, MA 02138 | 2019-08-01 |
| 1720645393 | Chinmay Tusharkumar Jani | Student in an Organized Health Care Education/Training Program | Mount Auburn Hospital, 330 Mt Auburn Street, Cambridge, MA 02138 | 2019-05-20 |
| 1386209831 | Alexander Ryan Walker | Internal Medicine | 300 Mount Auburn Street Mount Auburn Hospital, Dept. of Medicine, Cambridge, MA 02138 | 2019-05-09 |
| 1659844868 | Aimee Hsieh | Social Worker | 525 Mount Auburn Street, Cambridge, MA 02138 | 2019-01-10 |
| 1043733389 | Armida Fruzzetti | Psychologist | 900 Concord Avenue, Cambridge, MA 02138 | 2017-07-19 |
| 1174984827 | Jenna Mezin Schmid | Psychologist | 75 Mt Auburn St 4 East, Harvard University Health Services, Cambridge, MA 02138 | 2016-03-09 |
| 1316313208 | Kelly Abbott | Optometrist | 12 Eliot St., Cambridge, MA 02138 | 2015-08-14 |
| Find all providers in zip 02138 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811494222 | Hannah Yoon | Chiropractor | 2464 Massachusetts Ave Ste 317b, Cambridge, MA 02140-0024 | 2018-04-11 |
| 1609318013 | Bryan Moran Kent | Chiropractor | 285 Harvard St Apt 301, Cambridge, MA 02139-2374 | 2016-11-16 |
| 1982058228 | Cassandra Murphy | Chiropractor | 4940 River Ridge Dr Nw, Cambridge, MN 55008-7588 | 2016-04-22 |
| 1902146434 | Boston Chiropractic At Cambridge LLC | Chiropractor | 883 Cambridge St, Cambridge, MA 02141-1430 | 2013-02-20 |
| 1144593039 | Jessica Camplese | Chiropractor | 883a Cambridge St, Cambridge, MA 02141-1430 | 2012-02-22 |
| 1306022975 | Mong Van | Chiropractor | 1798 Massachusetts Ave # A, Cambridge, MA 02140-2860 | 2008-01-14 |
| 1942482898 | Shawn Jackson Dupuy | Chiropractor | 730 Cambridge St, Cambridge, MA 02141-1401 | 2007-12-03 |
| 1801912878 | Bryan Anthony Fall | Chiropractor | 1936 E. Wheeling Ave, Cambridge, OH 43725 | 2007-03-22 |
| 1679604201 | Robert Patrick Jeffries | Chiropractor | 1423 Campbell Ave, Cambridge, OH 43725-2930 | 2007-03-07 |
| 1952430589 | Khalsa Chiropractic Office P.C. | Chiropractor | 1718 Mass Ave, Cambridge, MA 02138 | 2007-03-02 |
| Find all providers in CAMBRIDGE | ||||
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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.