DR. JERALDINE S KEANE-DREYER (NPI# 1114024296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114024296 |
| Entity Type | Individual |
| Full Name | DR. JERALDINE S KEANE-DREYER |
| Credential | PH.D. |
| Practice Address |
32 Tandberg Trl Suite 4 Windham ME 04062-6417 |
| Mailing Address |
Po Box 96 Raymond ME 04071-0096 |
| Practice Telephone | 2076559008 |
| Practice Fax Number | 2076559005 |
| Mailing Telephone | 2076559008 |
| Mailing Fax Number | 2076559005 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-08-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PSY625 | ME | Behavioral Health & Social Service Providers |
| Street Address |
32 TANDBERG TRL SUITE 4 |
| City | WINDHAM |
| State | ME |
| Zip Code | 04062-6417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023123601 | Jacqueline O. Billington | Speech-Language Pathologist | 32 Tandberg Trl, 7, Windham, ME 04062-6417 | 2006-08-21 |
| 1255720199 | Tracy Winot | Speech-Language Pathologist | 32 Tandberg Trl, Suite 7, Windham, ME 04062-6417 | 2015-01-15 |
| 1831535244 | Kyla Rowe | Behavioral Analyst | 32 Tandberg Trl, Unit 7, Windham, ME 04062-6417 | 2013-05-13 |
| 1275978769 | Southern Maine Chidlren's Academy | Community/Behavioral Health | 32 Tandberg Trl, Unit 7, Windham, ME 04062-6417 | 2013-05-09 |
| 1619253309 | Alicia Katherine Hirning | Speech-Language Pathologist | 32 Tandberg Trl, Suite #7, Windham, ME 04062-6417 | 2011-10-26 |
| 1518277706 | Kristen Joy Zoller | Speech-Language Pathologist | 32 Tandberg Trl, Suite 7, Windham, ME 04062-6417 | 2010-10-21 |
| 1356661151 | Kylie Davis | Speech-Language Pathologist | 32 Tandberg Trl, Suite #7, Windham, ME 04062-6417 | 2010-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396173878 | Lori A Fletcher | Occupational Therapist | 408 Gray Road, Windham Middle School, Windham, ME 04062 | 2013-10-22 |
| 1952631673 | Great Expectations | Early Intervention Provider Agency | 17 Veterans Memorial Drive, Windham, ME 04062 | 2009-12-31 |
| 1366689986 | Edgeco, LLC | Massage Therapist | 108 Tandberg Trail, Windham, ME 04062 | 2009-01-20 |
| 1245485390 | Cynthia Ann Grover | Counselor | 86 Tanenberg Trail, Smart Child and Family Services, Windham, ME 04062 | 2008-11-17 |
| 1902066277 | Edgeco LLC | Specialist | 108 Tandburg Trail, Windham, ME 04062 | 2008-06-11 |
| 1881811875 | John E. Wood | Counselor | 76 Tandberg Trl Unit 2a, Windham, ME 04062 | 2007-04-19 |
| 1184848509 | Howland W. Bickerstaff | Counselor | Danzig Counseling Services, 936 Roosevelt Trail, Windham, ME 04062 | 2007-04-13 |
| 1700953015 | Melanie P Fitzsimmons | Internal Medicine | 584 Roosevelt Trail, Windham, ME 04062 | 2006-11-29 |
| 1023109204 | Ted W Rogers | Chiropractor | 744 Roosevelt Trail, Windham Crossing Suite 205, Windham, ME 04062 | 2006-09-27 |
| 1285744367 | Cheryl L Klein | Counselor | 30 Hemon Cobb Rd, Windham, ME 04062 | 2006-08-30 |
| Find all providers in zip 04062 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215429311 | Sandra Deacon Carr | Psychologist | 36 Old East Scituate Rd, York, ME 03909-5719 | 2018-06-04 |
| 1851881817 | Ernest John Caporale | Psychologist | 112 Lakeview Rd, West Boothbay Harbor, ME 04575-1800 | 2018-05-15 |
| 1760769673 | Mary P Donahue | Psychologist | 517 Us Route 1, Kittery, ME 03904-5514 | 2011-11-05 |
| 1740568104 | Donald Joseph Manship | Psychologist | 21 George St., South Portland, ME 04106 | 2011-08-02 |
| 1285943704 | Julie Erb | Psychologist | 839 River Rd, Woolwich, ME 04579-4212 | 2010-10-01 |
| 1861701328 | Kim Roth | Psychologist | 89 Partridge Ln, Auburn, ME 04210-8636 | 2010-10-01 |
| 1245476738 | Holly Marie Costar | Psychologist | 6 State St Ste 307a, Bangor, ME 04401-5133 | 2009-01-05 |
| 1851576862 | Brent David Elwood | Psychologist | 125 Cutler Health Center, University of Maine, Orono, ME 04469-5721 | 2008-01-09 |
| 1942414222 | Kathy Karpeles | Psychologist | 651 Forest Ave, Portland, ME 04101-1525 | 2007-05-09 |
| 1437271145 | Mary E Mccann | Psychologist | 7 Blanchard Rd, Cumberland, ME 04021-3501 | 2007-04-04 |
| Find all providers with the same taxonomy | ||||
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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.