Ethan H Kisch (NPI# 1063480002, PAC ID# 6002862273) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1063480002 |
| PAC ID by PECOS | 6002862273 |
| Professional Enrollment ID | I20050714001006 |
| Full Name | Ethan H Kisch |
| Organization Legal Name | HRI CLINICS, INC. |
| Address |
55 Robinwood Ave Jamaica Plain MA 02130-2157 |
| Phone Number | 6173901485 |
| Gender | M |
| Credential | MD |
| Medical School | BOSTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 8022088483 |
| Number of Group Practice Members | 61 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220074 | SOUTHCOAST HOSPITALS GROUP |
| Address | Phone | Organization |
|---|---|---|
| 1082 Davol St, Arbour Counseling Services, Fall River, MA 02720-1108 | 5086782833 | HRI CLINICS, INC. |
| 55 Robinwood Ave, Jamaica Plain, MA 02130-2157 | 6173901485 | HRI CLINICS, INC. |
| Organization Legal Name | HRI CLINICS, INC. |
| Physicians | 86 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine E Harris | Clinical Social Worker | Hri Clinics, Inc. | 55 Robinwood Ave, Jamaica Plain, MA 02130-2157 |
| Teresa K Coral Clark | Clinical Social Worker | Hri Clinics, Inc. | 100 George P Hassett Dr, Medford, MA 02155-3258 |
| Jacquline C Mosselle | Clinical Social Worker | Hri Clinics, Inc. | 1082 Davol St, Arbour Counseling Services, Fall River, MA 02720-1108 |
| Richard S Kinsman | Clinical Social Worker | Hri Clinics, Inc. | 116 Summer St, Haverhill, MA 01830-6032 |
| Christine M Deslauriers | Clinical Social Worker | Hri Clinics, Inc. | 38 Pond St, Franklin, MA 02038-3807 |
| Mara Goldberg | Clinical Social Worker | Hri Clinics, Inc. | 14 Fordham Rd, Allston, MA 02134-3006 |
| Phillip R Hill | Psychiatry | Hri Clinics, Inc. | 10 Bridge St, Lowell, MA 01852-1268 |
| Kristi D Vargas | Clinical Social Worker | Hri Clinics, Inc. | 411 Chandler St, Worcester, MA 01602-3339 |
| Raymond R Cavanaugh | Psychiatry | Hri Clinics, Inc. | 10 -i Roessler Rd, Woburn, MA 01801-6208 |
| Alan Fox | Clinical Social Worker | Hri Clinics, Inc. | 55 Robinwood Ave, Jamaica Plain, MA 02130-2157 |
| Street Address |
55 ROBINWOOD AVE |
| City | JAMAICA PLAIN |
| State | MA |
| Zip | 02130-2157 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine E Harris | Clinical Social Worker | Hri Clinics, Inc. | 55 Robinwood Ave, Jamaica Plain, MA 02130-2157 |
| Alan Fox | Clinical Social Worker | Hri Clinics, Inc. | 55 Robinwood Ave, Jamaica Plain, MA 02130-2157 |
| Nancy L Gregg | Psychologist, Clinical | Hri Clinics, Inc. | 55 Robinwood Ave, Jamaica Plain, MA 02130-2157 |
| Kristina E Marik | Clinical Social Worker | Hri Clinics, Inc. | 55 Robinwood Ave, Jamaica Plain, MA 02130-2157 |
| Joyce I Benker | Nurse Practitioner | Hri Clinics, Inc. | 55 Robinwood Ave, Jamaica Plain, MA 02130-2157 |
| Michelle L Foley | Nurse Practitioner | Hri Clinics, Inc. | 55 Robinwood Ave, Jamaica Plain, MA 02130-2157 |
| Vicki A Grauer | Clinical Social Worker | Hri Clinics, Inc. | 55 Robinwood Ave, Jamaica Plain, MA 02130-2157 |
| James Gardner | Clinical Social Worker | Hri Clinics, Inc. | 55 Robinwood Ave, Jamaica Plain, MA 02130-2157 |
| Alex Suarez Mendez | Nurse Practitioner | Hri Clinics, Inc. | 55 Robinwood Ave, Jamaica Plain, MA 02130-2157 |
| Stephanie L Weisz | Clinical Social Worker | Hri Clinics, Inc. | 55 Robinwood Ave, Jamaica Plain, MA 02130-2157 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward V Chavez | Chiropractic | 363 C Centre St, Jamaica Plain, MA 02130-1240 | |
| Lucy L Fisher | Clinical Social Worker | Family Service Association of Greater Boston | 31 Heath St, Jamaica Plain, MA 02130-1650 |
| Judith A Karpinski | Clinical Social Worker | Family Service Association of Greater Boston | 31 Heath St, Jamaica Plain, MA 02130-1650 |
| Beth S Clingman | Clinical Social Worker | Family Service Association of Greater Boston | 31 Heath St, Jamaica Plain, MA 02130-1650 |
| Thomas J Mercurio | Chiropractic | 512 Centre St, Jamaica Plain, MA 02130-2002 | |
| Deborah R Erlich | Family Medicine | Medical Care of Boston Management Corporation | 545 A Centre St, Jamaica Plain, MA 02130-2061 |
| Yana Antonellis | Nurse Practitioner | Medical Care of Boston Management Corporation | 545 A Centre St, Jamaica Plain, MA 02130-2061 |
| Alexandra I Dziama | Nurse Practitioner | Medical Care of Boston Management Corporation | 545 A Centre St, Jamaica Plain, MA 02130-2061 |
| Laura C Reis | Family Medicine | Medical Care of Boston Management Corporation | 545 A Centre St, Jamaica Plain, MA 02130-2061 |
| Arturo Villarreal Verdecia | Internal Medicine | Arbour Inc | 49 Robinwood Ave, Boston, MA 02130-2156 |
| Find all physicians in zip 02130 | |||
| City | JAMAICA PLAIN |
| Zip Code | 02130 |
| Specialty | PSYCHIATRY |
| City + Specialty | JAMAICA PLAIN + PSYCHIATRY |
Please comment or provide details below to improve the information on Ethan H Kisch.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.