MR. ROGER JOHN MARTINKUS JR. (NPI# 1184251464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184251464 |
| Entity Type | Individual |
| Full Name | MR. ROGER JOHN MARTINKUS JR. |
| Credential | PMHNP-BC, MSN, RN |
| Practice Address |
244 High Watch Rd Effingham NH 03882-8336 |
| Mailing Address |
3 Andrews Cir Bedford MA 01731-2601 |
| Practice Telephone | 2054228262 |
| Mailing Telephone | 2054228262 |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2020-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
RN2330678 | MA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
083215-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 115 Mill St, Belmont, MA 024781064 | 2054228262 |
| Street Address |
244 HIGH WATCH RD |
| City | EFFINGHAM |
| State | NH |
| Zip Code | 03882-8336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780712489 | Lakeview Neuro Rehabilitation Center Inc | Pharmacy | 244 High Watch Rd, Effingham, NH 03882-8336 | 2007-03-02 |
| 1821643222 | Kelly Lane Whitman | Counselor | 244 High Watch Rd, Effingham, NH 03882-8336 | 2019-08-03 |
| 1679958300 | Dale Kristen Mcqueeney | Nurse Practitioner | 244 High Watch Rd, Effingham, NH 03882-8336 | 2015-07-23 |
| 1477990638 | Carol S Davis | Occupational Therapist | 244 High Watch Rd, Effingham, NH 03882-8336 | 2013-05-29 |
| 1518210616 | Jim Nixon | Pharmacist | 244 High Watch Rd, Effingham, NH 03882-8336 | 2012-10-26 |
| 1437428356 | William Piers Kaniuka | Counselor | 244 High Watch Rd, Effingham, NH 03882 | 2011-12-21 |
| 1710279088 | Michael P Mozzoni | Behavioral Analyst | 244 High Watch Rd, Effingham, NH 03882-8336 | 2011-05-05 |
| 1265754790 | Kelly Baldwin | Counselor | 244 High Watch Rd, Effingham, NH 03882-8336 | 2010-02-25 |
| 1942499801 | James Edward Taylor | Clinical Neuropsychologist | 244 High Watch Rd, Effingham, NH 03882-8336 | 2007-10-17 |
| 1861516197 | Daniel Thomas Murray | Occupational Therapist | 244 High Watch Rd, Effingham, NH 03882-8336 | 2007-03-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235346917 | Faith Mary Gonring | Speech-Language Pathologist | 244 Highwatch Rd, Effingham, NH 03882 | 2007-05-16 |
| 1235471202 | Richard L Cogswell | Counselor | 63 Nh Route 153 N, Effingham, NH 03882-8121 | 2013-03-18 |
| 1497293161 | Kelsey Cote | Specialist/Technologist | 16 Woodland Way, Effingham, NH 03882-8260 | 2017-02-02 |
| 1205997830 | Lakeview Neurorehabilitation Center, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 244 Highwatch Road, Effingham, NH 03882-8336 | 2006-12-13 |
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679958300 | Dale Kristen Mcqueeney | Nurse Practitioner | 244 High Watch Rd, Effingham, NH 03882-8336 | 2015-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444260 | Shine Psychiatry | Nurse Practitioner | 16 Route 111 Ste 4, Derry, NH 03038-4142 | 2020-10-13 |
| 1255949129 | Northstar Psychiatric Health Pllc | Nurse Practitioner | 380 Lafayette Rd Unit 11-121, Seabrook, NH 03874-4551 | 2020-07-16 |
| 1740800028 | Julie Cunningham Psychiatric Services Pllc | Nurse Practitioner | 17 Windham Rd, Pelham, NH 03076-2371 | 2020-04-16 |
| 1811535008 | Dawn of A New Day Mental Health, Pllc | Nurse Practitioner | 250 Commercial St Ste 2100, Manchester, NH 03101-1142 | 2019-12-18 |
| 1912544008 | Onward Psychiatry, LLC | Nurse Practitioner | 2 Ash St, Hollis, NH 03049-6548 | 2019-12-08 |
| 1669036638 | Lisa Williams Aprn Pllc | Nurse Practitioner | 16 Vista Ridge Dr Unit 219, Londonderry, NH 03053-2479 | 2019-04-25 |
| 1609347087 | Psychiatric Empowerment Services, Pllc | Nurse Practitioner | 76 Northeastern Blvd Ste Office1b, Nashua, NH 03062-3174 | 2018-12-11 |
| 1861970972 | Norrine Mcnelley | Nurse Practitioner | 25 Beechwood Rd, Salem, NH 03079 | 2018-07-31 |
| 1144732074 | Altum Psychiatric Services, Pllc | Nurse Practitioner | 1 Bridge St Ste 210, Plymouth, NH 03264-1623 | 2017-11-01 |
| 1881104826 | Progressive Psychiatric Services, Pllc | Nurse Practitioner | 771 Chestnut Street, Manchester, NH 03104-3011 | 2017-10-04 |
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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.