MS. THERESA MARIA DAMIEN (NPI# 1841584299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841584299 |
| Entity Type | Individual |
| Full Name | MS. THERESA MARIA DAMIEN |
| Credential | CNP,PMHNP-BC,CARN-AP |
| Practice Address |
115 Mill St Mclean Hospital Belmont MA 02486 |
| Mailing Address |
115 Mill Street Mail Stop 222 Belmont MA 02478 |
| Practice Telephone | 6178552500 |
| Practice Fax Number | 6178552699 |
| Mailing Telephone | 6178552789 |
| Mailing Fax Number | 6178552699 |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2017-02-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN273902 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
115 MILL ST MCLEAN HOSPITAL |
| City | BELMONT |
| State | MA |
| Zip Code | 02486 |
| 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 |
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| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992760714 | Carey Margaret Martin | Nurse Practitioner | 300 Harbor Blvd Bldg E, Belmont, CA 94002-4018 | 2006-04-18 |
| 1265056527 | Middlesex Mental Health, LLC | Nurse Practitioner | 9 Alexander Ave, Belmont, MA 02478-4802 | 2020-06-02 |
| 1184199747 | Susan Maria Cullaty-purvis | Nurse Practitioner | 115 Mill St, Belmont, MA 02478-1048 | 2018-10-10 |
| 1205348752 | Edward Barton | Nurse Practitioner | 115 Mill St, Belmont, MA 02478-1064 | 2017-10-24 |
| 1013370436 | Cassandra Marie Godzik | Nurse Practitioner | 115 Mill St, Mail Stop 336, Belmont, MA 02478-1064 | 2016-04-02 |
| 1033527403 | Amy M Clark | Nurse Practitioner | 115 Mill St, Belmont, MA 02478-1064 | 2014-07-29 |
| 1871874222 | Katherine Frances Cederbaum | Nurse Practitioner | 115 Mill St, Belmont, MA 02478-1064 | 2011-08-30 |
| 1689954893 | Karen Jennings | Nurse Practitioner | 115 Mill St, Belmont, MA 02478-1064 | 2011-08-18 |
| 1922059781 | Vona Faye Davis | Nurse Practitioner | 115 Mill St, Belmont, MA 02478-1048 | 2006-05-15 |
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|---|---|---|---|---|
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| 1699372235 | Square Behavioral Health, LLC | Nurse Practitioner | 733 Turnpike St # 162, North Andover, MA 01845-6137 | 2020-10-06 |
| 1184221046 | Abdonne Ngo Nyele Mbouadeu | Nurse Practitioner | 34 Tannery Rd, Sturbridge, MA 01518-1171 | 2020-10-05 |
| 1013524164 | Atlee Quarrier | Nurse Practitioner | 29 Birch Meadow Rd, Merrimac, MA 01860-1826 | 2020-09-23 |
| 1669086997 | Unique Psych Services LLC | Nurse Practitioner | 10 Mazzeo Dr Ste 201f, Randolph, MA 02368-3433 | 2020-09-03 |
| 1457961138 | Savina Nicole Setze | Nurse Practitioner | 15 N Beacon St Apt 914, Allston, MA 02134-1941 | 2020-08-06 |
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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.