MARK DAVID FRALICK (NPI# 1912440181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912440181 |
Entity Type | Individual |
Full Name | MARK DAVID FRALICK |
Credential | LADC |
Practice Address |
675 E 4th St Boston MA 02127-3063 |
Mailing Address |
121 Intervale St Brockton MA 02302-1761 |
Practice Telephone | 8574967336 |
Practice Fax Number | 8574960177 |
Mailing Telephone | 5083092254 |
Mailing Fax Number | 6173280409 |
Enumeration Date | 2016-11-21 |
Last Update Date | 2016-11-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
13521 | MA | Behavioral Health & Social Service Providers |
Street Address |
675 E 4TH ST |
City | BOSTON |
State | MA |
Zip Code | 02127-3063 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255846408 | David Butenas | Counselor | 675 E 4th St, Boston, MA 02127-3063 | 2017-12-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598370629 | Peaceful Healing Soul Counseling Center, LLC | Counselor | Online Therapy, Boston, MA 02127 | 2020-09-15 |
1568964914 | Phuong Luu | Nurse Practitioner | 606 E Fourth St, Unit 204, Boston, MA 02127 | 2018-03-01 |
1700304367 | Kelsey L Donovan | Physician Assistant | 431 E 3rd Street Apt 2, Boston, MA 02127 | 2017-09-05 |
1255873733 | Janet Villafane | Social Worker | 23 Mcdonough Way, 691, Boston, MA 02127 | 2016-11-15 |
1083088470 | Katie Ryan | Counselor | 8 Rev Burke Street #151, South Boston, MA 02127 | 2015-11-23 |
1184005514 | Keith A Lombard | Counselor | 1226a Columbia Rd., South Boston, MA 02127 | 2015-06-11 |
1609213917 | Nicole Ashley Vandermay | Student in an Organized Health Care Education/Training Program | 9 Woodward St, Apt. 3, Boston, MA 02127 | 2013-05-28 |
1922359777 | Elizabeth Raggi | Counselor | 49 L Street, South Boston, MA 02127 | 2012-09-19 |
1205181021 | Massachusetts General Hospital | General Acute Care Hospital | 256 West Sixth Street Apt 2, South Boston, MA 02127 | 2012-07-18 |
1154602126 | Madeline F Brisotti | Counselor | 8 Reverend Burke Steet, South Boston, MA 02127 | 2011-09-06 |
Find all providers in zip 02127 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
1821635921 | Michael David Meyers | Counselor | 9 Notre Dame St, Boston, MA 02119-1230 | 2019-12-08 |
1831667260 | Melinda Baker | Counselor | 50 Congress St Ste 430, Boston, MA 02109-4055 | 2018-11-03 |
1992292361 | Stacey K. Borden | Counselor | 22 Drydock Ave Fl 3, Boston, MA 02210-2386 | 2018-04-20 |
1487163432 | Melinda Mcgahan | Counselor | 23 Bradston St Fl 1, Boston, MA 02118-2703 | 2017-09-21 |
1821515370 | Focal Points Healthcare, LLC | Counselor | 541 Sumner St # B, Boston, MA 02128-2258 | 2017-08-25 |
1881110005 | Robert Kenneth Turner | Counselor | 97 Hemenway Street, 11, Boston, MA 02115 | 2017-08-18 |
1548791189 | Ludy Young | Counselor | 247 Columbia Rd, Boston, MA 02121-3427 | 2017-03-24 |
1407390123 | Cheri L Epps | Counselor | 112 South Hampton Street, Boston, MA 02118 | 2016-12-14 |
1437515921 | Harold Dufour | Counselor | 4 Atherstone St, Boston, MA 02124-3723 | 2016-01-13 |
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.