Healthcare Provider Details

I. General information

NPI: 1679656151
Provider Name (Legal Business Name): DANIELLE COGLIANO PMHCNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE LEVISON

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

863 TURNPIKE ST STE 123
NORTH ANDOVER MA
01845-6173
US

IV. Provider business mailing address

863 TURNPIKE ST STE 123
NORTH ANDOVER MA
01845-6173
US

V. Phone/Fax

Practice location:
  • Phone: 978-775-2101
  • Fax: 978-245-0393
Mailing address:
  • Phone: 978-775-2101
  • Fax: 978-245-0393

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number271422
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: