MRS. DONNA S. GRISHAM (NPI# 1508804352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508804352 |
| Entity Type | Individual |
| Full Name | MRS. DONNA S. GRISHAM |
| Credential | LADC |
| Practice Address |
553 Portland Cobalt Rd Portland CT 06480-1968 |
| Practice Telephone | 8603420760 |
| Practice Fax Number | 8603424226 |
| Mailing Telephone | 8603420760 |
| Mailing Fax Number | 8603424226 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2011-07-14 |
| 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) |
000424 | CT | Behavioral Health & Social Service Providers |
| Street Address |
553 PORTLAND COBALT RD |
| City | PORTLAND |
| State | CT |
| Zip Code | 06480-1968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437104387 | Affirmation Counseling Center Inc | Marriage & Family Therapist | 553 Portland Cobalt Rd, Portland, CT 06480-1968 | 2006-05-22 |
| 1821446717 | Diana Abate Schneider, LLC | Marriage & Family Therapist | 553 Portland Cobalt Rd, Portland, CT 06480-1968 | 2016-06-01 |
| 1881078327 | Waterview Dental Group, LLC | Dentist | 553 Portland Cobalt Rd, Portland, CT 06480-1968 | 2015-07-15 |
| 1659677862 | Michael Andrew Sortito | Dentist | 553 Portland Cobalt Rd, Portland, CT 06480-1968 | 2011-02-04 |
| 1720390701 | Kent Huynh | Dentist | 553 Portland Cobalt Rd, Portland, CT 06480-1968 | 2010-07-07 |
| 1477793412 | Khushi, LLC | Dentist | 553 Portland Cobalt Rd, Portland, CT 06480-1968 | 2009-03-04 |
| 1336339779 | Vipul Anant Patel | Dentist | 553 Portland Cobalt Rd, Portland, CT 06480-1968 | 2007-08-01 |
| 1437215811 | Michele Binezewski | Counselor | 553 Portland Cobalt Rd, Portland, CT 06480-1968 | 2006-12-29 |
| 1861433492 | Robert R. Malafronte | Social Worker | 553 Portland Cobalt Rd, Portland, CT 06480-1968 | 2006-06-08 |
| 1245286582 | Laura D. Jakabauski | Counselor | 553 Portland Cobalt Rd, Portland, CT 06480-1968 | 2006-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295184638 | Alyssa Rose Unikewicz | Specialist/Technologist | 5 Allison Drive, Portland, CT 06480 | 2016-06-07 |
| 1124168224 | Portland Board of Education | Local Education Agency (LEA) | Portland High School, 95 High Street, Portland, CT 06480 | 2007-02-07 |
| 1699700831 | Stephen P Paschall | Counselor | 44 Marlborough Turnpike, Path, Portland, CT 06480 | 2006-07-12 |
| 1346600368 | Thalody Family Dentistry LLC | Dentist | 260 Main St, Portland, CT 06480 | 2016-03-03 |
| 1669782975 | Ann L Sinko | Marriage & Family Therapist | 264 Main St, Portland, CT 06480 | 2010-10-20 |
| 1013023878 | Richard Brian Morse | Dentist | 322 Main St, Portland, CT 06480 | 2006-08-22 |
| 1811344500 | Karen Pickel | Pharmacist | 35 Wilcox Ln, Portland, CT 06480-1002 | 2016-05-23 |
| 1770520652 | Deborah B. Heilman | Physical Therapist | 25 Wilcox Ln, Portland, CT 06480-1002 | 2006-06-01 |
| 1184644015 | Applied Physical Therapy & Wellness, LLC | Clinic/Center | 25 Wilcox Ln, Portland, CT 06480-1002 | 2006-07-21 |
| 1952964686 | Shane Norman Cardinal | Specialist/Technologist | 521 Glastonbury Tpke, Portland, CT 06480-1003 | 2019-04-18 |
| Find all providers in zip 06480 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
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| 1083264477 | Kayla Rose Paris | Counselor | 420 Cumberland Ave, Portland, ME 04101-2823 | 2019-09-17 |
| 1275193260 | Anna Khval | Counselor | 1500 Se 122nd Ave, Portland, OR 97233-1207 | 2019-06-20 |
| 1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
| Find all providers in PORTLAND | ||||
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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.