STACEY K. BORDEN


Address: 22 Drydock Ave Fl 3, Boston, MA 02210-2386
Phone: 8572372780

STACEY K. BORDEN (NPI# 1992292361) 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) 1992292361
Entity Type Individual
Full Name STACEY K. BORDEN
Credential M.ED., LADC-1
Practice Address 22 Drydock Ave Fl 3
Boston
MA 02210-2386
Practice Telephone 8572372780
Practice Fax Number 6175076176
Mailing Telephone 8572372780
Mailing Fax Number 6165076176
Enumeration Date 2018-04-20
Last Update Date 2018-04-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
14960 MA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA MASSACHUSETTS INSURERS 81-1525549 01

Office Location

Street Address 22 DRYDOCK AVE FL 3
City BOSTON
State MA
Zip Code 02210-2386

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104339308 Jand Inc. Eyewear Supplier (Equipment, not the service) 72 Seaport Blvd, Boston, MA 02210 2017-11-09
1548655541 Virtudent Ma LLC Dentist 21 Drydock Ave. 6th Floor, C/o Masschallenge, Boston, MA 02210 2015-04-06
1013310242 Ella Osborn Dentist 268 Summer St, Boston, MA 02210 2014-10-02
1215231071 Healthworks Med Group of Massachusetts P C Clinic/Center 245 Summer St Ste 1100, Boston, MA 02210 2011-01-07
1225228323 Lisa R Hirschhorn Internal Medicine Jsi Research & Training, 44 Farnsworth Street, Boston, MA 02210 2007-07-26
1003038365 Ma Department of Youth Services Public Health or Welfare 27 Wormwood Street, Suite 400, Boston, MA 02210 2007-05-03
1043365786 Carol I Williams Surgery Mcmcllc, 88 Black Falcon Pier, Boston, MA 02210 2007-01-24
1801955265 Anjali Aggarwal Anesthesiology One Park Lane, Apartment #1005, Boston, MA 02210 2006-12-08
1609987312 Morton Bruce Rosenberg Dentist 25 Channel Center Street, #802, Boston, MA 02210 2006-08-31
1063446714 Robert C Parke Family Medicine Boston Meps Medical Section, 495 Summer Street, Boston, MA 02210 2006-07-10
Find all providers in zip 02210

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649870023 Carlos E Salazar Counselor Hcrc 23 Bradston St., Boston, MA 02118 2020-10-27
1821635921 Michael David Meyers Counselor 9 Notre Dame St, Boston, MA 02119-1230 2019-12-08
1831667260 Melinda Baker Counselor 50 Congress St Ste 430, Boston, MA 02109-4055 2018-11-03
1487163432 Melinda Mcgahan Counselor 23 Bradston St Fl 1, Boston, MA 02118-2703 2017-09-21
1821515370 Focal Points Healthcare, LLC Counselor 541 Sumner St # B, Boston, MA 02128-2258 2017-08-25
1881110005 Robert Kenneth Turner Counselor 97 Hemenway Street, 11, Boston, MA 02115 2017-08-18
1548791189 Ludy Young Counselor 247 Columbia Rd, Boston, MA 02121-3427 2017-03-24
1407390123 Cheri L Epps Counselor 112 South Hampton Street, Boston, MA 02118 2016-12-14
1912440181 Mark David Fralick Counselor 675 E 4th St, Boston, MA 02127-3063 2016-11-21
1437515921 Harold Dufour Counselor 4 Atherstone St, Boston, MA 02124-3723 2016-01-13
Find all providers in BOSTON

Competitor

Search similar providers

City BOSTON
Zip Code 02210

Improve Information

Please comment or provide details below to improve the information on STACEY K. BORDEN.

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.

Trending Searches