CONGENIAL HEALTHCARE, LLC (NPI# 1972155422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972155422 |
Entity Type | Organization |
Organization Name | CONGENIAL HEALTHCARE, LLC |
Other Organization Name | GORDON COLLEGE HEALTH CENTER |
Practice Address |
255 Grapevine Rd Wenham MA 01984 |
Mailing Address |
1 Roosevelt Ave Peabody MA 01960-2200 |
Practice Telephone | 9785360215 |
Practice Fax Number | 9785360230 |
Mailing Telephone | 9785360215 |
Mailing Fax Number | 9785360230 |
Enumeration Date | 2019-07-15 |
Last Update Date | 2019-07-17 |
Authorized Official Name | LISA MARIE ENDERLE (ENROLLMENT MANAGER) |
Authorized Official Telephone | 9787121681 |
Is Organization Subpart | Y |
Parent Organization Name | CONGENIAL HEALTHCARE, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Gordon College Health Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285145441 | Congenial Healthcare, LLC | Internal Medicine | 2 1st Ave Ste 215, Peabody, MA 01960-4962 | 2017-10-16 |
1033620372 | Congenial Healthcare, LLC | Internal Medicine | 1 Walton St, Wakefield, MA 01880-1209 | 2017-10-13 |
1558872895 | Congenial Healthcare, LLC | Family Medicine | 330 Lynnway Ste 190a, Lynn, MA 01901-1706 | 2017-10-13 |
1730608720 | Congenial Healthcare, LLC | Internal Medicine | 1 Roosevelt Ave Ste 201, Peabody, MA 01960-2227 | 2017-09-12 |
1659830818 | Congenial Healthcare, LLC | Clinical Medical Laboratory | 147 S Main St, Middleton, MA 01949-2446 | 2019-03-18 |
1790241735 | Congenial Healthcare, LLC | Internal Medicine | 1 Roosevelt Ave Ste 201, Peabody, MA 01960-2227 | 2019-02-14 |
1124539382 | Congenial Healthcare, LLC | Family Medicine | 1 Roosevelt Ave Ste 201, Peabody, MA 01960-2227 | 2017-10-16 |
1063923399 | Congenial Healthcare, LLC | Family Medicine | 147 S Main St, Middleton, MA 01949-2446 | 2017-10-13 |
1407367741 | Congenial Healthcare, LLC | Internal Medicine | 3 Post Office Sq, Lynnfield, MA 01940-2218 | 2017-10-13 |
Street Address |
255 GRAPEVINE RD |
City | WENHAM |
State | MA |
Zip Code | 01984 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033108584 | Marie Lucey | Physical Therapist | 255 Grapevine Rd, Wenham, MA 01984 | 2005-10-18 |
1396350492 | Rachel Ryder | Physical Therapist | 255 Grapevine Rd, Wenham, MA 01984-1813 | 2020-09-15 |
1740891126 | Luke Harmeling | Physical Therapist | 255 Grapevine Rd, Wenham, MA 01984-1813 | 2020-08-11 |
1881217800 | Meredith Conroy | Physical Therapist | 255 Grapevine Rd, Wenham, MA 01984-1813 | 2020-05-26 |
1992340962 | Stephanie Kalanta | Physical Therapist | 255 Grapevine Rd, Wenham, MA 01984-1813 | 2019-11-13 |
1467093633 | Rachel Nelson | Physical Therapist | 255 Grapevine Rd, Wenham, MA 01984-1813 | 2019-09-30 |
1164904744 | Deana Trefry | Social Worker | 255 Grapevine Rd, Wenham, MA 01984 | 2018-08-30 |
1881113090 | Kevin Kinnard | Physical Therapist | 255 Grapevine Rd, Wenham, MA 01984-1813 | 2017-09-19 |
1881133478 | Sarah Collins | Physical Therapist | 255 Grapevine Rd, Wenham, MA 01984-1813 | 2017-02-16 |
1598203465 | Javier Ricrado Salcido Negrete | Counselor | 255 Grapevine Rd, Wenham, MA 01984-1813 | 2017-02-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497880041 | Gail P Borgman | Social Worker | Gordon College, Grapevine Rd, Wenham, MA 01984 | 2007-02-23 |
1043374788 | Phyllis Brooks | Social Worker | 225 Main Street, Wenham, MA 01984 | 2006-12-20 |
1184709784 | Amy K Hubbard | Counselor | 152r Main Street, Wenham, MA 01984 | 2006-10-25 |
1962426072 | Cathy Goldstein Mullin | Social Worker | 48 Cherry Street, Wenham, MA 01984 | 2006-07-26 |
1912094202 | Donald Deblock | Psychologist | 135 Main Street, Wenham, MA 01984 | 2006-10-06 |
1013083443 | Eric Wilson Bowman | Counselor | 11 Longfellow Rd, Wenham, MA 01984-1329 | 2006-11-28 |
1548806672 | Adrienne Dooley | Speech-Language Pathologist | 5 South St, Wenham, MA 01984-1331 | 2019-11-25 |
1205458411 | Amy Kolano | Nurse Practitioner | 4 Bruce Ln, Wenham, MA 01984-1404 | 2020-05-11 |
1952813354 | Alexandra Bliss Colarusso | Physician Assistant | 14 Juniper St, Wenham, MA 01984-1414 | 2017-10-26 |
1679832273 | Victoria Leigh Varney | Specialist | 162 Main St, Wenham, MA 01984-1415 | 2012-05-16 |
Find all providers in zip 01984 |
Taxonomy Code | 261QS1000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Student Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841766540 | Dorothy Prince | Clinic/Center | 182 Water St, Pembroke, MA 02359-1957 | 2018-10-19 |
1821449950 | Curry College | Clinic/Center | 1016 Brush Hill Rd, Milton, MA 02186-1218 | 2016-06-30 |
1902267602 | New England Conservatory | Clinic/Center | 241 Saint Botolph St Rm 112, Boston, MA 02115-4918 | 2016-03-09 |
1902114564 | Danielle Smith | Clinic/Center | 153 Sherbert Rd, Ashburnham, MA 01430-1014 | 2010-09-16 |
1841353158 | Wpi Health Services | Clinic/Center | 100 Institute Road, Wpi Health Services, Worcester, MA 01609-2247 | 2006-12-18 |
1598391633 | Babson College | Clinic/Center | 231 Forest St, Wellness Center, Babson Park, MA 02457 | 2020-03-20 |
1669007456 | Nathanaelle Onyinyechi Ibeziako | Clinic/Center | 145 Harrison Ave, Boston, MA 02111-1802 | 2020-03-11 |
1548825920 | Maria Magdalena Wilson | Clinic/Center | 340 Main St Ste 818, Worcester, MA 01608-1604 | 2019-05-01 |
1912407875 | Sarah M Blood | Clinic/Center | 282 Farmers Row, Groton, MA 01450-1848 | 2018-02-17 |
1538671920 | Catharine Marie Paiva | Clinic/Center | 1 Grant St, Framingham, MA 01702-6764 | 2017-10-25 |
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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.