SUSAN SARAH BOBBY (NPI# 1568675486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568675486 |
| Entity Type | Individual |
| Full Name | SUSAN SARAH BOBBY |
| Practice Address |
6000 Kanakanak Rd. Dillingham AK 99576-0130 |
| Mailing Address |
Medical Staff Department P.o. Box 130 Dillingham AK 99576-0130 |
| Practice Telephone | 9078429218 |
| Practice Fax Number | 9078429250 |
| Mailing Telephone | 9078429218 |
| Mailing Fax Number | 9078429250 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
6000 KANAKANAK RD. |
| City | DILLINGHAM |
| State | AK |
| Zip Code | 99576-0130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427099043 | Ronald Norbert Talaga | Family Medicine | 6000 Kanakanak Rd., Medical Staff Department, Dillingham, AK 99576-0130 | 2006-06-08 |
| 1215553979 | Bristoal Bay Counseling Center, Bristol Bay Area Corporation | Community/Behavioral Health | 6000 Kanakanak Rd., Bristol Bay Counseling Center, Dillingham, AK 99576 | 2020-06-18 |
| 1629567862 | Lucy P Andrews | Counselor | 6000 Kanakanak Rd., Togiak Clinic, Dillingham, AK 99576-0130 | 2018-05-03 |
| 1114463437 | Madison Ayson | Community Health Worker | 6000 Kanakanak Rd., Dillingham, AK 99576 | 2017-01-10 |
| 1396292751 | Bristol Bay Area Health Corporation | Hearing Aid Equipment | 6000 Kanakanak Rd., Dillingham, AK 99576-0130 | 2016-09-02 |
| 1144607110 | Stephanie Monsen | Community Health Worker | 6000 Kanakanak Rd., Dillingham, AK 99576-0130 | 2015-04-29 |
| 1093113334 | Esther O Udechukwu | Dietitian, Registered | 6000 Kanakanak Rd., Dillingham, AK 99576-0130 | 2014-12-19 |
| 1255744306 | Hector Bravo | Counselor | 6000 Kanakanak Rd., Dillingham, AK 99576-0130 | 2014-06-06 |
| 1285067884 | Evelyn Marie Phillips | Pharmacist | 6000 Kanakanak Rd., Dillingham, AK 99576-0130 | 2013-08-19 |
| 1740523992 | Melissa A Paul | Community Health Worker | 6000 Kanakanak Rd., Medical Staff Department, Dillingham, AK 99576-0130 | 2013-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016737 | Lake Road Dental LLC | Clinic/Center | 4622 Shannon Lake Rd, Dillingham, AK 99576 | 2018-06-08 |
| 1053837823 | Guardian Flight LLC | Ambulance | Beluga Bluffs Apt Block 26, Lot 5 Apt. 5 & 6, Dillingham, AK 99576 | 2017-08-14 |
| 1467820910 | Alicia Mahlow | Case Manager/Care Coordinator | 540 Gauthier Way, Dillingham, AK 99576 | 2015-09-14 |
| 1306100557 | Peter Tallman | Social Worker | 6000 Kanakanak, Dillingham, AK 99576 | 2012-07-02 |
| 1801079546 | Marrulut Eniit Assisted Living, Inc | Respite Care | 125 D Street, Dillingham, AK 99576 | 2007-12-17 |
| 1730393430 | City of Dillingham | Ambulance | 514 Main Street, Dillingham, AK 99576 | 2007-05-10 |
| 1023132792 | City of Dillingham Senior Center | Non-emergency Medical Transport (VAN) | 515 East 1st Ave, Dillingham, AK 99576 | 2007-03-19 |
| 1912037037 | Hope Community Resources Inc | Day Training, Developmentally Disabled Services | Chog Center Main Street, Dillingham, AK 99576 | 2007-03-07 |
| 1427119874 | Bristol Bay Area Health Corporation | Clinic/Center | Main Steet, Portage Creek, AK 99576 | 2006-12-12 |
| 1396728614 | Joan Lucienne Junge | Nurse Practitioner | 1500 Kanakanak Rd, Dillingham, AK 99576 | 2005-11-21 |
| Find all providers in zip 99576 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629567862 | Lucy P Andrews | Counselor | 6000 Kanakanak Rd., Togiak Clinic, Dillingham, AK 99576-0130 | 2018-05-03 |
| 1528366747 | Andrew Clavette | Counselor | 6000 Kanakanak Rd, Dillingham, AK 99576-0130 | 2011-03-11 |
| 1477766731 | David F.j. Askoak | Counselor | 6000 Kanakanak Rd., Dillingham, AK 99576-0130 | 2007-05-07 |
| 1386857639 | Sophie Alice Abyo | Counselor | 6000 Kanakanak Rd., Dillingham, AK 99576-0130 | 2007-05-07 |
| 1922211291 | Thomas R. Dock | Counselor | 6000 Kanakanak Rd., Dillingham, AK 99576 | 2007-05-07 |
| 1336352228 | Anecia E. Nanok Ouya | Counselor | 6000 Kanakanak Rd., Dillingham, AK 99576-0130 | 2007-05-07 |
| 1851504740 | Bonita R Mohan | Counselor | 6000 Kanakanak Rd, Dillingham, AK 99576-0130 | 2007-05-07 |
| 1225241565 | Minnie Skonberg | Counselor | 6000 Kanakanak Rd., Dillingham, AK 99576-0130 | 2007-05-07 |
| 1457564353 | Lucy A Weedman | Counselor | 6000 Kanakanak Rd., Dillingham, AK 99576-0130 | 2007-05-07 |
| 1952514879 | Mae M. Syvrud | Counselor | 6000 Kanakanak Rd., Dillingham, AK 99576-0130 | 2007-05-07 |
| Find all providers in DILLINGHAM | ||||
| City | DILLINGHAM |
| Zip Code | 99576 |
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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.