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TILL MEDICAL GROUP
NPI 1528294832
Psychiatry & Neurology - Neurology in Dedham, MA

Active since June 02, 2009CLIA 22D2039495 · Waiver
20 EASTBROOK RD, SUITE 201, DEDHAM, MA 02026(781) 302-4600 Get Directions Write a Review

NPPES record last updated: June 2, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Till Medical Group NPPES

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

TILL MEDICAL GROUP (NPI 1528294832) is a healthcare organization registered as a neurology in Dedham, Massachusetts and active in the NPI registry since June 2009. The organization holds a CLIA Waiver certificate valid through April 10, 2028 and lists Dafna Krouk-gordon, President, as its authorized official.

NPPES Registry Identity

NPI1528294832
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameTOWARD INDEPENDENT LIVING AND LEARNING
Location Address20 EASTBROOK RD, SUITE 201Dedham, MA 02026-2075
Mailing Address20 Eastbrook Rd, Suite 201Dedham, MA 02026-2075 · (781) 302-4600
Phone(781) 302-4600
Organization SubpartNo
Authorized OfficialDafna Krouk-gordonPresident · (781) 302-4600
Enumeration DateJune 2, 2009
✔ NPI 1528294832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in MA · 73077
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 199217 (MA)
20 EASTBROOK RD, Dedham, MA 02026
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Other Names 1

Doing Business AsTill Medical Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2039495

Toward Independent Living And Learning · Concord, MA
Active · expires Apr 10, 2028
CLIA Number22D2039495
Laboratory TypeGroup Home
Certificate Effective DateApril 11, 2026
Certificate Expiration DateApril 10, 2028
Laboratory DirectorMary P. Stanley
Laboratory Phone(781) 302-4600
Laboratory LocationToward Independent Living And Learning282 Thoreau Street, Concord, MA 01742
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

SURIAH RESENDE
Counselor (Mental Health)
20 EASTBROOK RD
DEDHAM, MA 02026
Norfolk County (781) 302-4600
JOSEPHINE MALDONADO
Counselor (Mental Health)
20 EASTBROOK RD
DEDHAM, MA 02026
Norfolk County (978) 729-9227
ASHLEY SAWYER
Social Worker
20 EASTBROOK RD
DEDHAM, MA 02026
Norfolk County (781) 302-4600
RHIANNON LEIGH
Social Worker (Clinical)
20 EASTBROOK RD
DEDHAM, MA 02026
Norfolk County (781) 302-4600
CAROLINE DECOSTE
Counselor (Mental Health)
20 EASTBROOK RD
DEDHAM, MA 02026
Norfolk County (781) 302-4600
CHRISTINE GAGNON
Behavior Analyst
20 EASTBROOK RD
DEDHAM, MA 02026
Norfolk County (781) 302-4600
VIKTORIYA DRIBINSKAYA
Counselor
20 EASTBROOK RD
DEDHAM, MA 02026
Norfolk County (781) 302-4659
JENNIFER DE LA CRUZ
Counselor
20 EASTBROOK RD
DEDHAM, MA 02026
Norfolk County (781) 302-4600

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 Toward Independent Living And Learning's NPI number?

The NPI number for Toward Independent Living And Learning is 1528294832. It was assigned to this organization in the NPPES registry on June 2, 2009. The provider is doing business as Till Medical Group.

Where is Toward Independent Living And Learning located?

Toward Independent Living And Learning is located at 20 Eastbrook Rd Suite 201, Dedham, MA 02026. The listed phone number is (781) 302-4600.

What is Toward Independent Living And Learning's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Does Toward Independent Living And Learning hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2039495) is associated with this NPI, valid through April 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Toward Independent Living And Learning was last updated on June 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.