DR. GORDON KENNETH WEINER (NPI# 1942336094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942336094 |
| Entity Type | Individual |
| Full Name | DR. GORDON KENNETH WEINER |
| Credential | PH.D. |
| Practice Address |
91 Wyman St Waban MA 02468-1529 |
| Mailing Address |
38 Carroll St Watertown MA 02472-3333 |
| Practice Telephone | 6173932271 |
| Mailing Telephone | 6173932271 |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
4126 | MA | Behavioral Health & Social Service Providers |
| Street Address |
91 WYMAN ST |
| City | WABAN |
| State | MA |
| Zip Code | 02468-1529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497701197 | Mary Knorring Pantuhova | Psychologist | 91 Wyman St, Waban, MA 02468-1529 | 2006-05-25 |
| 1831688548 | Michael Davies | Psychologist | 91 Wyman St, Waban, MA 02468-1529 | 2018-05-08 |
| 1750603346 | Caroline Miller | Psychologist | 91 Wyman St, Suite 100, Waban, MA 02468-1529 | 2010-02-23 |
| 1124288733 | Jennifer A Ford | Psychologist | 91 Wyman St, Suite One, Waban, MA 02468-1529 | 2008-06-17 |
| 1194984955 | Shari Lynn Noe | Psychologist | 91 Wyman St, Suite One, Waban, MA 02468-1529 | 2008-06-06 |
| 1023284460 | Mary Pantuhova, Psy.d., LLC | Psychologist | 91 Wyman St, Waban, MA 02468-1529 | 2008-05-06 |
| 1093917668 | Catherine Ione Dubois | Psychologist | 91 Wyman St, Waban, MA 02468-1529 | 2007-06-04 |
| 1346365293 | Seth A Rafal | Psychiatry & Neurology | 91 Wyman St, Waban, MA 02468-1529 | 2007-03-20 |
| 1831213628 | Mary Philippa Breen | Psychologist | 91 Wyman St, Waban, MA 02468-1529 | 2007-03-18 |
| 1205965423 | Center for Lifespan Development | Psychologist | 91 Wyman St, Suite One, Waban, MA 02468-1529 | 2007-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467934539 | Susan Mary Crowley | Social Worker | Waban Health Center, 20 Kinmonth Road, Newton, MA 02468 | 2018-09-05 |
| 1922200534 | Erin Beth Carpe | Dentist | 17 Ferncroft Road, Waban, MA 02468 | 2007-06-05 |
| 1770616534 | Laboratory for Stone Research | Clinical Medical Laboratory | 81 Wyman Street, Newton, MA 02468 | 2007-03-13 |
| 1457495111 | Margaret Selkin Fogel | Psychologist | 15 Homestead Street, Newton, MA 02468 | 2007-02-16 |
| 1619028743 | Patricia Anne Dean | Psychologist | 91 Wyman Street, Waban, MA 02468 | 2007-01-16 |
| 1225128663 | Sue M Sand | Psychologist | 32 Devonshire Rd, Newton, MA 02468 | 2006-10-14 |
| 1235246885 | Susan Browning Wadsworth | Psychologist | 410 Woodward St., Newton, MA 02468 | 2006-08-23 |
| 1184647539 | Cynthia Rose Shapiro | Dentist | 1957 Beacon Street, Waban, MA 02468 | 2006-07-26 |
| 1083633093 | Peggy Ellen Warren | Psychiatry & Neurology | 40 Windsor Road, Waban, MA 02468 | 2006-07-19 |
| 1467545798 | Sanford Marvin Portnoy | Psychologist | 35 Helene Rd, Waban, MA 02468-1024 | 2006-09-30 |
| Find all providers in zip 02468 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568676542 | Kathleen Curran | Psychologist | 165 Upland Rd, Waban, MA 02468-2004 | 2007-05-09 |
| 1467501411 | Robert Jean Cournoyer | Psychologist | 81 Wyman St, Suite 3, Waban, MA 02468-1519 | 2007-01-09 |
| 1740358019 | Lois A Levin | Psychologist | 497 Chestnut St, Waban, MA 02468-1220 | 2006-12-02 |
| 1497701197 | Mary Knorring Pantuhova | Psychologist | 91 Wyman St, Waban, MA 02468-1529 | 2006-05-25 |
| 1831688548 | Michael Davies | Psychologist | 91 Wyman St, Waban, MA 02468-1529 | 2018-05-08 |
| 1750870739 | Audrey Elise Stern | Psychologist | 50 Evelyn Rd, Waban, MA 02468-1217 | 2018-05-06 |
| 1750603346 | Caroline Miller | Psychologist | 91 Wyman St, Suite 100, Waban, MA 02468-1529 | 2010-02-23 |
| 1124288733 | Jennifer A Ford | Psychologist | 91 Wyman St, Suite One, Waban, MA 02468-1529 | 2008-06-17 |
| 1194984955 | Shari Lynn Noe | Psychologist | 91 Wyman St, Suite One, Waban, MA 02468-1529 | 2008-06-06 |
| 1023284460 | Mary Pantuhova, Psy.d., LLC | Psychologist | 91 Wyman St, Waban, MA 02468-1529 | 2008-05-06 |
| Find all providers in WABAN | ||||
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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.