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).
| 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 |
| 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 |
| Street Address |
250 ARSENAL ST |
| City | AUGUSTA |
| State | ME |
| Zip Code | 04330-5742 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 04330 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| 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 |
| Find all providers in AUGUSTA | ||||
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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.