KATHRYN A DONNELLY, LICSW (NPI# 1811317365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811317365 |
| Entity Type | Organization |
| Organization Name | KATHRYN A DONNELLY, LICSW |
| Practice Address |
115 Mill St Belmont MA 02478 |
| Mailing Address |
115 Mill St Mail Stop 109 Belmont MA 02478 |
| Practice Telephone | 6178553254 |
| Practice Fax Number | 6178553794 |
| Mailing Telephone | (617) 855-3254 |
| Mailing Fax Number | 6178553741 |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2017-06-21 |
| Authorized Official Name | MS. KATHRYN A DONNELLY (LICSW) |
| Authorized Official Telephone | 6178553254 |
| Authorized Official Credential | LICSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 117742 | MA | Agencies |
| Street Address |
115 MILL ST |
| City | BELMONT |
| State | MA |
| Zip Code | 02478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467454652 | Jacqueline Anne Samson | Psychologist | 115 Mill St, Belmont, MA 02478-1041 | 2005-06-01 |
| 1326647520 | Jacqueline Bullis | Psychologist | 115 Mill St, Belmont, MA 02478-1048 | 2020-10-20 |
| 1578162707 | Caleb Zachary Demers | Social Worker | 115 Mill St, Belmont, MA 02478-1048 | 2020-10-19 |
| 1083221428 | Noa Kupfer | Social Worker | 115 Mill St, Belmont, MA 02478-1064 | 2020-09-29 |
| 1154936490 | Remy Sky Leutwyler | Social Worker | 115 Mill St, Belmont, MA 02478-1064 | 2020-09-14 |
| 1699380295 | Denice Cronin | Psychologist | 115 Mill St, Belmont, MA 02478-1064 | 2020-09-10 |
| 1033724851 | Amanda Sedgewick, Pllc | Clinic/Center | 115 Mill St, Belmont, MA 02478-1064 | 2020-09-09 |
| 1013529015 | Miqveh Steinhart | Social Worker | 115 Mill St, Belmont, MA 02478-1064 | 2020-08-20 |
| 1801407820 | Lindsay Amateis | Social Worker | 115 Mill St, Belmont, MA 02478-1064 | 2020-08-13 |
| 1790395671 | Patrick Shanley | Social Worker | 115 Mill St, Mclean Hospital Mail Stop 106, Belmont, MA 02478 | 2020-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089924 | Emily Boyko | Physical Therapist | 413 Trapelo Rd, 2, Belmont, MA 02478 | 2020-10-01 |
| 1326695636 | Kristen Perrelli | Social Worker | 115 Mill Street Mail Stop 207, Belmont, MA 02478 | 2019-08-21 |
| 1265905210 | Deborah J Fenn | Social Worker | 88 Palfrey Rd, Belmont, MA 02478 | 2019-01-02 |
| 1922578855 | The Psych Garden LLC | Counselor | 25 Flanders Road, Belmont, MA 02478 | 2018-12-04 |
| 1083199855 | Wendi Goldberg | Social Worker | 1 15 Mill Street, Belmont, MA 02478 | 2018-09-27 |
| 1124514146 | Ann Polcari | Clinical Nurse Specialist | Service Building Mc Lean Hospital, 115 Mill Street, Belmont, MA 02478 | 2018-07-02 |
| 1245722701 | Jeremy Stewart | Psychologist | Mclean Hospital, 115 Mill Street, Mailstop 331, Belmont, MA 02478 | 2018-05-31 |
| 1295257848 | Stephanie Boyer | Psychologist | Mclean Hospital, 115 Mill St., Mail Stop 131, Belmont, MA 02478 | 2017-07-14 |
| 1497281893 | The Meraki Center for Therapeutic Arts | Community/Behavioral Health | 431 Trapelo Rd, Belmont, MA 02478 | 2017-05-04 |
| 1275908063 | Alex Jordan | Psychologist | 115 Mill Street, Mail Stop 217, Mclean Hospital, Belmont, MA 02478 | 2015-12-05 |
| Find all providers in zip 02478 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902375645 | Supportive Homes Inc. | Community/Behavioral Health | 120 Roper St, Belmont, NC 28012-2119 | 2018-11-23 |
| 1497281893 | The Meraki Center for Therapeutic Arts | Community/Behavioral Health | 431 Trapelo Rd, Belmont, MA 02478 | 2017-05-04 |
| 1467699280 | Hope Intervention Services, Inc. | Community/Behavioral Health | 1535 Southpoint Rd, Belmont, NC 28012-8544 | 2009-01-15 |
| 1083822357 | Boston Aba Inc. | Community/Behavioral Health | 464 Common St, #106, Belmont, MA 02478-2704 | 2007-05-19 |
| 1881751568 | Crawford's Caring Hands, Inc. | Community/Behavioral Health | 7204 W Wilkinson Blvd, Suite 4, Belmont, NC 28012-6212 | 2007-01-02 |
| 1356719710 | Serendipity Therapy, Pllc | Community/Behavioral Health | 1165 Mckee Farm Ln, Belmont, NC 28012-8671 | 2015-09-02 |
| 1801147327 | Holy Angels Inc. | Community/Behavioral Health | 6600 W Wilkinson Blvd, Belmont, NC 28012-2796 | 2012-09-24 |
| 1558617597 | Diana C Gomez | Community/Behavioral Health | 400 Harbor Blvd, Suite E, Belmont, CA 94002-4047 | 2012-07-27 |
| 1063655751 | Taylor Touch | Community/Behavioral Health | 505 Woodlawn Ave, Belmont, NC 28012-2196 | 2009-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132458 | Autism Behavioral & Therapeutic Services | Community/Behavioral Health | 5 Bedford Ave, Worcester, MA 01604-4707 | 2020-10-20 |
| 1508463811 | Clear Minded Care, Pllc | Community/Behavioral Health | 519 Somerville Ave # 291, Somerville, MA 02143-3347 | 2020-10-08 |
| 1316544455 | Barbara J Doyle Counseling Services Professional LLC | Community/Behavioral Health | 20 Hope Ave Ste 107, Waltham, MA 02453-2717 | 2020-10-01 |
| 1013524917 | Leonid G Zolotnitskiy Md PC | Community/Behavioral Health | 1853 Commonwealth Ave Ste 1, Brighton, MA 02135-5498 | 2020-09-25 |
| 1811502966 | R.e.s.t. Counseling Services, LLC | Community/Behavioral Health | 36 Tirrell St # 1, Worcester, MA 01603-2617 | 2020-09-14 |
| 1972118719 | Jose Alfredo Lugo-estrada | Community/Behavioral Health | 484 Bedford St Unit 2, East Bridgewater, MA 02333-1908 | 2020-09-09 |
| 1992318927 | Jessie Odegard Pllc | Community/Behavioral Health | 144 Sudbury Rd, Weston, MA 02493-1351 | 2020-08-28 |
| 1750994109 | Summit Community Services, LLC | Community/Behavioral Health | 214 Exchange St, Millis, MA 02054-1277 | 2020-08-26 |
| 1013527860 | Tara Goldberg | Community/Behavioral Health | 21 Wilson Ave, Northampton, MA 01060-3813 | 2020-08-06 |
| 1619587490 | Maat Therapeutic Solutions Inc. | Community/Behavioral Health | 1773 Dorchester Ave Ste 3, Boston, MA 02124-2556 | 2020-08-05 |
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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.