DR. THADDEUS RONALD MOGILNICKI (NPI# 1992874978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992874978 |
| Entity Type | Individual |
| Full Name | DR. THADDEUS RONALD MOGILNICKI |
| Credential | ED.D. |
| Practice Address |
323 Court St Plymouth MA 02360-4322 |
| Mailing Address |
12 Shawme Rd Sandwich MA 02563-2336 |
| Practice Telephone | 5087472718 |
| Practice Fax Number | 5087475209 |
| Mailing Telephone | 5088884721 |
| Mailing Fax Number | 5087475209 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
912 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BOSTON MEDICAL HEALTH NET | 000000030825 | 01 |
| MA | BC BS INDEMNITY | W01662 | 01 |
| MA | 1895532 | 05 | |
| MA | CIGNA GROUP | 2168630 | 01 |
| MA | VAUE OPTIONS | 497004 | 01 |
| MA | BC BS HMO GROUP | M19000 | 01 |
| MA | NEIGHBORHOOD HEALTH GROUP | 213380 | 01 |
| MA | MHN | 311299 | 01 |
| MA | TUFTS | 468604 | 01 |
| Street Address |
323 COURT ST |
| City | PLYMOUTH |
| State | MA |
| Zip Code | 02360-4322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790760098 | Juris Egils Treibergs | Psychiatry & Neurology | 323 Court St, Plymouth, MA 02360-4322 | 2005-12-08 |
| 1316580905 | Devin Woodworth | Counselor | 323 Court St, Plymouth, MA 02360-4322 | 2019-10-25 |
| 1376835173 | Melissa Kappler | Social Worker | 323 Court St, Plymouth, MA 02360-4322 | 2011-05-11 |
| 1619026168 | Elinor Louis | Psychologist | 323 Court St, Plymouth, MA 02360-4322 | 2007-01-10 |
| 1255488037 | Diane De La Riva Nash | Social Worker | 323 Court St, Plymouth, MA 02360-4322 | 2007-01-04 |
| 1891852455 | Psychology Associates Inc. | Psychologist | 323 Court St, Plymouth, MA 02360-4322 | 2007-01-03 |
| 1265592364 | Maria E. Cruz | Counselor | 323 Court St, Plymouth, MA 02360-4322 | 2006-12-11 |
| 1700995776 | James Russell Sorensen | Psychologist | 323 Court St, Plymouth, MA 02360-4322 | 2006-08-30 |
| 1417062605 | Kelley Ann O'neel | Psychologist | 323 Court St, Plymouth, MA 02360-4322 | 2006-08-20 |
| 1265452247 | Robert Kintz Hartman | Psychologist | 323 Court St, Plymouth, MA 02360-4322 | 2006-07-20 |
| Find all providers in the same location | ||||
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| 1801425053 | Geraldine Veronica Thissell | Speech-Language Pathologist | 28 Nathan Lane, Plymouth, MA 02360 | 2020-04-08 |
| 1447889621 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | One Bumps Pond Road, Plymouth, MA 02360 | 2020-04-08 |
| 1427690247 | Osp Children's Therapy Center | Physical Therapist | 130 Industrial Park Rd. A, Plymouth, MA 02360 | 2019-10-14 |
| 1265996219 | Housecall Physicians, Inc | Family Medicine | 31 Home Depot Drive, Suite 283, Plymouth, MA 02360 | 2019-01-24 |
| 1306329271 | Patricia Jane Whitaker | Social Worker | Masac-plymouth, 1 Bumps Pond Road, Plymouth, MA 02360 | 2018-09-07 |
| 1366934572 | Cindy Oneil | Registered Nurse | 10 Cordage Park, Plymouth, MA 02360 | 2018-06-04 |
| 1275021685 | Alexandra Andrew | Acupuncturist | 225 Water St Ste B239, Plymouth, MA 02360 | 2018-05-01 |
| 1417445289 | Susan Ann Adams | Case Manager/Care Coordinator | 260 Ship Pond Rd, Plymouth, MA 02360 | 2018-04-27 |
| 1588178776 | Cassandra Noel Denayer | Registered Nurse | 7 Rodman Lane, Plymouth, MA 02360 | 2017-11-27 |
| 1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
| Find all providers in zip 02360 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790264760 | Tasha Leno | Psychologist | 595 Forest Ave Ste 7a, Plymouth, MI 48170-1777 | 2018-08-10 |
| 1679059968 | Life Improved, LLC | Psychologist | 300 Main Street, Suite 200, Plymouth, NH 03264 | 2018-07-19 |
| 1952891038 | Charles Francis Carroll | Psychologist | 17 Alvin Rd, Plymouth, MA 02360-3920 | 2018-05-15 |
| 1861914863 | Steven Schwartz | Psychologist | 12431 Howland Park Dr, Plymouth, MI 48170-2894 | 2017-07-11 |
| 1366827016 | Juliann Knochel | Psychologist | 42325 Ann Arbor Rd E, Plymouth, MI 48170-4356 | 2015-07-23 |
| 1851781959 | Stephen Mangin | Psychologist | 42245 Ann Arbor Rd E Ste 101, Plymouth, MI 48170-4311 | 2015-01-27 |
| 1649683517 | Heather M Delcourt | Psychologist | 595 Forest Ave Ste 11a, Plymouth, MI 48170-1777 | 2014-06-08 |
| 1952730723 | Amanda Michelle Henderson Bills | Psychologist | 199 N Main St Ste 200, Plymouth, MI 48170-1286 | 2013-11-02 |
| 1255779492 | Heather D Haggerty | Psychologist | 340 N Main St Ste 201, Plymouth, MI 48170-1290 | 2013-06-10 |
| 1164705471 | Ruth C. Rowbotham | Psychologist | 225 Water St Ste A115, Plymouth, MA 02360-4060 | 2011-09-22 |
| Find all providers in PLYMOUTH | ||||
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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.