MRS. ROBERTA JACQUELINE MULLAN (NPI# 1376659342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376659342 |
| Entity Type | Individual |
| Full Name | MRS. ROBERTA JACQUELINE MULLAN |
| Credential | LADC |
| Practice Address |
256 Cressey Rd Monmouth ME 04259-6804 |
| Practice Telephone | 2079334092 |
| Mailing Telephone | 2079334092 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LC1420 | ME | Behavioral Health & Social Service Providers |
| Street Address |
256 CRESSEY RD |
| City | MONMOUTH |
| State | ME |
| Zip Code | 04259-6804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790322022 | A Mindful Eye LLC | Occupational Therapist | 15 Chick Drive, Monmouth, ME 04259 | 2019-12-05 |
| 1477984755 | Jamey Roy Cotnoir | Occupational Therapist | 15 Chick Dr., Monmouth, ME 04259 | 2013-12-11 |
| 1013960673 | Monmouth Rescue Association, Inc | Ambulance | 847 Main St, Monmouth, ME 04259 | 2006-05-17 |
| 1871558171 | Core Physical Therapy, Pa | Physical Therapist | 392 Route 202, Monmouth, ME 04259 | 2006-04-19 |
| 1588990550 | Anna Mcelhaney | Occupational Therapy Assistant | 392 Us Route 202, Monmouth, ME 04259 | 2009-10-27 |
| 1518171396 | Spectrum Occupational Therapy Services | Occupational Therapist | 392 Us Route 202, Monmouth, ME 04259 | 2007-05-10 |
| 1619105723 | Joyce Lagasse | In Home Supportive Care | 50 Morrill Ln, Monmouth, ME 04259-6416 | 2009-06-26 |
| 1639352057 | David W. Varney, Dc, Pa | Chiropractor | 6 Blue Rd, Monmouth, ME 04259-6901 | 2007-12-07 |
| 1790101855 | Jessica J Belanger | Massage Therapist | 6 Blue Rd, Monmouth, ME 04259-6901 | 2014-03-13 |
| 1952738908 | Guardian Chiropractic, LLC | Chiropractor | 6 Blue Rd, Monmouth, ME 04259-6901 | 2013-10-07 |
| Find all providers in zip 04259 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154841047 | Shavon Marie Brown | Counselor | 335 Ecols St N, Monmouth, OR 97361-1402 | 2017-06-22 |
| 1427425248 | Illinois Medicaid-substance Abuse Monmouth | Counselor | 301 Industrial Park Rd, Monmouth, IL 61462-9794 | 2015-08-27 |
| 1710101167 | Pamela Sue Marston | Counselor | 219 E Euclid Ave, Monmouth, IL 61462-1247 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656024 | Elisabeth Mclain | Counselor | 41 Acme Rd Ste 2, Brewer, ME 04412-1543 | 2020-10-15 |
| 1801493168 | Christine Mcnulty Grant | Counselor | 17 Victoria Ln, Windham, ME 04062-4172 | 2020-10-08 |
| 1689280737 | Catherine Audrey Coslett | Counselor | 343 Gorham Rd Ste 8, South Portland, ME 04106-2317 | 2020-09-23 |
| 1861002750 | Alyssa Paige Oliver | Counselor | 689 Odlin Rd, Bangor, ME 04401-6709 | 2020-08-05 |
| 1043829708 | Abigail Logan Daggett | Counselor | 265 Main St # 201, Biddeford, ME 04005-3091 | 2020-07-29 |
| 1851916886 | Jonathan Cross | Counselor | 49 Montrose Ave Apt 3, Portland, ME 04103-2442 | 2020-06-16 |
| 1376165274 | Frances Rodenburg Rodenburg | Counselor | 14 Kelley Way, Westbrook, ME 04092-2762 | 2020-05-13 |
| 1366078180 | Tony M Pushard | Counselor | 24 Stone St Ste 204, Augusta, ME 04330-5209 | 2020-03-13 |
| 1952936106 | Lexi Jade Beals | Counselor | 217 Main St Ste 202, Lewiston, ME 04240-8193 | 2020-03-09 |
| 1154956365 | Meghan E Hopper | Counselor | 24 Stone St Ste 203, Augusta, ME 04330-5209 | 2020-03-09 |
| 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.