MICHELE CANDRIAN (NPI# 1942497565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942497565 |
Entity Type | Individual |
Full Name | MICHELE CANDRIAN |
Credential | PH.D. |
Practice Address |
115 Mill Street, Mclean Hospital North Belknap 1 Belmont MA 02428 |
Mailing Address |
55 Fruit Street Massachusetts General Hospital Boston MA 02114 |
Practice Telephone | 6178552933 |
Mailing Telephone | 6177262000 |
Enumeration Date | 2007-09-27 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
9473 | MA | Behavioral Health & Social Service Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
115 Mill Street, Mclean Hospital, Belmont, MA 02428 | 6178552933 |
Street Address |
115 MILL STREET, MCLEAN HOSPITAL NORTH BELKNAP 1 |
City | BELMONT |
State | MA |
Zip Code | 02428 |
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Find all providers in BELMONT |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235755398 | Jessica L Lazar Schwartz | Psychologist | 115 Mill St # Ms 238, Belmont, MA 02478-1064 | 2020-06-24 |
1700371747 | Rachel Faye Bruno | Psychologist | 220 Lewis Road, Belmont, MA 02478-3833 | 2018-06-22 |
1245722701 | Jeremy Stewart | Psychologist | Mclean Hospital, 115 Mill Street, Mailstop 331, Belmont, MA 02478 | 2018-05-31 |
1659861870 | Jeffrey Paul Miner | Psychologist | 36 Broad St, Belmont, MA 02478-3206 | 2018-05-14 |
1295257848 | Stephanie Boyer | Psychologist | Mclean Hospital, 115 Mill St., Mail Stop 131, Belmont, MA 02478 | 2017-07-14 |
1275908063 | Alex Jordan | Psychologist | 115 Mill Street, Mail Stop 217, Mclean Hospital, Belmont, MA 02478 | 2015-12-05 |
1699090357 | Emily E Manove | Psychologist | 25 Flanders Rd, Belmont, MA 02478-4066 | 2010-04-06 |
1851537773 | Emily R. Wildman, Psy.d., LLC | Psychologist | 2824 Alhambra Dr, Belmont, CA 94002-1352 | 2008-12-23 |
1790902443 | Elizabeth M Rizzo | Psychologist | 1200 Sixth Ave, Belmont, CA 94002-3856 | 2007-04-20 |
1316070808 | Susan J Miller | Psychologist | 68 Leonard St Ste 304, Belmont, MA 02478-2574 | 2007-03-13 |
Find all providers in BELMONT |
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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.