Elizabeth S Canick (NPI# 1285738708, PAC ID# 8628125226) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1285738708 |
| PAC ID by PECOS | 8628125226 |
| Professional Enrollment ID | I20090420000177 |
| Full Name | Elizabeth S Canick |
| Organization Legal Name | STEWARD ST. ELIZABETH'S MEDICAL CENTER OF BOSTON, INC. |
| Address |
77 Warren St 1st Floor and 2nd Floor Brighton MA 02135-3601 |
| Phone Number | 6175625200 |
| Gender | F |
| Graduation Year | 1985 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Group Practice PAC ID | 3476749540 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220036 | ST ELIZABETH'S MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 77 Warren St 1st Floor and 2nd Floor, Brighton, MA 02135-3601 | 6175625200 | STEWARD ST. ELIZABETH'S MEDICAL CENTER OF BOSTON, INC. |
| 77 Warren St 1st Floor and 2nd Floor, St Elizabeths Health Care At Bmhc, Brighton, MA 02135-3601 | 6175625200 | STEWARD ST. ELIZABETH'S MEDICAL CENTER OF BOSTON, INC. |
| 77 Warren St 2nd Floor, Brighton, MA 02135-3601 | STEWARD ST. ELIZABETH'S MEDICAL CENTER OF BOSTON, INC. | |
| 77 Warren St 2nd Floor, St Elizabeths Health Care At Bmhc, Brighton, MA 02135-3601 | STEWARD ST. ELIZABETH'S MEDICAL CENTER OF BOSTON, INC. |
| Organization Legal Name | STEWARD ST. ELIZABETH'S MEDICAL CENTER OF BOSTON, INC. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Wells | Clinical Nurse Specialist | Steward St. Elizabeth's Medical Center of Boston, Inc. | 1609 Eglin St, Hanscom Afb, Bedford, MA 01731-2613 |
| John D Giannone | Psychiatry | Steward St. Elizabeth's Medical Center of Boston, Inc. | 77 Warren St 2nd Floor, Brighton, MA 02135-3601 |
| Street Address |
77 WARREN ST 1ST FLOOR AND 2ND FLOOR |
| City | BRIGHTON |
| State | MA |
| Zip | 02135-3601 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Molina Ortiz | Family Medicine | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Katherine Kates | Nurse Practitioner | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Amy Campbell Hanson | Nurse Practitioner | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Lucas Rabeno Fasolo | Internal Medicine | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Elizabeth Rohr | Nurse Practitioner | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Mark R Drews | Internal Medicine | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Maryam Salehpour | Family Medicine | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Tamara Schorr Hammer | Certified Clinical Nurse Specialist (cns) | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Melanie Joy Giegel | Nurse Practitioner | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Dawn M Patterson | Clinical Social Worker | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Find all physicians in zip 02135 | |||
| City | BRIGHTON |
| Zip Code | 02135 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | BRIGHTON + CLINICAL PSYCHOLOGIST |
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| 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.