MR. MARK ALLEN WALLMAN SR. (NPI# 1164676029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164676029 |
| Entity Type | Individual |
| Full Name | MR. MARK ALLEN WALLMAN SR. |
| Credential | L.P.C., L.C.A.D.C. |
| Practice Address |
314 Kelly Ln Boonton NJ 07005-2110 |
| Practice Telephone | 9733346006 |
| Mailing Telephone | 9733346006 |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2009-05-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
37LC00156700 | NJ | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
37PC00384900 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
314 KELLY LN |
| City | BOONTON |
| State | NJ |
| Zip Code | 07005-2110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669997524 | Kyle Feather | Physical Therapist | 315 Wootton Street, Units G and H, Boonton, NJ 07005 | 2017-08-11 |
| 1629445234 | Eric Capell | Preventive Medicine | 102 Boonton Ave, Boonton, NJ 07005 | 2015-08-31 |
| 1639553530 | The Rose House | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 929 Knoll Rd., Parsippany-troy Hills, NJ 07005 | 2015-07-10 |
| 1912241340 | Generation Pharmacy Group, LLC. | Pharmacy | 85 Fulton Street, Suite 9a, Boonton, NJ 07005 | 2012-11-26 |
| 1639323512 | Anna Marie Williams | Social Worker | 408 Main St Ste 204, Boonton, NJ 07005 | 2008-11-05 |
| 1275796286 | Yurata Gerwel Modzelewski | Pediatrics | 105 Powerville Road, Boonton Twp, NJ 07005 | 2008-07-09 |
| 1467656280 | Suzanne L. Feuer | Counselor | Saint Clares Health System, 130 Powerville Road, Boonton, NJ 07005 | 2007-06-14 |
| 1619029261 | Laura Jean Nowak | Social Worker | 130 Powerville Road, Boonton, NJ 07005 | 2007-01-16 |
| 1891842803 | Wilda Mesias | Psychologist | 550 West Main St, Boonton, NJ 07005 | 2007-01-04 |
| 1710912332 | Philip Mark Scaduto | Internal Medicine | 223 West Main St, Boonton, NJ 07005 | 2006-07-12 |
| Find all providers in zip 07005 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467656280 | Suzanne L. Feuer | Counselor | Saint Clares Health System, 130 Powerville Road, Boonton, NJ 07005 | 2007-06-14 |
| 1740797075 | Jennifer Obermiller | Counselor | 130 Powerville Rd, Boonton, NJ 07005-8705 | 2018-01-09 |
| 1891239752 | Jamie Steglic | Counselor | 408 Main St, Suite 204, Boonton, NJ 07005-1768 | 2016-12-12 |
| 1467761213 | Growing With The Seasons | Counselor | 811 Main St, Suite K, Boonton, NJ 07005-1473 | 2010-09-28 |
| 1497811004 | Elizabeth Ann Evans | Counselor | 130 Powerville Rd, Boonton, NJ 07005-8705 | 2006-12-28 |
| 1770668949 | Yessenia Guglielmi | Counselor | 130 Powerville Rd, Boonton, NJ 07005-8705 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568203 | Shannon Smith | Counselor | 99 Huckleberry Ct, Three Bridges, NJ 08887-2109 | 2020-11-08 |
| 1720689516 | Janice Belarmino | Counselor | 22 5th Ave, Avenel, NJ 07001 | 2020-11-06 |
| 1457951048 | James Peter Gallagher | Counselor | 3005 Vroom Dr, Bridgewater, NJ 08807-7037 | 2020-11-01 |
| 1669072542 | Lauren Marie Didonato | Counselor | 1533 Hillside Dr, Cherry Hill, NJ 08003-3536 | 2020-10-29 |
| 1699375840 | Letitia Schuman | Counselor | 217 N Locust Ave, Marlton, NJ 08053-1787 | 2020-10-27 |
| 1629677703 | Shoshana Yaffa Hochstadter | Counselor | 123 Edgewood Ave, Clifton, NJ 07012-1514 | 2020-10-20 |
| 1992304356 | Virginia Haase | Counselor | 777 Grove Ave, Edison, NJ 08820-2770 | 2020-10-18 |
| 1205434214 | Margaret Sunny Sullivan-fullerton | Counselor | 63 Rockwood Dr, Rockaway, NJ 07866-4152 | 2020-10-12 |
| 1699373860 | William Defilippo | Counselor | 22 Andrea Dr, North Caldwell, NJ 07006-4727 | 2020-10-11 |
| 1093313389 | Gina Kuijlaars | Counselor | 1390 Valley Rd Ste 2c, Stirling, NJ 07980-1346 | 2020-10-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. MARK ALLEN WALLMAN SR..
| 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.