MARY E CANCELLIERI (NPI# 1962621433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962621433 |
| Entity Type | Individual |
| Full Name | MARY E CANCELLIERI |
| Other Name | MARY ELLEN CANCELLIERI |
| Credential | APRN,BC |
| Practice Address |
289 Great Rd Acton MA 01720-4766 |
| Mailing Address |
15 Lawrence St Gardner MA 01440-2337 |
| Practice Telephone | 9786791225 |
| Practice Fax Number | 9784864037 |
| Mailing Telephone | 9786320918 |
| Mailing Fax Number | 9787314220 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2018-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
163573 | MA | Nursing Service Providers |
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
163573 | MA | Nursing Service Providers |
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
163573 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
289 GREAT RD |
| City | ACTON |
| State | MA |
| Zip Code | 01720-4766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235237363 | Steven R Michelson | Psychologist | 289 Great Rd, # G01, Acton, MA 01720-4766 | 2006-09-20 |
| 1871191247 | Cara Weber | Counselor | 289 Great Rd, Acton, MA 01720-4766 | 2020-10-16 |
| 1972158830 | Anjali Lappin | Counselor | 289 Great Rd, Acton, MA 01720-4766 | 2019-08-07 |
| 1154987303 | Johanna Elise Shriver Halligan | Counselor | 289 Great Rd, Acton, MA 01720-4766 | 2019-05-14 |
| 1124502927 | Betsy Wilk Katz | Dance Therapist | 289 Great Rd, Acton, MA 01720-4766 | 2018-09-18 |
| 1558842617 | Gary Charles Piandes | Nurse Practitioner | 289 Great Rd, Acton, MA 01720-4766 | 2018-08-27 |
| 1528127750 | Judith Casarella | Nurse Practitioner | 289 Great Rd, Acton, MA 01720-4766 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346872322 | Gianpiero De Mari | Behavior Technician | 8 Post Office Square Suite 204, Acton, MA 01720 | 2020-02-07 |
| 1871134890 | Rachel Vinicor | Social Worker | 171 Pope Rd., Acton, MA 01720 | 2019-10-01 |
| 1295387991 | Manman Zhang | Nurse Practitioner | Apt B9, 9 Davis Road, Acton, MA 01720 | 2019-07-12 |
| 1215595608 | Karen Weeks | Clinical Medical Laboratory | 526 Main St, One Acton Pl, Suite 102, Acton, MA 01720 | 2019-05-31 |
| 1689165151 | Richard J. Cowen | Psychologist | 16 Charter Road, Acton, MA 01720 | 2018-05-21 |
| 1265929798 | Angela Madge | Psychologist | 525 Massachusetts Ave Ste 101g, Acton, MA 01720 | 2018-04-19 |
| 1811404544 | B-xi Operations Holding Company LLC | Assisted Living Facility | Benchmark At Robbins Brook, 10 Devon Drive, Acton, MA 01720 | 2018-01-03 |
| 1396265211 | Kristen Devenezia | Counselor | 360 Massachusetts Avenue, Suite 201, Acton, MA 01720 | 2017-06-21 |
| 1760886592 | Waybond Pllc | Clinic/Center | 31 Powder Mill Rd, Acton, MA 01720 | 2014-10-22 |
| 1760802797 | Kimberly Greene Murachver | Dietitian, Registered | 525 Massachusetts Ave Ste 101c, Acton, MA 01720 | 2014-04-17 |
| Find all providers in zip 01720 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497376909 | Sharon A Chatterton Pmhcns Bc LLC | Clinical Nurse Specialist | 175 Walpole St Unit 2, Norwood, MA 02062-3230 | 2020-05-06 |
| 1336787498 | Frieda Albertini Duffy | Clinical Nurse Specialist | 906d Ridgefield Cir, Clinton, MA 01510-1448 | 2019-12-19 |
| 1184269201 | David John Becker | Clinical Nurse Specialist | 110 Stuart St Unit 18h, Boston, MA 02116-5668 | 2019-11-13 |
| 1770131252 | Advanced Psychiatric Services LLC | Clinical Nurse Specialist | 1 Union Pl Ste 101, Dedham, MA 02026-4437 | 2019-08-28 |
| 1235691304 | Laurie Zelas Private Practice LLC | Clinical Nurse Specialist | 2 Summer St Ste 16, Natick, MA 01760-4529 | 2019-04-05 |
| 1184199630 | Rose Paolini, LLC | Clinical Nurse Specialist | 100 Laurel St, East Bridgewater, MA 02333-1846 | 2018-10-11 |
| 1124514146 | Ann Polcari | Clinical Nurse Specialist | Service Building Mc Lean Hospital, 115 Mill Street, Belmont, MA 02478 | 2018-07-02 |
| 1548706831 | Mary Foley | Clinical Nurse Specialist | 5 Bristol Dr Ste 1b, South Easton, MA 02375-1917 | 2017-01-11 |
| 1407172588 | Kjersten Johnsen | Clinical Nurse Specialist | 290 Pleasant St, 102, Watertown, MA 02472-2427 | 2010-04-14 |
| 1366691446 | Beverley Scannell | Clinical Nurse Specialist | 139 Mechanic St, Suite 2, Bellingham, MA 02019-1690 | 2008-09-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARY E CANCELLIERI.
| 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.