BILLERICA COUNSELING CENTER (NPI# 1811169238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811169238 |
| Entity Type | Organization |
| Organization Name | BILLERICA COUNSELING CENTER |
| Practice Address |
572 Boston Rd Suite 14 Billerica MA 01821-3776 |
| Practice Telephone | 7815724550 |
| Mailing Telephone | 7815724550 |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-03-26 |
| Authorized Official Name | DR. GINA M AGUAYO (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 7815724550 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
2402 | MA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
8678 | MA | Behavioral Health & Social Service Providers |
| Street Address |
572 BOSTON RD SUITE 14 |
| City | BILLERICA |
| State | MA |
| Zip Code | 01821-3776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477522852 | Lawrence Newman Md & Penelope Hall Md | Internal Medicine | 572 Boston Rd, Billerica, MA 01821-3776 | 2006-03-16 |
| 1417353962 | Christine Kensicki | Social Worker | 572 Boston Rd, Suite 24, Billerica, MA 01821-3776 | 2014-11-11 |
| 1013331388 | Bay State Counseling and Wellness Center | Psychologist | 572 Boston Rd, Suite 24, Billerica, MA 01821-3776 | 2014-02-07 |
| 1003059254 | Laurel T Ashcraft | Counselor | 572 Boston Rd, Suite 14, Billerica, MA 01821-3776 | 2009-04-16 |
| 1447478870 | Lyons Dental Associates, D.m.d., PC | Dentist | 572 Boston Rd, Suite One, Billerica, MA 01821-3776 | 2007-04-23 |
| 1952437832 | Bryan P. Lyons | Dentist | 572 Boston Rd, Suite One, Billerica, MA 01821-3776 | 2007-02-26 |
| 1073671327 | Dina S Guyetsky | Internal Medicine | 572 Boston Rd, Billerica, MA 01821 | 2006-12-05 |
| 1700803749 | Robert Viti | Psychologist | 572 Boston Rd, Suite 14, Billerica, MA 01821-3776 | 2006-07-16 |
| 1306892898 | William Douglas Gammon | Psychologist | 572 Boston Rd, Suite 14, Billerica, MA 01821-3776 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828490 | Bh Brightview Concord River Opco, LLC | Alzheimer Center (Dementia Center) | 199 Concord River, Billerica, MA 01821 | 2019-12-12 |
| 1225503857 | Lori Ann Silva | Nurse Practitioner | 5 River Street, Billerica, MA 01821 | 2018-10-10 |
| 1255819090 | Kacie Dawn Melo | Counselor | Billerica Memorial High School 35 River St, Billerica, MA 01821 | 2018-08-03 |
| 1750889937 | Cassidy Erin Lapointe | Behavior Technician | 120 Pollard St, Billerica, MA 01821 | 2018-01-23 |
| 1679025993 | Shp Iv Concord River LLC | Alzheimer Center (Dementia Center) | 199 Concord Road, Billerica, MA 01821 | 2016-11-03 |
| 1790110393 | Michele Lee Krasinski | Registered Nurse | 100 Partridge Road, Billerica, MA 01821 | 2013-09-13 |
| 1538591573 | Riverside Community Care | Community/Behavioral Health | 5 Riverhurst Road Apartment 516, Billerica, MA 01821 | 2013-08-01 |
| 1780029900 | Stephen D Fell | Hearing Instrument Specialist | 26 Mount Vernon Avenue, Billerica, MA 01821 | 2013-05-01 |
| 1578822268 | Akhtar Khan | Dentist | 8 Tower Farm Rd., Billerica, MA 01821 | 2012-05-15 |
| 1942584578 | Mary Louise Kellerman | Dental Hygienist | 38 Pratt St., Billerica, MA 01821 | 2011-09-30 |
| Find all providers in zip 01821 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992785927 | Joan Esther Goldman | Psychologist | 505 Middlesex Tpke, #3, Billerica, MA 01821 | 2006-01-17 |
| 1700803749 | Robert Viti | Psychologist | 572 Boston Rd, Suite 14, Billerica, MA 01821-3776 | 2006-07-16 |
| 1306892898 | William Douglas Gammon | Psychologist | 572 Boston Rd, Suite 14, Billerica, MA 01821-3776 | 2006-05-26 |
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| 1801406103 | Barbara Kellogg Gannon | Psychologist | 30 Western Ave Ste 209, Gloucester, MA 01930-3664 | 2020-08-03 |
| 1992314330 | Deborah Cohen | Psychologist | 25 State St Fl 26, Boston, MA 02109-2700 | 2020-07-30 |
| 1710596697 | Boston Center for Health Psychology and Biofeedback, LLC | Psychologist | 10 Post Office Sq., Ste 800 South, Boston, MA 02109 | 2020-07-27 |
| 1487271664 | Thoughtful Psychiatry, P.C. | Psychologist | 20 W Emerson St Lowr Level, Melrose, MA 02176-3137 | 2020-07-03 |
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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.