ERICA RUSSO (NPI# 1962954412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962954412 |
| Entity Type | Individual |
| Full Name | ERICA RUSSO |
| Practice Address |
321 Fortune Blvd Beacon Services Milford MA 02130 |
| Mailing Address |
39 South St Kingston MA 02364-1812 |
| Practice Telephone | 3392227868 |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
321 FORTUNE BLVD BEACON SERVICES |
| City | MILFORD |
| State | MA |
| Zip Code | 02130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205819000 | David J Harrington | Obstetrics & Gynecology | 321 Fortune Blvd, Department of Ob/gyn, Milford, MA 01757-1750 | 2005-11-25 |
| 1265033260 | Saskia Maxine Martinez | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2020-11-05 |
| 1710588777 | Marissa Nicole Barros | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2020-11-05 |
| 1548861735 | Marislena Amezquita | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2020-11-04 |
| 1124628243 | Elizabeth Marie Larson | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2020-10-28 |
| 1710587290 | Loren Michelle Jarman | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2020-10-26 |
| 1538768015 | Jordan Howard | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2020-10-26 |
| 1871192641 | Nancy Thi Hoang | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2020-10-22 |
| 1497354492 | Laurie Marie Furtado | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2020-10-21 |
| 1285233163 | Milagro Rivera Delaney | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2020-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913121 | Virginia Dawn Pratt | Social Worker | Ethos, 555 Amory Street, Jamaica Plain, MA 02130 | 2020-08-19 |
| 1689139917 | Lina Skiba | Speech-Language Pathologist | Thom Child & Family Services, 555 Armory St, Jamaica Plain, MA 02130 | 2019-01-31 |
| 1841775442 | Melissa Rocklen | Social Worker | 30 Germania St Bldg C, Jamaica Plain, MA 02130 | 2018-09-28 |
| 1902389281 | Susan N. Berkman | Social Worker | 111 Perkins St., Apt.120, Jamaica Plain, MA 02130 | 2018-09-12 |
| 1326551912 | Cindy Tromp | Counselor | Arbour Hospital, 49 Robinwood Ave, Jamaica Plain, MA 02130 | 2017-11-06 |
| 1811415128 | Jesse Myles Carmen | Social Worker | 555 Armory Street, Jamaica Plain, MA 02130 | 2017-09-07 |
| 1881119410 | Melanie Suzanne Witman | Counselor | 1125 Centre Street, Boston, MA 02130 | 2017-08-04 |
| 1740702125 | Farah Clermont | Counselor | 3815 Washington St., Jamaica Plain, MA 02130 | 2017-07-07 |
| 1346777554 | Anjalie L Pieres | Counselor | 157 Green Streey, Jamaica Plain, MA 02130 | 2017-05-18 |
| 1316480098 | Caroline Amina Shaw-moss | Counselor | 7 Burr St., Boston, MA 02130 | 2016-11-29 |
| Find all providers in zip 02130 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659988202 | Jordan Taylor Clauson | Developmental Therapist | 300 E Main St Ste 104, Milford, MA 01757-2806 | 2020-09-28 |
| 1003459322 | Lubov Castelot | Developmental Therapist | 321 Fortune Blvd Ofc, Milford, MA 01757-1750 | 2019-10-18 |
| 1235782103 | Casey N Buser | Developmental Therapist | 321 Fortune Blvd Ph 478-0207, Milford, MA 01757-1750 | 2019-07-19 |
| 1295394344 | Javier Enrique Cruz | Developmental Therapist | 321 Fortune Blvd Ph 508478, Milford, MA 01757-1750 | 2019-06-12 |
| 1487176111 | Kelsey Elizabeth Meleady | Developmental Therapist | 421 Fortune Boulevard, Milford, MA 01757 | 2017-07-14 |
| 1376065748 | Roberta Marie Mcleod | Developmental Therapist | 321 Fortune Boulevard, Milford, MA 01757 | 2017-07-07 |
| 1700307436 | Adriell M Mayes | Developmental Therapist | 321 Fortune Boulevard, Milford, Ma 01757, Milford, MA 01747 | 2017-07-03 |
| 1396133807 | Melissa Boudreau | Developmental Therapist | 32 Fortune Blvd, Milford, MA 01757-3141 | 2015-01-06 |
| 1205247327 | Barbara Denucci | Developmental Therapist | 321 Fortune Blvd # 1757, Milford, MA 01757-1750 | 2014-05-12 |
| 1558602680 | Lauren Kate Stasiukiewicz | Developmental Therapist | 321 Forture Blvd, Milford, MA 01757 | 2013-03-14 |
| Find all providers in MILFORD | ||||
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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.