AMBER PETERSON (NPI# 1487270872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487270872 |
| Entity Type | Individual |
| Full Name | AMBER PETERSON |
| Credential | CDCA |
| Practice Address |
2737 Youngstown Rd Se Warren OH 44484-5002 |
| Practice Telephone | 3303698022 |
| Mailing Telephone | 3303698022 |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2020-06-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 173898 | OH | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285045674 | Amber Rae Peterson | Licensed Practical Nurse | 7404 Timberline Ct, Black Hawk, SD 57718-9545 | 2014-05-19 |
| 1225341282 | Amber Marie Peterson | Genetic Counselor, MS | 1900 Centra Care Circle, #1300, Centra Care Clinic Women's & Childrens/pediatrics, St Cloud, MN 56303-5000 | 2010-07-20 |
| 1356941918 | Amber Peterson | Counselor | 312 N Alma School Rd, Chandler, AZ 85224-4354 | 2020-10-31 |
| 1710585682 | Amber Lee Peterson | Social Worker | 2207 Delaney Dr Ste 107, Burlington, NC 27215-5263 | 2020-10-13 |
| 1174138200 | Amber Peterson | Physical Medicine & Rehabilitation | 101 Amesbury St, Lawrence, MA 01840-1323 | 2020-09-15 |
| 1023635968 | Amber Leshay Peterson | Nurse Practitioner | 3960 W Craig Rd Ste 101, N Las Vegas, NV 89032-2750 | 2020-06-26 |
| 1518582923 | Amber Peterson | Student in an Organized Health Care Education/Training Program | 750 Highland Ave, Madison, WI 53705-2221 | 2020-06-11 |
| 1003448960 | Amber Dawn Peterson | Massage Therapist | 1440 W Republic Rd, Springfield, MO 65807-5703 | 2020-02-09 |
| 1497214613 | Amber Nicole Peterson | Nurse Practitioner | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 | 2019-03-18 |
| 1235598509 | Amber Leigh Peterson | Registered Nurse | 1099 10th Ave Se, Minneapolis, MN 55414-1312 | 2016-02-16 |
| Street Address |
2737 YOUNGSTOWN RD SE |
| City | WARREN |
| State | OH |
| Zip Code | 44484-5002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124293352 | William Theron Aley-byrne | Social Worker | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2008-04-29 |
| 1750998035 | Robert Bennett | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-09-30 |
| 1073120671 | Sheena Ahmed | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-09-28 |
| 1073124368 | Justin Wilcox | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-08-11 |
| 1497372809 | Justin Dietrich | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-07-01 |
| 1932723095 | Kristina Mihalov | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-06-04 |
| 1477177145 | Tori Clay | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-05-29 |
| 1386265197 | Mary Ann Stewart | Licensed Practical Nurse | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-05-04 |
| 1326677824 | Jillian Tablack | Licensed Practical Nurse | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-04-06 |
| 1215562707 | Thomas Radabaugh | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205446283 | Jessica Toot | Behavior Technician | Oakwood Counseling Center LLC, 1704 North Road Se, Warren, OH 44484 | 2020-08-05 |
| 1558857060 | Quantina Louise Thomas | Home Health | 1548oak Knoll Se, Warren, OH 44484 | 2018-07-09 |
| 1033609706 | Justin A Houy | Massage Therapist | 8345 E. Market St. Suite C, The Chiropractic and Functional Neurology Center, Warren, OH 44484 | 2018-05-17 |
| 1679091359 | Ester Mae Butler | Nurse's Aide | 2228 Draper Avenue Se, Warren, OH 44484 | 2017-09-01 |
| 1477070811 | Amanda Lynn Heberling | Occupational Therapy Assistant | 8128 Kenyon Dr., Warren, OH 44484 | 2017-08-26 |
| 1790213650 | Joyce A Mechling | Licensed Practical Nurse | 2737 Youngstown Rd., Warren, OH 44484 | 2017-05-23 |
| 1598206898 | Stan Catullo | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Road Se, Warren, OH 44484 | 2017-03-20 |
| 1679014054 | Pamela M Lang | Pharmacist | 1977 Niles Rd S.e., Genoa A Qol Healthcare Company, Warren, OH 44484 | 2017-03-17 |
| 1922454800 | Jeremy Michael Capetillo | Dentist | 8740 E Market St Ste 1, Warren, OH 44484 | 2016-05-10 |
| 1215311865 | Jessica Dawn Harris | Physical Therapy Assistant | 1926 Ridge Avenue, Warren, OH 44484 | 2015-07-14 |
| Find all providers in zip 44484 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790216448 | Jeannie Gurich | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Rd. Se, Warren, OH 44483 | 2017-03-24 |
| 1598206898 | Stan Catullo | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Road Se, Warren, OH 44484 | 2017-03-20 |
| 1376805515 | 10th District Substance Abuse Treatment Center | Substance Abuse Rehabilitation Facility | 412 York St, Warren, AR 71671-3218 | 2012-06-13 |
| 1750998035 | Robert Bennett | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-09-30 |
| 1073120671 | Sheena Ahmed | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-09-28 |
| 1073124368 | Justin Wilcox | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-08-11 |
| 1497372809 | Justin Dietrich | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-07-01 |
| 1447877147 | Open Water Counseling and Recovery, LLC | Substance Abuse Rehabilitation Facility | 1725 Drexel Ave Nw, Warren, OH 44485-2121 | 2020-06-29 |
| 1013533173 | Diane Smolak | Substance Abuse Rehabilitation Facility | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2020-06-24 |
| 1932723095 | Kristina Mihalov | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-06-04 |
| Find all providers in WARREN | ||||
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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.