GLEN T PROSPERE (NPI# 1912135666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912135666 |
| Entity Type | Individual |
| Full Name | GLEN T PROSPERE |
| Practice Address |
1601 Washington Street Boston MA 02118-1951 |
| Mailing Address |
43 Pierce Street Hyde Park MA 02136 |
| Practice Telephone | 6174252000 |
| Practice Fax Number | 6174248725 |
| Mailing Telephone | 6173649464 |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2009-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6911 | MA | Behavioral Health & Social Service Providers |
| Street Address |
1601 WASHINGTON STREET |
| City | BOSTON |
| State | MA |
| Zip Code | 02118-1951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558310052 | South End Community Health Center Inc | Clinic/Center | 1601 Washington Street, Boston, MA 02118 | 2006-05-10 |
| 1154849768 | Katherine Jane Melton | Counselor | 1601 Washington Street, Boston, MA 02118 | 2017-09-04 |
| 1043674484 | Nichole Daly | Dietitian, Registered | 1601 Washington Street, South End Community Health Center, Boston, MA 02118-1951 | 2016-04-12 |
| 1659765253 | Yoanna Tejeda | Counselor | 1601 Washington Street, South End Community Health Center, Boston, MA 02118-1951 | 2015-03-23 |
| 1659634681 | Amelia Margaret Macdonald | Registered Nurse | 1601 Washington Street, Boston, MA 02118 | 2012-06-25 |
| 1467734962 | Richard C Villa | Social Worker | 1601 Washington Street, Boston, MA 02118-1951 | 2011-09-12 |
| 1235368085 | Lisandra Sierra | Registered Nurse | 1601 Washington Street, Boston, MA 02118-1951 | 2009-07-14 |
| 1437387198 | Sammantha Boaz | Nurse Practitioner | 1601 Washington Street, Boston, MA 02118 | 2009-07-01 |
| 1568514081 | Raymond Walden | Social Worker | 1601 Washington Street, Boston, MA 02118 | 2007-01-17 |
| 1669524922 | Judy Phillips | Nutritionist | 1601 Washington Street, Boston, MA 02118 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019800 | Anabel Rohrer | Counselor | 189 Princeton St Apt 1, Boston, MA 02128-3517 | 2020-10-05 |
| 1174138499 | Rachel Theresa Feddor | Counselor | 1970 Commonwealth Ave Apt 48, Boston, MA 02135-5820 | 2020-09-14 |
| 1356953673 | Colleen Murray | Counselor | 45 Montcalm Ave, Boston, MA 02135-2839 | 2020-08-18 |
| 1326657487 | Laqueen Arleen Battle | Counselor | 101 Arch Street, 8th Floor, Ste 869, Boston, MA 02110 | 2020-07-24 |
| 1134737240 | Jeandrilie Font-llorens | Counselor | 440 Mcclellan Hwy Ste 105b, Boston, MA 02128-1101 | 2020-07-15 |
| 1255959524 | Discover Healing Therapy LLC | Counselor | 185 Devonshire St Ste 501, Boston, MA 02110-1415 | 2020-07-13 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1013537992 | James Jeffrey Yelinek Jr. | Counselor | 80 Fenwood Rd Unit 614, Boston, MA 02115-6148 | 2020-04-21 |
| 1952944290 | Chabreah Alston | Counselor | 23 Cameron St Apt 3, Boston, MA 02125-4463 | 2019-10-18 |
| 1720620271 | Cheryl Pamela Lewis | Counselor | 155 Northampton St Apt 408, Boston, MA 02118-1845 | 2019-10-16 |
| Find all providers in BOSTON | ||||
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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.