DR. MARY BETH MEDVIDE (NPI# 1932414695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932414695 |
| Entity Type | Individual |
| Full Name | DR. MARY BETH MEDVIDE |
| Credential | PH.D. |
| Practice Address |
431 River St Ste., 1 Waltham MA 02453-5476 |
| Practice Telephone | 7819665654 |
| Practice Fax Number | 7817018905 |
| Mailing Telephone | 7819665654 |
| Mailing Fax Number | 7817018905 |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2016-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
10449 | MA | Behavioral Health & Social Service Providers |
| Street Address |
431 RIVER ST STE., 1 |
| City | WALTHAM |
| State | MA |
| Zip Code | 02453-5476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483213 | Jennifer Cruz-rincon | Social Worker | 431 River St, Waltham, MA 02453-5476 | 2020-09-28 |
| 1487269932 | Hope Dragelin | Social Worker | 431 River St, Waltham, MA 02453-5476 | 2020-09-11 |
| 1821602731 | Daniel M Vazquez | Peer Specialist | 431 River St, Waltham, MA 02453-5476 | 2020-09-08 |
| 1295340149 | Maria Alexandra Zafiropoulos | Counselor | 431 River St, Waltham, MA 02453-5476 | 2020-09-08 |
| 1568071967 | Isabel Schneider | Counselor | 431 River St, Waltham, MA 02453-5476 | 2020-07-31 |
| 1932734894 | Jessica Digiovanni | Counselor | 431 River St, Waltham, MA 02453-5476 | 2020-03-10 |
| 1972134575 | Judianne Brugger | Counselor | 431 River St, Waltham, MA 02453-5476 | 2020-02-01 |
| 1356992259 | Alexandra Fortune | Social Worker | 431 River St, Waltham, MA 02453-5476 | 2019-09-23 |
| 1710536180 | Tushar Singhal | Counselor | 431 River St, Waltham, MA 02453-5476 | 2019-09-09 |
| 1710536453 | Melanie Carrasco | Counselor | 431 River St, Waltham, MA 02453-5476 | 2019-09-05 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1811595770 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 66 Seyon St, Waltham, MA 02453 | 2020-10-13 |
| 1679040935 | Elsa L. Lichman | Social Worker | 52 Derby Street, Waltham, MA 02453 | 2018-10-25 |
| 1760957468 | Sherry Leigh Miller | Counselor | C/o Children's Charter, 77 Rumford Ave, Waltham, MA 02453 | 2018-10-09 |
| 1639644651 | Leo V Sarkissian | Social Worker | The Arc of Massachusetts, 217 South Street, Waltham, MA 02453 | 2018-10-05 |
| 1629569512 | Abaytum Investments Inc | Home Health | 24 Crescent Street, Suite 104, Waltham, MA 02453 | 2018-05-25 |
| 1225542970 | Mikayla E Culpo | Nurse Practitioner | 9 Hope Ave Fl Bch4, Waltham, MA 02453 | 2017-11-16 |
| 1568975449 | Twyla Atherna Everett | Massage Therapist | 212 Calvary St, Waltham, MA 02453 | 2017-11-14 |
| 1407369382 | Eli Miller | Counselor | 431 River Street, Suite 1, Waltham, MA 02453 | 2017-11-14 |
| 1396263927 | Jill Zaricor | Student in an Organized Health Care Education/Training Program | 77 Rumford Ave C/o Children's Charter, Waltham, MA 02453 | 2017-09-04 |
| 1538683008 | Michael Scaduto | Physical Therapist | 110-1 Clematis Ave, Waltham, MA 02453 | 2017-07-27 |
| Find all providers in zip 02453 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043466436 | Michael J Lafarr Jr. | Psychologist | 415 South St, Counseling Center, Brandeis University, Waltham, MA 02453-2728 | 2008-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817489 | Trevor Allan Cote | Psychologist | 137 Newbury St # 6b, Boston, MA 02116-2912 | 2020-10-08 |
| 1942840244 | Joshua Michael Edwards | Psychologist | 200 Southwick Rd Apt 12, Westfield, MA 01085-4797 | 2020-01-14 |
| 1235787045 | Joy Victoria Albiani | Psychologist | 500 Amory St Ste 300, Jamaica Plain, MA 02130-2775 | 2019-08-27 |
| 1144882234 | Barbara Fritts Phd Licensed Psychologist | Psychologist | 23 Water St # 105, Holliston, MA 01746-2364 | 2019-06-28 |
| 1114496031 | Melanie Cadet | Psychologist | 440 Hancock St Ste 8-248, Quincy, MA 02171-2442 | 2018-11-20 |
| 1710466685 | Denise A Green | Psychologist | 21 Matoon St, Amherst, MA 01002-2107 | 2018-08-10 |
| 1639663065 | Martha Hardy Lamb | Psychologist | 7 Commonwealth Ave, Dedham, MA 02026-1403 | 2018-06-19 |
| 1740773977 | Jennifer Grossman | Psychologist | 192 Carlton Rd, Waban, MA 02468-1836 | 2018-06-12 |
| 1467945022 | Carmen M Torres | Psychologist | 21 Fenwood Rd Apt 2, Boston, MA 02115-6101 | 2018-06-08 |
| 1144712936 | Jacqueline Bearce | Psychologist | 132 Pondview Dr, Amherst, MA 01002-3258 | 2018-06-06 |
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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.