MARIBEL VANCORBACH (NPI# 1497356653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497356653 |
| Entity Type | Individual |
| Full Name | MARIBEL VANCORBACH |
| Practice Address |
365 East Street Saunders Building C-2 Tewksbury MA 01876 |
| Mailing Address |
Po Box 9473 Lowell MA 01853-9473 |
| Practice Telephone | 8573226010 |
| Mailing Telephone | 9782593510 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| 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) |
Behavioral Health & Social Service Providers |
| Street Address |
365 EAST STREET SAUNDERS BUILDING C-2 |
| City | TEWKSBURY |
| State | MA |
| Zip Code | 01876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841231925 | Julie Anne Moran | Internal Medicine | 365 East Street, Tewksbury Hospital, Tewksbury, MA 01876-1998 | 2006-06-09 |
| 1609157213 | Erin N. Krol | Social Worker | 365 East Street, Tewksbury, MA 01876 | 2011-09-09 |
| 1467612861 | Ruby Leah Boyd | Psychiatry & Neurology | 365 East Street, Department of Psychiatry, Tewksbury, MA 01876 | 2008-06-10 |
| 1265644124 | Lydia G Burbine | Physical Therapy Assistant | 365 East Street, Tewksbury, MA 01876 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114224672 | Make It Easy Medical Devices | Durable Medical Equipment & Medical Supplies | 410 Woburn Street, Tewksbury, Tewksbury, MA 01876 | 2011-02-18 |
| 1538329883 | Donna M Schneider | Mechanotherapist | 1 Dundee Park, Suites 1 & 2, Andover, MA 01876 | 2008-06-11 |
| 1417139700 | David Anthony Tortorella | Internal Medicine | 170 Main St Units G4-g8, Tewksbury, MA 01876 | 2007-11-29 |
| 1801086434 | Yvonne Marie Canuel | Long Term Care Hospital | 265 East Street, Tewksbury, MA 01876 | 2007-07-30 |
| 1851511661 | Sandra Lee Proulx | Licensed Practical Nurse | 10 Arnold Rd, Tewksbury, MA 01876 | 2007-04-26 |
| 1710004320 | Department of Mental Health | Community Based Residential Treatment Facility, Mental Illness | Tewksbury State Hosp Special Bldg - Merrimack Ctr Birtp, 365 East St, Tewksbury, MA 01876 | 2007-03-26 |
| 1316002884 | Robert A Karr | Psychiatry & Neurology | North East Area Office, Tewksbury, MA 01876 | 2006-12-26 |
| 1659448769 | Barbara P Goldsher | Social Worker | 40 Chivas Circle, Tewksbury, MA 01876 | 2006-11-30 |
| 1457423154 | Boutselis Family Dental Care PC | Dentist | 381r Main Street, Tewksbury, MA 01876 | 2006-11-15 |
| 1477623189 | Commonwealth of Massachusetts Office for Pharmacy Services | Pharmacy | 369 East St, Tewksbury, MA 01876 | 2006-11-09 |
| Find all providers in zip 01876 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366042996 | Lisa Mcmanus | Counselor | 365 East St # C-2, Tewksbury, MA 01876-1950 | 2020-11-01 |
| 1669070553 | Tayla Legrand | Counselor | 100 Autumn Ln, Tewksbury, MA 01876-5500 | 2020-10-13 |
| 1104369727 | Raul Saenz | Counselor | 365 East St Unit C2, Tewksbury, MA 01876-1950 | 2016-11-30 |
| 1962783936 | Jacqueline Marchand | Counselor | 149 Fiske St, Tewksbury, MA 01876-1117 | 2011-09-06 |
| 1538138607 | Jennifer G Mcartor | Counselor | 1246 Whipple Rd, Tewksbury, MA 01876-3825 | 2006-03-14 |
| 1306455662 | Joe Biaty | Counselor | 365 East St, Tewksbury, MA 01876-1950 | 2020-07-23 |
| 1114498227 | Sherin Aygun | Counselor | 365 East St, Tewksbury, MA 01876-1950 | 2018-12-16 |
| 1417451378 | Shannon Barrett | Counselor | 365 East St, Tewksbury, MA 01876-1950 | 2018-03-23 |
| 1003267568 | Felice De Ruggiero | Counselor | 365 East St, Tewksbury, MA 01876-1950 | 2016-06-27 |
| 1578994364 | Nicole Surette | Counselor | 365 East St, Tewksbury, MA 01876-1950 | 2013-12-05 |
| Find all providers in TEWKSBURY | ||||
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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.