JASON GRUNDSTROM-WHITNEY


Address: 250 Arsenal St, Augusta, ME 04330-5742
Phone: 2076243999

JASON GRUNDSTROM-WHITNEY (NPI# 1144766734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144766734
Entity Type Individual
Full Name JASON GRUNDSTROM-WHITNEY
Other Name MR. JASON SCOTT GRUNDSTROM-WHITENY
Credential LADC/LSW
Practice Address 250 Arsenal St
Augusta
ME 04330-5742
Mailing Address 37 Mikes Rd
Monmouth
ME 04259-7226
Practice Telephone 2076243999
Mailing Telephone 2076243999
Enumeration Date 2017-01-06
Last Update Date 2017-01-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
LC3358 ME Behavioral Health & Social Service Providers

Office Location

Street Address 250 ARSENAL ST
City AUGUSTA
State ME
Zip Code 04330-5742

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053319566 State of Maine Psychiatric Hospital 250 Arsenal St, Augusta, ME 04333-0011 2005-07-08
1427686484 Karen Sherlock Registered Nurse 250 Arsenal St, Augusta, ME 04330-3599 2020-03-27
1316592892 Demetra Keith Nurse Practitioner 250 Arsenal St, Augusta, ME 04330-5742 2019-08-01
1730732967 Jorie W Ohlson Nurse Practitioner 250 Arsenal St, Augusta, ME 04330-3599 2019-07-17
1053781492 Kelly Lemieux Dudley Nurse Practitioner 250 Arsenal St, Augusta, ME 04330-5742 2015-09-28
1801263520 Sarah Perry Pharmacist 250 Arsenal St, Augusta, ME 04330-5742 2015-08-28
1285027318 Lorraine Zamudio Psychologist 250 Arsenal St, Augusta, ME 04330-5742 2015-03-13
1962819201 Susan Fasulo Social Worker 250 Arsenal St, State House Station 11, Augusta, ME 04330-5742 2014-07-18
1003042185 Regana Contini Sisson Psychiatry & Neurology 250 Arsenal St, Augusta, ME 04333-0011 2009-06-03
1295986982 Ingrid Prikryl Dentist 250 Arsenal St, Augusta, ME 04330-5742 2008-10-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770181877 Renewal Family Center, LLC Community/Behavioral Health 10 Learners Drive, Augusta, ME 04330 2020-10-12
1134748759 Chelsea Simone Koch Registered Nurse 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 2020-04-14
1790238442 Nicole Lacrosse Behavioral Analyst 53 Hayden Rd, Augusta, ME 04330 2016-07-29
1093176844 Richard J. Larrabee Counselor 312 Townhouse Road, Chelsea, ME 04330 2016-03-08
1376910984 Sarah C. A. Tatlock Social Worker 41 Anthony Ave, Augusta, ME 04330 2015-08-31
1457728180 Va Maine Health General Acute Care Hospital 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 2015-08-28
1043696842 Megan Arsenault Pharmacist 403 Water Street, Augusta, ME 04330 2015-08-04
1205219987 Trevor Holbert Audiologist 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 2015-06-30
1659787836 Hannah M. Pullen Occupational Therapy Assistant 12 Shuman Ave Ste 16, Augusta, ME 04330 2014-07-08
1831469899 Tanya Bernadette Quarterman Specialist 153 Hospital St Ste 13, Augusta, ME 04330 2012-01-09
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316569619 G.r.a.y.s. Group, LLC Counselor 1227 Augusta West Pkwy Ste 15, Augusta, GA 30909-6671 2020-05-11
1366078180 Tony M Pushard Counselor 24 Stone St Ste 204, Augusta, ME 04330-5209 2020-03-13
1154956365 Meghan E Hopper Counselor 24 Stone St Ste 203, Augusta, ME 04330-5209 2020-03-09
1932739117 Nanci Dawn Porter Counselor 8 Summer St, Augusta, ME 04330-5129 2020-01-16
1932682200 Douglas Paul Weaver Jr. Counselor 19 New England Rd, Augusta, ME 04330-0527 2018-09-12
1235626938 Andrea Avery Counselor 24 Stone St Ste 101, Augusta, ME 04330-5209 2018-04-18
1962947374 Kayla Turpin Counselor 218 S Spring St, Augusta, WI 54722-9385 2016-12-21
1831549211 Melissa Ann Adams Counselor 9 Spruce St, Augusta, ME 04330-5213 2016-06-16
1689031296 Teresa Maria Martin Counselor 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 2016-01-27
1598122269 Jillian Wilkerson Counselor Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 2016-01-26
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Competitor

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City AUGUSTA
Zip Code 04330

Improve Information

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Dataset Information

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.

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