GARY D. MCNEILL (NPI# 1215946710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215946710 |
| Entity Type | Individual |
| Full Name | GARY D. MCNEILL |
| Credential | CNS |
| Practice Address |
474 Main St Springvale ME 04083-1409 |
| Mailing Address |
78 Atlantic Pl South Portland ME 04106-2316 |
| Practice Telephone | 2073241500 |
| Practice Fax Number | 2074905263 |
| Mailing Telephone | 2078427701 |
| Mailing Fax Number | 2078427773 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2012-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LC184 | ME | Behavioral Health & Social Service Providers |
| N | 163W00000X | Registered Nurse | RN27793 | ME | Nursing Service Providers |
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
CNS84088 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 269560099 | 05 |
| Street Address |
474 MAIN ST |
| City | SPRINGVALE |
| State | ME |
| Zip Code | 04083-1409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871059980 | Ashleigh E. Locklear | Social Worker | 474 Main St, Springvale, ME 04083-1409 | 2019-02-13 |
| 1477031797 | Gabrielle Kempton | Counselor | 474 Main St, Springvale, ME 04083-1409 | 2018-07-30 |
| 1275044992 | Christine Palaima | Physician Assistant | 474 Main St, Springvale, ME 04083-1409 | 2017-10-20 |
| 1922543370 | Christina M. Wilson | Social Worker | 474 Main St, Springvale, ME 04083-1409 | 2016-12-21 |
| 1932578259 | York County Community Action Corp | Clinic/Center | 474 Main St, Springvale, ME 04083-1409 | 2015-09-16 |
| 1902283104 | Maureen A. Green | Counselor | 474 Main St, Springvale, ME 04083-1409 | 2015-04-27 |
| 1689066623 | Victoria Amanda Hynes | Social Worker | 474 Main St, Springvale, ME 04083-1409 | 2015-02-27 |
| 1548667645 | Timothy F. Gauthier | Counselor | 474 Main St, Springvale, ME 04083-1409 | 2014-12-04 |
| 1750782702 | Jessica L. Disanto | Counselor | 474 Main St, Springvale, ME 04083-1409 | 2014-09-09 |
| 1053740928 | Lindsey M. Stockwell | Social Worker | 474 Main St, Springvale, ME 04083-1409 | 2013-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053762567 | Anchor Senior Care Residence | Custodial Care Facility | 25 Oak Street, Springvale, ME 04083 | 2016-06-27 |
| 1154604288 | Sanford Family Eyecare PC | Optometrist | 462 Main St Ste 2, Springvale, ME 04083 | 2011-09-26 |
| 1366763831 | Susan G Lebel | Pharmacist | 12 Sabrina Ln, Springvale, ME 04083 | 2010-06-18 |
| 1093968943 | York County Community Action Corps | Case Management | 6 Merrill Street, Springvale, ME 04083 | 2008-10-23 |
| 1518022870 | Paul M Basko | Chiropractor | 596 Main Street, Springvale, ME 04083 | 2006-12-27 |
| 1578627493 | Celia R Thibodeau | Acupuncturist | 554 Main Street, Springvale, ME 04083 | 2006-12-22 |
| 1396156600 | Robert Mcvety | Dentist | 460 Main Street, Suite #1, Springvale, ME 04083 | 2014-05-09 |
| 1477976397 | Shayne Croy | Social Worker | 469 Main St Ste 304, Springvale, ME 04083 | 2014-01-29 |
| 1770897415 | John Joseph Kiernan | Pharmacist | 464 Main St, Springvale, ME 04083 | 2010-08-05 |
| 1346340692 | Jay Morgan Knudsen | Dentist | 460 Main Street, Suite 1, Springvale, ME 04083 | 2006-09-25 |
| Find all providers in zip 04083 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780779710 | Beth Leslie Schurman | Clinical Nurse Specialist | 105 Beverly Street, Portland, ME 04103 | 2006-10-04 |
| 1881780427 | Lisa Diane Love | Clinical Nurse Specialist | 146 B Harpswell Rd, Brunswick, ME 04011 | 2006-10-04 |
| 1083645873 | Kimberley Roberts | Clinical Nurse Specialist | 53 Fremont St, Machias, ME 04654-1320 | 2006-07-06 |
| 1235777921 | Kira Barber | Clinical Nurse Specialist | 67 Eustis Pkwy, Waterville, ME 04901-5173 | 2019-12-13 |
| 1881968196 | Linda S Lockhart | Clinical Nurse Specialist | 1120 Center St, Auburn, ME 04210-6528 | 2012-03-05 |
| 1972720100 | Tamsen E. Lyons | Clinical Nurse Specialist | 2 Springbrook Dr, Biddeford, ME 04005-9443 | 2007-04-19 |
| 1285795245 | Pamela S Miller | Clinical Nurse Specialist | 268 Stillwater Avenue, Acadia Hospital Corp, Bangor, ME 04401 | 2006-12-13 |
| 1366523920 | Susan Mulkern | Clinical Nurse Specialist | 25a June St, Sanford, ME 04073-2642 | 2006-10-18 |
| 1629164082 | Tri-county Mental Health | Clinical Nurse Specialist | 1155 Lisbon St, Lewiston, ME 04240-5025 | 2006-10-05 |
| 1730272840 | Elizabeth R Pelissier | Clinical Nurse Specialist | 1012 Union St, Bangor, ME 04401 | 2006-10-02 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGVALE |
| Zip Code | 04083 |
Please comment or provide details below to improve the information on GARY D. MCNEILL.
| 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.