TRACIE ZINMAN-IBRAHIM (NPI# 1598042152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598042152 |
| Entity Type | Individual |
| Full Name | TRACIE ZINMAN-IBRAHIM |
| Credential | LMFT |
| Practice Address |
1068 Union St Bangor ME 04401-3016 |
| Mailing Address |
Po Box 1599 Bangor ME 04402-1599 |
| Practice Telephone | 2074048181 |
| Practice Fax Number | 2079224198 |
| Mailing Telephone | 2074048200 |
| Mailing Fax Number | 2079470435 |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2020-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MF4998 | ME | Behavioral Health & Social Service Providers |
| Street Address |
1068 UNION ST |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-3016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699768291 | Maggy Lespinasse | Pediatrics | 1068 Union St, Bangor, ME 04401-3016 | 2005-08-30 |
| 1083259410 | Penobscot Community Health Center | Family Medicine | 1068 Union St, Bangor, ME 04401-3016 | 2019-11-08 |
| 1902156128 | Beverly Jane Yercheck | Nurse Practitioner | 1068 Union St, Bangor, ME 04401-3016 | 2012-09-14 |
| 1386994903 | Emily M Davis | Registered Nurse | 1068 Union St, Bangor, ME 04401-3016 | 2012-09-11 |
| 1598027450 | Karla Anne Rella | Nurse Practitioner | 1068 Union St, Bangor, ME 04401-3016 | 2012-06-15 |
| 1225395890 | Lucy E. R. Shortsleeves | Physician Assistant | 1068 Union St, Penobscot Pediatrics, Bangor, ME 04401 | 2012-04-19 |
| 1972835536 | Jennifer Spain | Social Worker | 1068 Union St, Bangor, ME 04401-3016 | 2010-02-08 |
| 1053416321 | Retha K. Bobb | Nurse Practitioner | 1068 Union St, Bangor, ME 04401-3016 | 2006-09-13 |
| 1548365828 | Thomas F. Lever | Pediatrics | 1068 Union St, Bangor, ME 04401 | 2006-09-13 |
| 1700981073 | John F. Milliken Jr Jr. | Pediatrics | 1068 Union St, Bangor, ME 04401 | 2006-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275095572 | Rebecca E Sander | Marriage & Family Therapist | 760 Union St Ste A, Bangor, ME 04401-3125 | 2019-04-04 |
| 1871897249 | Alexandria S Patel | Marriage & Family Therapist | 157 Park St Ste 34, Bangor, ME 04401-5063 | 2010-12-29 |
| 1629591136 | Alissa Theo Mitchell | Marriage & Family Therapist | 49 Florida Ave, Bangor, ME 04401-3005 | 2017-07-18 |
| 1518409580 | Caitlin M. Arey | Marriage & Family Therapist | 49 Florida Ave, Bangor, ME 04401-3005 | 2016-11-08 |
| 1598044620 | Simone Elisabeth Cromwell | Marriage & Family Therapist | 360 Harlow St, Bangor, ME 04401-4908 | 2011-08-07 |
| 1740516137 | Brigitte Renee Hoffman | Marriage & Family Therapist | 6 Broadway, Bangor, PA 18013-2602 | 2009-10-20 |
| 1790910735 | Nichole Proulx-king | Marriage & Family Therapist | 1066 Kenduskeag Ave, Bangor, ME 04401-2914 | 2009-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023634086 | Tinalyn Caisse | Marriage & Family Therapist | 40 Upper Narrows Ln, Winthrop, ME 04364-3676 | 2020-06-24 |
| 1679114003 | Craig Cardamone Individual and Relational Therapy Pllc | Marriage & Family Therapist | 12 Kellogg St Apt 1, Portland, ME 04101-4375 | 2019-10-07 |
| 1194281477 | Shelbee Louise Leach Macomber | Marriage & Family Therapist | 1520 Westbrook St, Portland, ME 04102-1621 | 2019-02-12 |
| 1962991141 | Katy Stange | Marriage & Family Therapist | 160 Canal St, Lewiston, ME 04240-7711 | 2018-05-03 |
| 1285174656 | Martha Diane Lariviere | Marriage & Family Therapist | 25 Dean Dr, North Waterboro, ME 04061-4300 | 2017-03-03 |
| 1750770152 | Larissa J Brown | Marriage & Family Therapist | 86 Main Sreet, Suite 302, Auburn, ME 04210 | 2015-01-22 |
| 1497161061 | Craig Cardamone | Marriage & Family Therapist | 142 High St Ste 325, Portland, ME 04101 | 2014-07-03 |
| 1649519505 | Ashlee K Eikelboom | Marriage & Family Therapist | 219 Meadow St, Rockport, ME 04856-5329 | 2013-02-12 |
| 1871871293 | Rebecca Anderson | Marriage & Family Therapist | 19 Hanson St, Portland, ME 04103-4912 | 2011-08-02 |
| 1184914996 | Anita Maria Sommers | Marriage & Family Therapist | 61 Cottage St, Suite B, Bar Harbor, ME 04609-1860 | 2011-04-13 |
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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.