CHARLENE T MAHER


Address: 1727 N Ocean Ave, Medford, NY 11763-2649
Phone: 6316541919

CHARLENE T MAHER (NPI# 1598898587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598898587
Entity Type Individual
Full Name CHARLENE T MAHER
Credential NPP
Practice Address 1727 N Ocean Ave
Medford
NY 11763-2649
Mailing Address 84 Camille Ln
East Patchogue
NY 11772-4555
Practice Telephone 6316541919
Mailing Telephone 6316541919
Enumeration Date 2007-03-13
Last Update Date 2012-08-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
F400098 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY DEA REGISTRATION MM0221844 01

Office Location

Street Address 1727 N OCEAN AVE
City MEDFORD
State NY
Zip Code 11763-2649

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952349144 Jaedu Lee Psychiatry & Neurology 1727 N Ocean Ave, Medford, NY 11763-2649 2006-06-02
1518504018 Nicole Moawad Registered Nurse 1727 N Ocean Ave, Medford, NY 11763-2649 2019-12-03
1720621881 Mackenzie Rodgers Student in an Organized Health Care Education/Training Program 1727 N Ocean Ave, Medford, NY 11763-2649 2019-10-22
1316475627 Judy Joseph Social Worker 1727 N Ocean Ave, Medford, NY 11763-2649 2017-05-31
1285171009 Lauren Lalchand Social Worker 1727 N Ocean Ave, Medford, NY 11763 2017-01-31
1619364429 Vanessa Taboada Counselor 1727 N Ocean Ave, Medford, NY 11763-2649 2015-04-20
1992047708 Frederick Horn Registered Nurse 1727 N Ocean Ave, Medford, NY 11763-2649 2013-03-19
1740540699 Lorraine Baum Social Worker 1727 N Ocean Ave, Medford, NY 11763-2649 2012-05-25
1881907483 Marie Swiderski Social Worker 1727 N Ocean Ave, Medford, NY 11763-2649 2010-07-23
1376863696 Benjamin Clark Social Worker 1727 N Ocean Ave, Medford, NY 11763-2649 2010-06-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316572027 Rebecca Molino Specialist 9, 3251 Ny-112 #2, Medford, NY 11763 2020-03-03
1295203677 Hajar Taman Pharmacist 2975 Horseblock Road, Medford, NY 11763 2018-11-05
1265917041 Bay Taxi Inc Taxi 36/94 Horseblock Rd, Medford, NY 11763 2018-09-27
1184108383 Bay Taxi Inc Taxi 36/94 Horsblock Road, Medford, NY 11763 2018-09-24
1215419650 Megan Bell Speech-Language Pathologist 135 Buffalo Avenue, Medford, NY 11763 2018-09-01
1922592906 Elizabeth L Oakley Specialist 1 Sprat St, Medford, NY 11763 2018-06-21
1609383389 Federation of Organizations for The New York State Mentally Disabled Clinic/Center 3390 Route 112 Ste B, Medford, NY 11763 2018-01-04
1497109607 Tabitha Aitken Massage Therapist 28 Masem Ct, Medford, NY 11763 2016-04-14
1518326685 Betty Velez Specialist 21 Red Pine Rd, Medford, NY 11763 2016-02-18
1134527054 Angelo L D'esposito Social Worker 77 Robinson Ave, Medford, NY 11763 2014-12-09
Find all providers in zip 11763

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073147716 Paradigm Mental Health and Wellness LLC Nurse Practitioner 724 S Central Ave Ste 101d, Medford, OR 97501-7808 2020-03-02
1952860066 Mcarthur, Gruff & Associates, LLC Dba Carmen Kosicek, Pmhnp Nurse Practitioner 1314b Center Dr Unit 439, Medford, OR 97501-7943 2019-03-18
1811246879 Deborra M. Torres, Msn, Pmhnp, LLC Nurse Practitioner 5 N Main St Ste A, Medford, NJ 08055-2439 2012-09-06
1518013705 Susan Wrona Nurse Practitioner 14 Cottage St, Medford, OR 97504-7332 2007-01-28
1558442061 Pamela Jean Rivera Nurse Practitioner 15 Crater Lake Ave, Medford, OR 97504-7444 2006-10-18
1164538096 Kevan Joyce Olson Nurse Practitioner 255 W Stewart Ave Ste 101, Medford, OR 97501-3600 2006-08-22
1851325252 Ruth E Koch Nurse Practitioner 31 Industrial Boulevard, Yaphank Center, Medford, NY 11763 2006-07-10
1174008536 Connie Diep Nurse Practitioner 26 City Hall Mall, Medford, MA 02155-4754 2018-10-01
1366927220 Helena Frances Turner Nurse Practitioner 900 E Main St, Medford, OR 97504-7136 2018-09-26
1265927974 Jatoopon Maldonado Nurse Practitioner 31 Scouting Blvd, Medford, NY 11763-2220 2018-06-25
Find all providers in MEDFORD

Competitor

Search similar providers

City MEDFORD
Zip Code 11763

Improve Information

Please comment or provide details below to improve the information on CHARLENE T MAHER.

Dataset Information

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.

Trending Searches