SHANDA AURORA CANIQUIE


Address: 21 Burrill Ave, Bridgewater, MA 02325-0001
Phone: 2242100063

SHANDA AURORA CANIQUIE (NPI# 1982245833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982245833
Entity Type Individual
Full Name SHANDA AURORA CANIQUIE
Practice Address 21 Burrill Ave
Bridgewater
MA 02325-0001
Mailing Address 45 School St
Bridgewater
MA 02325-1219
Practice Telephone 2242100063
Mailing Telephone 2242100063
Enumeration Date 2019-10-02
Last Update Date 2019-10-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Office Location

Street Address 21 BURRILL AVE
City BRIDGEWATER
State MA
Zip Code 02325-0001

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548811334 Marilyn J Grabau Nurse Practitioner 351 Great Hill Drive Bridgewater State University, Bridgewater, MA 02325-0001 2019-09-24
1962900118 Carol Masshardt Social Worker 95 Burrill Ave, Bridgewater, MA 02325-0001 2018-01-23
1720453699 Kaitlin Rose Carroll Nurse Practitioner Bridgewater State University Weygand Hl, 351 Great Hill Drive, Bridgewater, MA 02325-0001 2015-12-03
1578846945 Julie M. Grant Student in an Organized Health Care Education/Training Program 66 Hooper St, Burnell Hall Room 113, Bridgewater, MA 02325-0001 2011-09-22
1558644070 Paul Webb Student in an Organized Health Care Education/Training Program 131 Summer St, Bridgewater, MA 02325-0001 2011-09-21
1760513659 Cynthia J Calderon Nurse Practitioner Bridgewater State University, 351 Great Hill Drive, Bridgewater, MA 02325-0001 2007-03-09
1851468581 Marilynn Newcomb Nurse Practitioner Health Services Bridgewater State College, 45 School St, Bridgewater, MA 02325-0001 2006-11-29
1356379044 Marcia K Anderson Contractor Adrian Tinsley Center, Bridgewater State College, Bridgewater, MA 02325-0001 2006-06-29
1730166877 Stephen John Vinitsky Nurse Practitioner 45 School Street, Bridgewater State College Health Services, Bridgewater, MA 02325-0001 2005-12-29
1710510862 Amanda E Backstrom Student in an Organized Health Care Education/Training Program 131 Summer St, Bridgewater, MA 02325-0001 2020-02-18
Find all providers in zip 02325

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992303739 Michael James Brackett Counselor 81 Bedford St, Bridgewater, MA 02324-2504 2020-10-14
1730674490 Lauren Flanagan Counselor 22 Meadow Ln Apt 9, Bridgewater, MA 02324-1827 2018-06-26
1013416882 Joanna L. Harrison-smith Counselor Catholic Charities Diocese of Metuchen, 540 Route 22 East, Bridgewater, NJ 08807 2018-02-07
1144764952 Joseph Maxwell Knapp Counselor 36 Atkinson Dr, Bridgewater, MA 02324-3502 2016-12-13
1740679232 Silvergate Preparatory School LLC Counselor 981 Rte 22 Ste 202, Bridgewater, NJ 08807-2946 2015-01-21
1366789554 Tanya Copprue-lanham Counselor 1200 Route 22 Ste 2000, Bridgewater, NJ 08807-2943 2013-01-09
1669676540 Renuka Ati Tanna Counselor 981 Route 22, Second Floor, Bridgewater, NJ 08807-2946 2007-06-13
1265071146 Sapphire Valley Wellness Center, LLC Counselor 105 S Main St, Bridgewater, VA 22812-1129 2019-12-24
1861804296 Bridget Eccles Counselor 500 N Bridge St, Bridgewater, NJ 08807-2135 2014-05-20
1760700132 The Well, A Center for Hope and Healing Counselor 232 Broad St, Bridgewater, MA 02324-1742 2010-05-11
Find all providers in BRIDGEWATER

Competitor

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City BRIDGEWATER
Zip Code 02325

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Dataset Information

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.

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