MR. BRENDON D SEWALL (NPI# 1083258883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083258883 |
| Entity Type | Individual |
| Full Name | MR. BRENDON D SEWALL |
| Credential | CADC |
| Practice Address |
28 Portland Ave Old Orchard Beach ME 04064-2212 |
| Practice Telephone | 2079345231 |
| Mailing Telephone | 2079345231 |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CAC6638 | ME | Behavioral Health & Social Service Providers |
| Street Address |
28 PORTLAND AVE |
| City | OLD ORCHARD BEACH |
| State | ME |
| Zip Code | 04064-2212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396889374 | Milestone Foundation Inc | Substance Abuse Rehabilitation Facility | 28 Portland Ave, Old Orchard Beach, ME 04064-2212 | 2007-02-16 |
| 1275141368 | Jillian Marie Bonnette | Counselor | 28 Portland Ave, Old Orchard Beach, ME 04064-2212 | 2020-07-15 |
| 1609304468 | Charles Cardoza | Counselor | 28 Portland Ave, Old Orchard Beach, ME 04064-2212 | 2017-05-24 |
| 1154778397 | Jayme Villanueva | Counselor | 28 Portland Ave, Old Orchard Beach, ME 04064-2212 | 2016-05-18 |
| 1114317179 | Jack Chellis | Counselor | 28 Portland Ave, Old Orchard Beach, ME 04064-2212 | 2015-01-29 |
| 1205179827 | Roland Thibault | Counselor | 28 Portland Ave, Old Orchard Beach, ME 04064-2212 | 2013-04-02 |
| 1275876880 | Ronald Smith | Counselor | 28 Portland Ave, Old Orchard Beach, ME 04064-2212 | 2013-04-02 |
| 1982730966 | Milestone Foundation Inc | Substance Abuse Rehabilitation Facility | 28 Portland Ave, Old Orchard Beach, ME 04064-2212 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336648047 | James Randol Gilooly | Social Worker | 13 Bay Ave., Unit C, Old Orchard Beach, ME 04064 | 2018-02-08 |
| 1942521851 | Lourie Ann Swimm | Nurse Practitioner | 77 Saco Ave, Old Orchard Beach, ME 04064 | 2010-06-15 |
| 1144364746 | Beth A Madden | Internal Medicine | 1 Granny Smith Court, Old Orchard Beach, ME 04064 | 2007-02-16 |
| 1972093011 | Seaside Family Health Care LLC Pa | Nurse Practitioner | 77 Saco Ave, Old Orchard Beach, ME 04064 | 2018-05-15 |
| 1316236300 | Suzanne G Roberts | Internal Medicine | 1 Granny Smith Court, Old Orchard Beach, ME 04064 | 2011-03-31 |
| 1740424795 | Monica Michelle Lovecky | Developmental Therapist | 62 Washington Ave, Old Orchard Beach, ME 04064 | 2009-04-21 |
| 1528086493 | Richard Contois | Dentist | 155 Saco Ave, Old Orchard Beach, ME 04064 | 2006-07-18 |
| 1568643401 | Kevin M Locke | Pharmacist | 2 Marine Dr, Old Orchard Beach, ME 04064-1022 | 2007-11-20 |
| 1326258138 | James Robert Spencer | Physical Therapist | 18 Smithwheel Rd, Old Orchard Beach, ME 04064-1034 | 2007-05-23 |
| 1114348778 | Grace Giroux I | Counselor | 18 Rockland Dr, Old Orchard Beach, ME 04064-1056 | 2013-12-30 |
| Find all providers in zip 04064 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114348778 | Grace Giroux I | Counselor | 18 Rockland Dr, Old Orchard Beach, ME 04064-1056 | 2013-12-30 |
| 1043551765 | Debra D Guarino | Counselor | 156 Ross Rd, Old Orchard Beach, ME 04064-1197 | 2013-03-05 |
| 1275141368 | Jillian Marie Bonnette | Counselor | 28 Portland Ave, Old Orchard Beach, ME 04064-2212 | 2020-07-15 |
| 1609304468 | Charles Cardoza | Counselor | 28 Portland Ave, Old Orchard Beach, ME 04064-2212 | 2017-05-24 |
| 1154778397 | Jayme Villanueva | Counselor | 28 Portland Ave, Old Orchard Beach, ME 04064-2212 | 2016-05-18 |
| 1114317179 | Jack Chellis | Counselor | 28 Portland Ave, Old Orchard Beach, ME 04064-2212 | 2015-01-29 |
| 1205179827 | Roland Thibault | Counselor | 28 Portland Ave, Old Orchard Beach, ME 04064-2212 | 2013-04-02 |
| 1275876880 | Ronald Smith | Counselor | 28 Portland Ave, Old Orchard Beach, ME 04064-2212 | 2013-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656024 | Elisabeth Mclain | Counselor | 41 Acme Rd Ste 2, Brewer, ME 04412-1543 | 2020-10-15 |
| 1801493168 | Christine Mcnulty Grant | Counselor | 17 Victoria Ln, Windham, ME 04062-4172 | 2020-10-08 |
| 1689280737 | Catherine Audrey Coslett | Counselor | 343 Gorham Rd Ste 8, South Portland, ME 04106-2317 | 2020-09-23 |
| 1861002750 | Alyssa Paige Oliver | Counselor | 689 Odlin Rd, Bangor, ME 04401-6709 | 2020-08-05 |
| 1043829708 | Abigail Logan Daggett | Counselor | 265 Main St # 201, Biddeford, ME 04005-3091 | 2020-07-29 |
| 1851916886 | Jonathan Cross | Counselor | 49 Montrose Ave Apt 3, Portland, ME 04103-2442 | 2020-06-16 |
| 1376165274 | Frances Rodenburg Rodenburg | Counselor | 14 Kelley Way, Westbrook, ME 04092-2762 | 2020-05-13 |
| 1366078180 | Tony M Pushard | Counselor | 24 Stone St Ste 204, Augusta, ME 04330-5209 | 2020-03-13 |
| 1952936106 | Lexi Jade Beals | Counselor | 217 Main St Ste 202, Lewiston, ME 04240-8193 | 2020-03-09 |
| 1154956365 | Meghan E Hopper | Counselor | 24 Stone St Ste 203, Augusta, ME 04330-5209 | 2020-03-09 |
| Find all providers with the same taxonomy | ||||
| City | OLD ORCHARD BEACH |
| Zip Code | 04064 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.