MULTI-SERVICE EATING DISORDERS ASSOCIATION INC (NPI# 1861038473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861038473 |
Entity Type | Organization |
Organization Name | MULTI-SERVICE EATING DISORDERS ASSOCIATION INC |
Practice Address |
288 Walnut St Ste 130 Newton MA 02460-1994 |
Practice Telephone | 6175581881 |
Mailing Telephone | 6175581881 |
Enumeration Date | 2019-11-19 |
Last Update Date | 2020-04-15 |
Authorized Official Name | MONIKA OSTROFF (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 6175581881 |
Authorized Official Credential | LICSW, CEDS-S |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
Street Address |
288 WALNUT ST STE 130 |
City | NEWTON |
State | MA |
Zip Code | 02460-1994 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134766801 | Michelle Pierce | Counselor | 288 Walnut St Ste 130, Newton, MA 02460-1994 | 2019-12-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649741307 | Joseph Allen Jr. | Counselor | 223 Needham Street, Newton, MA 02460 | 2018-12-06 |
1447636204 | Ontraack Coaching & Consulting | Social Worker | 60 Austin Street Suite 101, Newton, MA 02460 | 2015-08-04 |
1649458274 | Opticians 3 | Eyewear Supplier (Equipment, not the service) | 336 Walnut Street, Newtonville, MA 02460 | 2008-02-06 |
1730376690 | Astrid H Hildebrand | Counselor | 797 Washington St., Ste 4, Newton, MA 02460 | 2007-09-25 |
1225232036 | Carrie J Jochelson | Counselor | 46 Austin Street, Suite 303, Newtonville, MA 02460 | 2007-06-14 |
1417090804 | Andrew L Epstein | Internal Medicine | The Bard Group, 246 Walnut Street, Newton, MA 02460 | 2007-02-15 |
1740357458 | Edwin Gordy | Family Medicine | 17 Otis St, Newton, MA 02460 | 2006-11-29 |
1689683120 | Donna M Weintraub | Social Worker | 38 Colonial Avenue, Newton, MA 02460 | 2006-08-05 |
1629086459 | Tod R Gross | Psychologist | 50 Adams Street, Newton, MA 02460 | 2006-08-04 |
1114925138 | Philip D Gottlieb | Psychiatry & Neurology | 246 Walnut Street, Suite 104, Newton, MA 02460 | 2005-07-13 |
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Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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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.