MACKENZIE ANDERSON (NPI# 1336761444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336761444 |
| Entity Type | Individual |
| Full Name | MACKENZIE ANDERSON |
| Credential | CADC |
| Practice Address |
1 Delta Dr Westbrook ME 04092-4745 |
| Mailing Address |
4b Dogwood Ln Gray ME 04039-7582 |
| Practice Telephone | 2078567227 |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CAC7097 | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | CADC LICENSE | CAC7097 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568080406 | Mackenzie Anderson | Student in an Organized Health Care Education/Training Program | 100 Walden Heights Dr Apt 802, Irmo, SC 29063-7871 | 2020-07-07 |
| 1487171625 | Mackenzie Anderson | Speech-Language Pathologist | 1173 Rock Springs Rd, Smyrna, TN 37167-8413 | 2017-08-28 |
| Street Address |
1 DELTA DR |
| City | WESTBROOK |
| State | ME |
| Zip Code | 04092-4745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184762247 | Cap Quality Care, Inc. | Clinic/Center | 1 Delta Dr, Suite A, Westbrook, ME 04092-4765 | 2007-02-02 |
| 1639792047 | Amanda Spofford O'connor | Counselor | 1 Delta Dr, Westbrook, ME 04092-4745 | 2020-05-20 |
| 1215403142 | Sherry Kessler | Counselor | 1 Delta Dr, Westbrook, ME 04092-4745 | 2018-10-18 |
| 1477030823 | Thomas John Kelly | Counselor | 1 Delta Dr, Westbrook, ME 04092-4745 | 2018-07-27 |
| 1013455245 | Dustin Howard | Counselor | 1 Delta Dr, Westbrook, ME 04092-4745 | 2017-02-08 |
| 1700238672 | Melissa L Lebrun | Counselor | 1 Delta Dr, Westbrook, ME 04092-4745 | 2016-07-05 |
| 1396087755 | Cortnie Curran | Counselor | 1 Delta Dr, Westbrook, ME 04092-4745 | 2013-03-25 |
| 1053653808 | Danielle Rideout | Counselor | 1 Delta Dr, Westbrook, ME 04092-4745 | 2013-03-20 |
| 1104179969 | Kathleen C Perkins | Counselor | 1 Delta Dr, Westbrook, ME 04092-4745 | 2012-10-18 |
| 1700174240 | Kathryn Holt | Counselor | 1 Delta Dr, Suite A, Westbrook, ME 04092-4745 | 2011-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023529013 | Easy Life LLC | In Home Supportive Care | 77 Mechanic St, Westbrook, ME 04092 | 2017-10-17 |
| 1932644325 | Onelove Homecare, LLC | In Home Supportive Care | 24 Pike Street, Westbrook, ME 04092 | 2016-12-21 |
| 1184171613 | Conor Cannon I | Counselor | 1500 Saunders Way, 900, Westbrook, ME 04092 | 2016-09-01 |
| 1104201011 | Dana L Villmore | Physician Assistant | Intermed Onsite At Idexx, 1 Idexx Drive, Westbrook, ME 04092 | 2015-07-22 |
| 1407249147 | Allyson Bea Lowell | Social Worker | 170 Forest Street, Westbrook, ME 04092 | 2015-03-05 |
| 1477969541 | Gretchen Jefferson | Psychologist | 15 Saunders Way Woodfords Family Services, Westbrook, ME 04092 | 2014-07-09 |
| 1053725176 | Anita Aaltje Devine | Massage Therapist | 89 Lamb Street, Westbrook, ME 04092 | 2014-06-17 |
| 1124449806 | Spectrum Staffing Solutions LLC | In Home Supportive Care | 1 Westbrook Commons, Suite 1, Westbrook, ME 04092 | 2013-12-23 |
| 1760816276 | Avita Stroudwater, LLC | Alzheimer Center (Dementia Center) | 320 Spring Street, Westbrook, ME 04092 | 2013-09-03 |
| 1659637742 | Kate Beever | Music Therapist | 54 West Valentine Street, Westbrook, ME 04092 | 2012-04-03 |
| Find all providers in zip 04092 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165274 | Frances Rodenburg Rodenburg | Counselor | 14 Kelley Way, Westbrook, ME 04092-2762 | 2020-05-13 |
| 1750657292 | Sommer Cox | Counselor | 1 Delta Drive, Westbrook, ME 04092 | 2012-03-29 |
| 1578850780 | Katherine L Sawyer | Counselor | 1 Delta Dr Ste A, Westbrook, ME 04092-4745 | 2011-07-08 |
| 1154552552 | James E Heintz II | Counselor | 280 Park Rd, Westbrook, ME 04092-3142 | 2009-08-03 |
| 1568531853 | Curtis M. Scribner Jr. | Counselor | 1 Harnois Avenue, Maine Medical Partners, Westbrook, ME 04092-4392 | 2006-11-08 |
| 1952418709 | Carol Maynard Larson | Counselor | 12 Westbrook Cmn, Westbrook, ME 04092-2819 | 2006-08-25 |
| 1639792047 | Amanda Spofford O'connor | Counselor | 1 Delta Dr, Westbrook, ME 04092-4745 | 2020-05-20 |
| 1215403142 | Sherry Kessler | Counselor | 1 Delta Dr, Westbrook, ME 04092-4745 | 2018-10-18 |
| 1477030823 | Thomas John Kelly | Counselor | 1 Delta Dr, Westbrook, ME 04092-4745 | 2018-07-27 |
| 1013455245 | Dustin Howard | Counselor | 1 Delta Dr, Westbrook, ME 04092-4745 | 2017-02-08 |
| Find all providers in WESTBROOK | ||||
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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.