RICK E. POULIN (NPI# 1205014933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205014933 |
| Entity Type | Individual |
| Full Name | RICK E. POULIN |
| Credential | LISAC |
| Practice Address |
483 W. Seed Farm Rd. New Beginnings Building Sacaton AZ 85247-0038 |
| Practice Telephone | 6025287164 |
| Practice Fax Number | 6025281374 |
| Mailing Telephone | 6025287164 |
| Mailing Fax Number | 6025281374 |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2008-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LISAC-10549 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 346214 | 05 |
| Street Address |
483 W. SEED FARM RD. NEW BEGINNINGS BUILDING |
| City | SACATON |
| State | AZ |
| Zip Code | 85247-0038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316941867 | Ronald Eugene Morehouse | Physician Assistant | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2005-06-10 |
| 1154808780 | Brady Glenn Lybbert | Dentist | 483 W. Seed Farm Rd., Sacaton, AZ 85147 | 2018-07-26 |
| 1598257248 | Corinne C Ciuris | Dietitian, Registered | 483 W. Seed Farm Rd., Sacaton, AZ 85043 | 2018-05-30 |
| 1598256398 | Phil Armando Sanchez | Social Worker | 483 W. Seed Farm Rd., Icm - Behavioral Health, Sacaton, AZ 85147 | 2018-05-29 |
| 1710414503 | Vicki Stevenson | Social Worker | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2017-05-11 |
| 1124569892 | Dustin Akina | Physical Therapist | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2017-03-15 |
| 1346791571 | Emily Perkins | Dietitian, Registered | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2016-10-24 |
| 1861852329 | Christine Waite | Dietitian, Registered | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | 2016-02-26 |
| 1912366980 | Rosalinda Sigarroba | Counselor | 483 W. Seed Farm Rd., Sacaton, AZ 85147 | 2016-02-18 |
| 1447619523 | Manny Athans | Counselor | 483 W. Seed Farm Rd., Sacaton, AZ 85147 | 2016-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669956157 | Lisa Marlene Valletta | Occupational Therapist | 338 S. Ocotillo Dr., Sacaton, AZ 85247 | 2018-09-20 |
| 1780831313 | Catherine Colella | Speech-Language Pathologist | Skill Center Road, Sacaton, AZ 85247 | 2008-08-26 |
| 1447428206 | Janet M Carpentier | Counselor | 483 W Seedfarm Road, New Beginnings Bldg, Sacaton, AZ 85247 | 2008-02-14 |
| 1962680470 | Donald A. Arntsen | Counselor | 483 W. Seedf Farm Rd, Sacaton, AR 85247 | 2008-02-06 |
| 1508044223 | Ted Whitney Allison | Counselor | 483 Seed Farm Road, Sacaton, AZ 85247 | 2008-02-05 |
| 1821206855 | Ashley Anderson | Pharmacist | 483 West Farm Seed Road, Sacaton, AZ 85247 | 2007-05-21 |
| 1295957256 | Judy Ann Banta | Psychologist | 98 South Skill Center Road, Sacaton, AZ 85247 | 2007-05-02 |
| 1558499319 | Nathan Paul Long | Internal Medicine | 7929 Brookriver Dr. Ste. 165, Dallas, TX 85247 | 2007-03-01 |
| 1609929942 | S. Louise Chitwood | Pharmacist | Seed Farm Road, Sacaton, AZ 85247 | 2007-01-19 |
| 1417000803 | Thomas Alan Alpert | Pharmacist | 483 W Seedfarm Rd, Sacaton, AZ 85247 | 2007-01-19 |
| Find all providers in zip 85247 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255602447 | Joyce Mildred Villalobos | Counselor | Gila River Health Care Corp, 483 W Seed Farm Rd, Sacaton, AZ 85147 | 2012-01-19 |
| 1447428206 | Janet M Carpentier | Counselor | 483 W Seedfarm Road, New Beginnings Bldg, Sacaton, AZ 85247 | 2008-02-14 |
| 1619155256 | Sharon J. Downer | Counselor | 483 W. Seedfarm Rd., Hu Hu Kam Memorial Hospital, Sacaton, AZ 85247-0038 | 2008-02-06 |
| 1508044223 | Ted Whitney Allison | Counselor | 483 Seed Farm Road, Sacaton, AZ 85247 | 2008-02-05 |
| 1851579585 | William Dale Bradford | Counselor | 483 West Seedfarm Road, Sacaton, AZ 85247-0038 | 2008-02-05 |
| 1639786890 | Juliandra Bailon | Counselor | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-09-30 |
| 1518580158 | Charlie Ginn | Counselor | 291 W Casa Blanca Rd, Sacaton, AZ 85147 | 2020-05-18 |
| 1568098846 | Larissa Joelle Bloom | Counselor | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-03-18 |
| 1912366980 | Rosalinda Sigarroba | Counselor | 483 W. Seed Farm Rd., Sacaton, AZ 85147 | 2016-02-18 |
| 1447619523 | Manny Athans | Counselor | 483 W. Seed Farm Rd., Sacaton, AZ 85147 | 2016-02-17 |
| Find all providers in SACATON | ||||
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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.