DANIEL ROBERT PROULX (NPI# 1891219747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891219747 |
| Entity Type | Individual |
| Full Name | DANIEL ROBERT PROULX |
| Practice Address |
2 Endicott Ave Marblehead MA 01945-1617 |
| Mailing Address |
2 Endicott Ave Marblehead MA 01945 |
| Practice Telephone | (978) 818-0016 |
| Mailing Telephone | 9788180016 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285243071 | Daniel Proulx | Behavior Technician | 275 W Natick Rd Ste 400, Warwick, RI 02886-1161 | 2020-07-28 |
| Street Address |
2 ENDICOTT AVE |
| City | MARBLEHEAD |
| State | MA |
| Zip Code | 01945-1617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801372271 | Jill Barri Schwartz | Social Worker | 49 Gerald Rd, Marblehead, MA 01945 | 2018-07-18 |
| 1588075550 | Seaport Chiropractic | Point of Service | 28 Bessom Street, Marblehead, MA 01945 | 2014-05-13 |
| 1295163905 | Jennifer Ann Downey Wolcott | Counselor | 12 Driftwood Rd, Marblehead, MA 01945 | 2013-10-16 |
| 1710320825 | Darcy Gilbo | Mechanotherapist | Integrative Muscular Therapy 40 Tioga Way, Suite 110, Marblehead, MA 01945 | 2013-04-09 |
| 1346597283 | Adam Ciccio | Counselor | 70 Atlantic Avenue, Unit 8, Marblehead, MA 01945 | 2012-08-09 |
| 1346511862 | Mary Macary Demakes | Registered Nurse | 183 Pleasant St, Marblehead, MA 01945 | 2012-01-13 |
| 1164704896 | Amanda Tripp Hayes | Counselor | 2 Cypress St, Marblehead, MA 01945 | 2011-09-20 |
| 1053544817 | Marblehead Community Charter Public School | Local Education Agency (LEA) | 17 Lime Street, Marblehead, MA 01945 | 2009-08-27 |
| 1992973416 | Stuart M Sandfield | Dentist | 47 Atlantic Ave, Marblehead, MA 01945 | 2008-02-19 |
| 1841311065 | Howard Rosenkrantz | Dentist | 203 Humphrey St, Marblehead, MA 01945 | 2007-04-03 |
| Find all providers in zip 01945 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010043 | Christopher Solomon | Peer Specialist | 8201 Inwood Dr, Woburn, MA 01801-5161 | 2020-07-14 |
| 1346878725 | Dynamicare Health | Peer Specialist | 288 Norfolk St Ste 4, Cambridge, MA 02139-1430 | 2020-03-31 |
| 1114553989 | Theresa Buccico | Peer Specialist | 284 Union Ave, Framingham, MA 01702-6318 | 2020-03-12 |
| 1235762741 | Peter Douglas Mantell IIi | Peer Specialist | 130 Millers Falls Rd, Turners Falls, MA 01376-2250 | 2020-02-13 |
| 1083259154 | Darlene Cruz | Peer Specialist | 5121 Crane Brook Way, Peabody, MA 01960-8526 | 2019-11-13 |
| 1700437571 | Edith Silva | Peer Specialist | 131 W Main St Ste 101, Orange, MA 01364-1157 | 2019-09-24 |
| 1225505720 | Stephanie Wamback | Peer Specialist | 20 Green St # 2, Dudley, MA 01571-3210 | 2018-11-01 |
| 1366918724 | Coretta Mcgill | Peer Specialist | 12 Montague St, Worcester, MA 01603-3125 | 2018-10-23 |
| 1902380017 | Choice Recovery Coaching Inc. | Peer Specialist | 155 Maple St., Suite 305, Springfield, MA 01105 | 2018-09-24 |
| 1093256133 | Bonnie J Peterson | Peer Specialist | 5 Wakefield Ave, Saugus, MA 01906-2711 | 2017-03-08 |
| Find all providers with the same taxonomy | ||||
| City | MARBLEHEAD |
| Zip Code | 01945 |
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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.