DR. IRWIN KENNETH BENNETT (NPI# 1942226709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942226709 |
| Entity Type | Individual |
| Full Name | DR. IRWIN KENNETH BENNETT |
| Credential | MD |
| Practice Address |
94 S Main St Middleboro MA 02346-2123 |
| Practice Telephone | 5089476100 |
| Practice Fax Number | 5089476811 |
| Mailing Telephone | 5089476100 |
| Mailing Fax Number | 5089476811 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2012-04-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD07659 | RI | Allopathic & Osteopathic Physicians |
| Street Address |
94 S MAIN ST |
| City | MIDDLEBORO |
| State | MA |
| Zip Code | 02346-2123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043824253 | Thomas Bell | Student in an Organized Health Care Education/Training Program | 94 S Main St, Middleboro, MA 02346-2123 | 2020-09-04 |
| 1144832296 | Sarah Elizabeth Pehrson | Counselor | 94 S Main St, Middleboro, MA 02346-2123 | 2020-08-20 |
| 1689286163 | Stephanie M Leahy | Counselor | 94 S Main St, Middleboro, MA 02346-2123 | 2020-08-17 |
| 1942853841 | Eric Dean Stroshine | Counselor | 94 S Main St, Middleboro, MA 02346-2123 | 2019-07-19 |
| 1538729405 | Victoria Jean Troehler Stephens | Counselor | 94 S Main St, Middleboro, MA 02346-2123 | 2019-06-13 |
| 1346711397 | John Manzoni-darpino | Counselor | 94 S Main St, Middleboro, MA 02346-2123 | 2018-12-16 |
| 1427578525 | Michael Joseph Tiberio | Counselor | 94 S Main St, Middleboro, MA 02346-2123 | 2017-06-21 |
| 1891224135 | Elizabeth May Forgue | Counselor | 94 S Main St, Middleboro, MA 02346-2123 | 2017-06-09 |
| 1457896391 | Tara L Cravero | Counselor | 94 S Main St, Middleboro, MA 02346-2123 | 2017-01-02 |
| 1568905545 | Joanne Regan | Assistant Behavior Analyst | 94 S Main St, Middleboro, MA 02346-2123 | 2016-11-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669990271 | Lois Monteiro | Acupuncturist | 217 Center St, Middleboro, MA 02346 | 2017-09-03 |
| 1588187298 | Danielle Marie Sousa | Acupuncturist | 2 Rocky Gutter St., Middleboro, MA 02346 | 2017-07-25 |
| 1114309234 | South Bay Mental Health | Community/Behavioral Health | 38 Atwood Avenue, Middleboro, MA 02346 | 2015-06-25 |
| 1194110726 | Orthodontic Specialists of Southeastern Ma | Clinic/Center | 47 Bedford Street, Unit 4, Middleboro, MA 02346 | 2015-03-31 |
| 1578858973 | Alireza Ashrafi | Dentist | 47 Bedford St, Middleboro, MA 02346 | 2011-06-14 |
| 1649503657 | Michael Ryan Correia | Pharmacist | 131-133 Main St, Middleboro, MA 02346 | 2009-09-09 |
| 1750544896 | M Teresa Wandrey | Speech-Language Pathologist | 105 East Grove Street, Middleboro, MA 02346 | 2008-07-09 |
| 1134261464 | Sarah Elizabeth Derosier | Podiatrist | 339 Center Street, Suite 27, Middleboro, MA 02346 | 2007-02-13 |
| 1669549689 | Kate B Dupre | Nurse Practitioner | 17 West End Ave, Middleboro, MA 02346 | 2006-11-29 |
| 1346313913 | Peter Tait Messier | Dentist | 259 Center St, Middleboro, MA 02346 | 2006-11-15 |
| Find all providers in zip 02346 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013161843 | Carl Fleisher | Psychiatry & Neurology | 23 Isaac St, Middleboro, MA 02346-2080 | 2008-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881203701 | Hoffman Psychiatric Services | Psychiatry & Neurology | 144a Mount Auburn St Ste 2a, Cambridge, MA 02138-5776 | 2020-07-27 |
| 1639603566 | Chayanin Foongsathaporn | Psychiatry & Neurology | Tufts Medical Center 800 Washington Street #1007, Boston, MA 02111 | 2017-04-18 |
| 1922386887 | Firas Abdussalam Nakshabandi | Psychiatry & Neurology | 940 Belmont St Bldg 5, (116a7) Psychiatry Education Attn: Marie, Brockton, MA 02301-5596 | 2011-07-26 |
| 1548556046 | Barton S Herskovitz Md PC | Psychiatry & Neurology | 460 Hillside Ave, Suite 3e, Needham, MA 02494-1279 | 2011-06-22 |
| 1326368325 | Circle of Life Md LLC | Psychiatry & Neurology | 203 Willow St Bldg B, South Hamilton, MA 01982-2292 | 2010-06-02 |
| 1740505353 | Erica Lisa Greenberg | Psychiatry & Neurology | 185 Cambridge St Ste 2000, Boston, MA 02114 | 2010-04-07 |
| 1245461714 | Ronald Geraty | Psychiatry & Neurology | 295 Ocean Ave, Marblehead, MA 01945-3728 | 2009-08-01 |
| 1023252459 | Kyu Won Lee | Psychiatry & Neurology | 19 Kendall Ter, Newton, MA 02458-2021 | 2009-04-29 |
| 1851534788 | Serena Fernandes | Psychiatry & Neurology | 300 Longwood Ave # Fegan8, Boston, MA 02115-5724 | 2009-04-07 |
| 1114190097 | Dana B Sarvey | Psychiatry & Neurology | 115 Mill St # Ms 129, Belmont, MA 02478-1048 | 2008-04-10 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLEBORO |
| Zip Code | 02346 |
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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.