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EMMETT TWEEDDALE
NPI 1508665266
Student in an Organized Health Care Education/Training Program in Jamaica Plain, MA

Active since March 13, 2025
157 GREEN ST, JAMAICA PLAIN, MA 02130(617) 524-1120 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Emmett Tweeddale NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMMETT TWEEDDALE (NPI 1508665266) is an individual student in an organized health care education/training program in Jamaica Plain, Massachusetts and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1508665266
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEMMETT TWEEDDALE
Location Address157 GREEN STJamaica Plain, MA 02130-2667
Mailing Address163 Atlantic Rd Unit 11Gloucester, MA 01930-4467 · (845) 248-6104
Phone(617) 524-1120
Sole ProprietorNo
Enumeration DateMarch 13, 2025
NPPES CertifiedMarch 13, 2025
✔ NPI 1508665266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
157 GREEN ST, Jamaica Plain, MA 02130
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LESLIE ANN OSTROW M.A., PH.D.
Counselor (Mental Health)
157 GREEN ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 983-5859
CASSIDY BINGHAM
Art Therapist
157 GREEN ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 524-1120
MARY CLARK LMHC
Counselor (Mental Health)
157 GREEN ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 209-9567
DAVID REYES I
Counselor (Addiction (Substance Use Disorder))
157 GREEN ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 390-1445
MS. MARY M DOHERTY
Counselor
157 GREEN ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 983-5800
MRS. CAROL A. WAYNE LMHC, LMFT
Counselor (Mental Health)
157 GREEN ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 983-5828
SHAUNA MARY BOOTHBY
Peer Specialist
157 GREEN ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 460-7248
KRISTEN BEAUDOUIN LICSW
Social Worker (Clinical)
157 GREEN ST
JAMAICA PLAIN, MA 02130
Suffolk County (617) 390-1259

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emmett Tweeddale's NPI number?

The NPI number for Emmett Tweeddale is 1508665266. It was assigned to this individual provider in the NPPES registry on March 13, 2025.

Where is Emmett Tweeddale located?

Emmett Tweeddale practices at 157 Green St, Jamaica Plain, MA 02130. The listed phone number is (617) 524-1120.

What is Emmett Tweeddale's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Emmett Tweeddale was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.