DR. BRETA DORA BOOTS (NPI# 1891080255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891080255 |
| Entity Type | Individual |
| Full Name | DR. BRETA DORA BOOTS |
| Credential | DO |
| Practice Address |
33 Lyman St Suite 400 Westborough MA 01581-1404 |
| Mailing Address |
Po Box 415348 Boston MA 02241-5348 |
| Practice Telephone | 5088980055 |
| Practice Fax Number | 5088980035 |
| Mailing Telephone | 5083346556 |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2016-12-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | OT013986 | PA | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
262355 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
33 LYMAN ST SUITE 400 |
| City | WESTBOROUGH |
| State | MA |
| Zip Code | 01581-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649233495 | Shelley D Kramer | Internal Medicine | 33 Lyman St, Ste 101a B, Westborough, MA 01581 | 2006-04-11 |
| 1932323086 | Peter H Lee | Hearing Instrument Specialist | 33 Lyman St, Westborough, MA 01581-1404 | 2007-04-12 |
| 1619191491 | Professional Hearing Healthcare Associates, Inc. | Hearing Instrument Specialist | 33 Lyman St, Westborough, MA 01581-1404 | 2007-04-12 |
| 1871618827 | Massachusetts Psychotherapy Associates | Psychologist | 33 Lyman St, 202a, Westborough, MA 01581-1404 | 2007-03-20 |
| 1356486922 | Elizabeth Liseno Puccio | Psychologist | 33 Lyman St, Suite 202a, Westborough, MA 01581-1404 | 2007-02-21 |
| 1497813174 | Jane C Plummer | Psychologist | 33 Lyman St, Suite 202a, Westborough, MA 01581-1404 | 2006-12-05 |
| 1215006663 | Khurshid Ahmad Khurshid | Psychiatry & Neurology | 33 Lyman St, Westborough, MA 01581 | 2006-11-07 |
| 1457315574 | Suzanne M Shannahan | Nurse Practitioner | 33 Lyman St, Ste 101a-b, Westborough, MA 01581 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043791957 | Colby Schulz | Occupational Therapist | Kindred Transitional Care - Therapy Department, 8 Colonial Drive, Westborough, MA 01581 | 2018-08-28 |
| 1134621055 | Rachel Bennet | Counselor | 288 Lyman Street, Allen Hall- Suite 2, Westborough, MA 01581 | 2018-03-07 |
| 1003318031 | Adrienne Gladding | Social Worker | 288 Lynam St, Suite 2, Westborough, MA 01581 | 2018-03-06 |
| 1760997670 | Westborough Dental Partners, P.C. | Dentist | 176 E Main St Ste 2, Westborough, MA 01581 | 2017-12-14 |
| 1578912432 | Daylene Marshall | Counselor | 155a Oak Street, Westborough, MA 01581 | 2016-06-10 |
| 1366890709 | Autism Resource &therapy Center | Behavioral Analyst | 1900 West Park Dr, Westborough, MA 01581 | 2016-05-26 |
| 1649699802 | Jean Breen | Counselor | 154 Oak Street, Westboro, MA 01581 | 2014-04-15 |
| 1760772123 | Ayon Bose | Counselor | 45 Lyman St Ste 11, Westborough, MA 01581 | 2011-04-19 |
| 1437472917 | Sharon Levesque Courville | Social Worker | 5 East Main St., Ste. 3, Westborough, MA 01581 | 2010-03-11 |
| 1063645844 | Town of Westborough | Counselor | 45 West Main St, Westborough, MA 01581 | 2009-08-27 |
| Find all providers in zip 01581 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578940219 | Community Neuroscience Services, LLC | Psychiatry & Neurology | 33 Lyman St Ste 400, Westborough, MA 01581-1434 | 2015-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609344555 | Rosalind Mandelbaum | Psychiatry & Neurology | 45 Resnik Rd Ste 205, Plymouth, MA 02360-7223 | 2018-11-08 |
| 1336626324 | Mary Jane Lim Fat | Psychiatry & Neurology | 450 Brookline Ave Dept Dana2, Boston, MA 02215-5418 | 2018-07-23 |
| 1336668326 | Western Mass Neurology PC | Psychiatry & Neurology | 175 Carew St Ste 140, Springfield, MA 01104-2389 | 2017-09-12 |
| 1417475336 | Hampshire Neurology LLC | Psychiatry & Neurology | 234 Russell St Ste 206, Hadley, MA 01035-3534 | 2017-08-30 |
| 1487170312 | Emg Laboratory, LLC | Psychiatry & Neurology | 51 Main St Ste 6, Hyannis, MA 02601 | 2017-08-22 |
| 1821538497 | Santiago Arroyo | Psychiatry & Neurology | 28 Constitution Rd, Charlestown, MA 02129-2008 | 2017-03-02 |
| 1801256094 | Lincoln S Darla X | Psychiatry & Neurology | 260 Tremont Street 2nd Floor, Tufts Medical Center, Biewend Building, Boston, MA 02111 | 2016-03-01 |
| 1871975144 | Yadira Flores Montanez | Psychiatry & Neurology | 1 Brookline Pl Ste 406, Brookline, MA 02445-7296 | 2015-06-23 |
| 1104207901 | Aditi Ahlawat | Psychiatry & Neurology | 1280 W Central St Ste 102, Franklin, MA 02038-3110 | 2015-06-17 |
| 1558755835 | Grigoriy I Labun | Psychiatry & Neurology | 23 Peach Tree Ln, Newton, MA 02459-3123 | 2015-03-24 |
| Find all providers with the same taxonomy | ||||
| City | WESTBOROUGH |
| Zip Code | 01581 |
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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.