MRS. STACIE R DEVEAU (NPI# 1205146008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205146008 |
| Entity Type | Individual |
| Full Name | MRS. STACIE R DEVEAU |
| Credential | EDSPEC |
| Practice Address |
700 Mount Hope Ave Suite 680 Evergreen Woods Bangor ME 04401-5691 |
| Practice Telephone | 2079429305 |
| Practice Fax Number | 2079903954 |
| Mailing Telephone | 2079429305 |
| Mailing Fax Number | 2079903954 |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2010-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
425079 | ME | Behavioral Health & Social Service Providers |
| Street Address |
700 MOUNT HOPE AVE SUITE 680 EVERGREEN WOODS |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-5691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164427258 | Paul Alan Shapero | Allergy & Immunology | 700 Mount Hope Ave, Suite 430, Bangor, ME 04401-5691 | 2005-06-16 |
| 1437559473 | Angela Bull | Counselor | 700 Mount Hope Ave, Suite 320, Bangor, ME 04401-5691 | 2014-08-27 |
| 1083029953 | Mary Beaster | Speech-Language Pathologist | 700 Mount Hope Ave, Suite 320, Bangor, ME 04401-5691 | 2014-06-30 |
| 1710318399 | Becky Mansfield | Counselor | 700 Mount Hope Ave, Suite 320, Bangor, ME 04401-5691 | 2013-12-06 |
| 1699014241 | United Cerebral Palsy of Northeastern Maine | Speech-Language Pathologist | 700 Mount Hope Ave, Suite 320, Bangor, ME 04401-5680 | 2013-02-01 |
| 1558607432 | Amanda Conners | Social Worker | 700 Mount Hope Ave, Suite 320, Bangor, ME 04401-5691 | 2012-12-20 |
| 1669716304 | United Cerebral Palsy of Northeastern Maine | Community/Behavioral Health | 700 Mount Hope Ave, Suite 320, Bangor, ME 04401-5691 | 2012-11-19 |
| 1730423872 | Jonathan C Smith | Counselor | 700 Mount Hope Ave, Suite 320, Bangor, ME 04401-5691 | 2012-11-15 |
| 1063765253 | Spectrum Healthcare Partners, P.a | Surgery | 700 Mount Hope Ave, Ste 620, Bangor, ME 04401 | 2012-10-25 |
| 1225303498 | United Cerebral Palsy of Northeastern Maine | Dental Hygienist | 700 Mount Hope Ave, Suite 320, Bangor, ME 04401-5691 | 2012-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881904787 | Sally W Ives | Psychologist | 700 Mount Hope Ave, Suite 680 Evergreen Woods, Bangor, ME 04401-5691 | 2010-10-14 |
| 1669782504 | Michael P Butler | Psychologist | 700 Mount Hope Ave, Suite 680 Evergreen Woods, Bangor, ME 04401-5691 | 2010-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356980767 | William James Ferreira | Psychologist | 8 Westwoods Rd, Kennebunk, ME 04043-6274 | 2020-01-02 |
| 1699313098 | Mary E Scamman | Psychologist | 414 Sawyer St, South Portland, ME 04106-3961 | 2019-12-16 |
| 1861892671 | Jayne Boulos | Psychologist | 60 Edgewood Rd, Cape Elizabeth, ME 04107-1277 | 2014-08-28 |
| 1477969541 | Gretchen Jefferson | Psychologist | 15 Saunders Way Woodfords Family Services, Westbrook, ME 04092 | 2014-07-09 |
| 1841605557 | Alisa Renee Wing | Psychologist | 28a Main Road South, Hampden, ME 04444 | 2014-06-23 |
| 1891130928 | Iride Piechocki | Psychologist | 20 Granite Way, Rockport, ME 04856-5747 | 2013-05-02 |
| 1114292646 | Selene Marett | Psychologist | 70 Town Farm Rd, Gray, ME 04039-9517 | 2012-03-16 |
| 1619276300 | Marsene Caswell | Psychologist | 1070 Heald Highway, Union, ME 04862 | 2011-03-21 |
| 1205134913 | Alice Marie Gruba | Psychologist | 186 Southside Rd, York, ME 03909-5145 | 2011-03-03 |
| 1669775573 | Ed Stolkner | Psychologist | Msad 6 Rte 202, Bar Mills, ME 04004-0038 | 2010-12-15 |
| Find all providers with the same taxonomy | ||||
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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.