TORI KYM BLACK (NPI# 1841824398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841824398 |
| Entity Type | Individual |
| Full Name | TORI KYM BLACK |
| Other Name | TORI KYM SPEAR |
| Practice Address |
148 Warren St Lowell MA 01852-2208 |
| Mailing Address |
236 Bay View Dr San Carlos CA 94070-1644 |
| Practice Telephone | 9784521736 |
| Mailing Telephone | 6509060145 |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2020-02-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | AETNA | W258605720 | 01 |
| Street Address |
148 WARREN ST |
| City | LOWELL |
| State | MA |
| Zip Code | 01852-2208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278162 | Kathleen Collins Maher | Registered Nurse | 148 Warren St, Lowell, MA 01852-2208 | 2020-09-01 |
| 1366074395 | Jaclyn Davis | Community/Behavioral Health | 148 Warren St, Lowell, MA 01852-2208 | 2020-02-07 |
| 1053950261 | Emma Kathleen Wilde | Community Health Worker | 148 Warren St, Lowell, MA 01852-2208 | 2020-01-06 |
| 1851937122 | Sharon E. Snider-muller | Student in an Organized Health Care Education/Training Program | 148 Warren St, Lowell, MA 01852-2208 | 2019-11-21 |
| 1942853098 | Nicole Koles | Occupational Therapist | 148 Warren St, Lowell, MA 01852-2208 | 2019-07-18 |
| 1750943361 | Paula Jean Macdougall | Specialist | 148 Warren St, Lowell, MA 01852-2208 | 2019-07-03 |
| 1780246629 | Janelle Ann Murray | Counselor | 148 Warren St, Lowell, MA 01852-2208 | 2019-07-01 |
| 1588222459 | Megan Maureen Mclaughlin | Student in an Organized Health Care Education/Training Program | 148 Warren St, Lowell, MA 01852-2208 | 2019-06-04 |
| 1336704295 | Jessica Duggan | Student in an Organized Health Care Education/Training Program | 148 Warren St, Lowell, MA 01852-2208 | 2019-05-07 |
| 1568925022 | Jolynn Mary Vandinter | Student in an Organized Health Care Education/Training Program | 148 Warren St, Lowell, MA 01852-2208 | 2019-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881244747 | Erin Elisabeth Burke | Specialist/Technologist | 424 Douglas Rd, Lowell, MA 01852 | 2019-09-12 |
| 1235799602 | Osvaldo Rivera | Social Worker | 77 East Merrimack Street Loweell Ma 01852, Lowell, MA 01852 | 2019-06-18 |
| 1003393620 | Erin Maureen Hurley | Social Worker | 34 Newhall Street #204, Lowell, MA 01852 | 2018-07-26 |
| 1699273540 | Laura Ardila | Registered Nurse | 10 Linden St, Lowell, MA 01852 | 2018-01-25 |
| 1285153692 | Ashley Holmes | Counselor | 77 E Merrimack Street, Lowell, MA 01852 | 2017-09-18 |
| 1932627155 | Veronica H Birungi | Registered Nurse | 257 West Manchester Street, Lowell, MA 01852 | 2017-09-08 |
| 1255859245 | Kalyn Lee O'brien | Counselor | 77 E Merrimack St., Lowell, MA 01852 | 2017-08-30 |
| 1912424920 | Danielle Dirton | Behavior Technician | 106 Lundberg St. Unit 10, Lowell, MA 01852 | 2017-08-30 |
| 1770007072 | Leena Chann | Registered Nurse | 166 Central St., Lowell, MA 01852 | 2017-07-28 |
| 1942724257 | Stephanie Catherine Joubert | Registered Nurse | 166 Central Street, Lowell, MA 01852 | 2017-07-28 |
| Find all providers in zip 01852 | ||||
| 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 |
|---|---|---|---|---|
| 1669080586 | Elizabeth Duncan Newell | Community/Behavioral Health | 24 Chauncey Ave, Lowell, MA 01851-4322 | 2020-07-16 |
| 1689169823 | Meredith Sargent Rogerson | Community/Behavioral Health | 578 Andover St, Lowell, MA 01852-1443 | 2018-06-29 |
| 1457803496 | Bourin You | Community/Behavioral Health | 373 Westford St, Lowell, MA 01851-2520 | 2016-10-25 |
| 1831595669 | Sophie Dipillo Advocacy Group, Inc. | Community/Behavioral Health | 27 Jackson St Apt 422, Lowell, MA 01852-2145 | 2014-11-05 |
| 1407984065 | Concord Valley Treatment Center | Community/Behavioral Health | 25-27 Central St, Lowell, MA 01852-1905 | 2007-03-02 |
| 1366074395 | Jaclyn Davis | Community/Behavioral Health | 148 Warren St, Lowell, MA 01852-2208 | 2020-02-07 |
| 1770128274 | Ilyssa Marie Andino | Community/Behavioral Health | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2019-11-08 |
| 1033699202 | Community Resource Solutions Inc | Community/Behavioral Health | 256 Westford St, Lowell, MA 01851-2544 | 2018-08-17 |
| 1205352101 | Cinamon J. Blair | Community/Behavioral Health | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2017-08-22 |
| 1205298932 | Pridestar Center for Applied Learning | Community/Behavioral Health | 229 Stedman St, Lowell, MA 01851-2705 | 2016-03-22 |
| Find all providers in LOWELL | ||||
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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.