CALLY MARY LILLEY (NPI# 1811140007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811140007 |
Entity Type | Individual |
Full Name | CALLY MARY LILLEY |
Credential | PMHCNS-BC |
Practice Address |
16 Blossom St R101 Boston MA 02114-3104 |
Practice Telephone | 6176436409 |
Practice Fax Number | 6172480070 |
Mailing Telephone | 6176436409 |
Mailing Fax Number | 6172480070 |
Enumeration Date | 2008-10-31 |
Last Update Date | 2011-07-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
274284 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
16 BLOSSOM ST R101 |
City | BOSTON |
State | MA |
Zip Code | 02114-3104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255322616 | Martha Tougaw Kane | Psychologist | 16 Blossom St, Weh 1 Psychiatry Associates, Boston, MA 02114-3104 | 2005-11-03 |
1760030407 | Angelina F Gomez | Student in an Organized Health Care Education/Training Program | 16 Blossom St, Mgh West End Clinic, Boston, MA 02114-3104 | 2019-08-27 |
1871944355 | Daniel Peter Johnson | Psychologist | 16 Blossom St, Mgh West End Clinic, Boston, MA 02114-3104 | 2016-06-27 |
1346606332 | Toby Lynch | Psychologist | 16 Blossom St, Boston, MA 02114-3104 | 2016-01-07 |
1336555267 | Christoforos Iraklis Giakoumatos | Psychiatry & Neurology | 16 Blossom St, Boston, MA 02114-3104 | 2014-07-11 |
1326467911 | Jennifer Grace Blewett | Social Worker | 16 Blossom St, West End Clinic, Boston, MA 02114-3104 | 2014-04-10 |
1588081673 | Rachel Steere | Psychiatry & Neurology | 16 Blossom St, Boston, MA 02114 | 2014-03-26 |
1962745117 | Alicia Ventresca | Psychologist | 16 Blossom St, Boston, MA 02114-3104 | 2013-04-05 |
1215215637 | Michelle Davids | Psychiatry & Neurology | 16 Blossom St, Boston, MA 02114-3104 | 2011-08-02 |
1922321538 | Melissa Rae Kelly | Social Worker | 16 Blossom St, 1st Floor, Boston, MA 02114-3104 | 2010-03-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
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Taxonomy Code | 364SP0809X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Psych/Mental Health, Adult |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396854394 | Georgianna K. Marks | Clinical Nurse Specialist | 14 Cushing Ave, St Mary's Church, Boston, MA 02125 | 2006-08-30 |
1457759367 | Mary Lussier-cushing | Clinical Nurse Specialist | 55 Fruit St, Massachusetts General Hospital, Boston, MA 02114-2621 | 2014-12-09 |
1396944732 | Nancy Crouse | Clinical Nurse Specialist | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 | 2007-07-16 |
1821296492 | Anne Rossi | Clinical Nurse Specialist | 253 Summer St, 5th Flr - Cma, Boston, MA 02210-1114 | 2007-07-05 |
1518090711 | Meredith Peterson Waites | Clinical Nurse Specialist | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 | 2007-03-14 |
1932232006 | Carol Ann Cahill | Clinical Nurse Specialist | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 | 2007-03-14 |
1891827580 | Jennifer A Kushmerek | Clinical Nurse Specialist | 1 Boston Medical Center Place, Boston, MA 02118 | 2007-03-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053935809 | Anne-marie Barron | Clinical Nurse Specialist | 9 Kahler Ave, Milton, MA 02186-1519 | 2020-06-07 |
1306467139 | Kathleen Mary Daly | Clinical Nurse Specialist | 22 Priscilla Ln, Duxbury, MA 02332-5101 | 2020-05-04 |
1407325541 | New Directions Behavioral Health LLC | Clinical Nurse Specialist | 10 Ash St, Danvers, MA 01923-2749 | 2018-11-19 |
1457894628 | Psyche1001 Learn Grow Change LLC | Clinical Nurse Specialist | 638 Adamsville Rd, Suite 1001, Westport, MA 02790-5031 | 2016-11-21 |
1841642725 | Joyce Daqnal Shields | Clinical Nurse Specialist | 132 Oakley Rd, Belmont, MA 02478-2734 | 2016-07-05 |
1386004075 | Jane Bloom | Clinical Nurse Specialist | 95 Golden Hill, Lee, MA 01238-9132 | 2016-02-24 |
1255722716 | Carol Vivori | Clinical Nurse Specialist | 132 Mass Moca Way, North Adams, MA 01247-2446 | 2015-02-05 |
1982995262 | Linda Louise Darbyshire | Clinical Nurse Specialist | 60 Munson Meeting Way Ste I, Psychiatric Collaborative, Chatham, MA 02633-1992 | 2011-04-21 |
1093020091 | Suzanne Elizabeth Bergeron | Clinical Nurse Specialist | 2 Administration Rd, Bridgewater, MA 02324-3230 | 2010-08-13 |
1467774356 | Mindful Wellbeing, LLC | Clinical Nurse Specialist | 11 Jillson Way, East Sandwich, MA 02537-1265 | 2010-02-19 |
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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.