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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | DEA REGISTRATION | MM0221844 | 01 |
Street Address |
1727 N OCEAN AVE |
City | MEDFORD |
State | NY |
Zip Code | 11763-2649 |
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 |
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 Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
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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 |
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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.