MR. JOHN THOMAS MACLIN JR. (NPI# 1447497920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447497920 |
Entity Type | Individual |
Full Name | MR. JOHN THOMAS MACLIN JR. |
Credential | LICENSED ALCOHOL DRU |
Practice Address |
8500 Edinbrook Parkway #a Brooklyn Park MN 55443 |
Practice Telephone | 6124620826 |
Practice Fax Number | 7637775685 |
Mailing Telephone | 6124620826 |
Mailing Fax Number | 7637775685 |
Enumeration Date | 2009-01-21 |
Last Update Date | 2018-02-16 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
301427 | MN | Behavioral Health & Social Service Providers |
Street Address |
8500 EDINBROOK PARKWAY #A |
City | BROOKLYN PARK |
State | MN |
Zip Code | 55443 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770100521 | El-lyon LLC | Home Health | 5501 88th Crescent North, Brooklyn Park, MN 55443 | 2020-06-28 |
1003431628 | Mercy Tasiame Quentin | Home Health | 7310 Unity Lane North, Brooklyn Park, MN 55443 | 2020-06-09 |
1386279719 | Andrew Sirlley Dogbe | Nursing Care | 8505 Xerxes Ln N, Brooklyn Park, MN 55443 | 2020-03-05 |
1952873630 | Melkezedek Care LLC | Home Health | 8525 N Edinbrook Crossing Suite 204, Brooklyn Park, MN 55443 | 2018-12-19 |
1487131330 | Grand St Paul Cvs L L C | Durable Medical Equipment & Medical Supplies | 4400 Oak Grove Parkway, Brooklyn Park, MN 55443 | 2018-07-24 |
1063901809 | Patient Centered Home Care Services, LLC. | Registered Nurse | 4127 Sunset Ter N, Brooklyn Park, MN 55443 | 2018-05-08 |
1093233942 | Ginni Ali | Registered Nurse | 7527 Yates Lane North, Brooklyn Park, MN 55443 | 2017-08-30 |
1437676335 | Uplifted Care Services LLC | Case Management | 3301 84th Ave, Brooklyn Park, MN 55443 | 2017-08-23 |
1912447780 | Zillah Mulubisha | Nurse Practitioner | Brooklyn Park Clinic, 7650 Zane Ave N, Minneapolis, MN 55443 | 2017-02-27 |
1356898985 | Abdul Kabba | Driver | 79oo Lad Parkway, Brooklyn Park, MN 55443 | 2016-09-01 |
Find all providers in zip 55443 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417569765 | Erin Michelle Walters | Counselor | 2638 Brookdale Ln, Brooklyn Park, MN 55444-2314 | 2020-08-18 |
1538777131 | Fresh Start Counseling | Counselor | 3808 83rd Ave N, Brooklyn Park, MN 55443-2753 | 2020-07-20 |
1225318637 | True Foundation,llc | Counselor | 8557 Wyoming Ave N Ste 6, Brooklyn Park, MN 55445-1847 | 2011-08-17 |
1144244047 | Duane G Schaefer | Counselor | 9201 75th Ave N, Brooklyn Park, MN 55428-1024 | 2006-07-26 |
1144227430 | Living Free Recovery Services, LLC | Counselor | 9201 75th Avenue North, Brooklyn Park, MN 55428 | 2005-07-01 |
1770193724 | Matthew Burger | Counselor | 5710 Ritchie Hwy, Brooklyn Park, MD 21225-3641 | 2020-08-05 |
1265050819 | Pamela Nicole Matthew | Counselor | 5710 Ritchie Hwy, Brooklyn Park, MD 21225-3641 | 2020-07-09 |
1255833026 | Kimberly Taylor | Counselor | 5710 Ritchie Hwy, Brooklyn Park, MD 21225-3641 | 2018-03-07 |
1225544703 | Mellissa Holt | Counselor | 5710 Ritchie Hwy, Brooklyn Park, MD 21225-3641 | 2017-12-20 |
1477069987 | Elizabeth Walters | Counselor | 5710 Ritchie Hwy, Brooklyn Park, MD 21225-3641 | 2017-12-19 |
Find all providers in BROOKLYN PARK |
City | BROOKLYN PARK |
Zip Code | 55443 |
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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.