DR. JOHN ARTHUR MAZZOLA (NPI# 1619073053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619073053 |
| Entity Type | Individual |
| Full Name | DR. JOHN ARTHUR MAZZOLA |
| Credential | PHD |
| Practice Address |
443 Main Street Lewiston ME 04240-6733 |
| Mailing Address |
42 Church Hill Road Leeds ME 04263-3416 |
| Practice Telephone | 2077837081 |
| Practice Fax Number | 2077830500 |
| Mailing Telephone | 2075243261 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS355 | ME | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | ANTHEM BCBS | 003607 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568672343 | John L Mazzola | Dentist | 193 Blue Point Avenue, Blue Point, NY 11715-1222 | 2007-05-23 |
| Street Address |
443 MAIN STREET |
| City | LEWISTON |
| State | ME |
| Zip Code | 04240-6733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773882 | Hannah Page Guerrette | Speech-Language Pathologist | 2 Strawberry Ave, Lewiston, ME 04240 | 2020-09-03 |
| 1497392500 | Samuel C Larouche | Social Worker | 100 Campus Ave Stes A&b, Lewiston, ME 04240 | 2019-12-09 |
| 1972145019 | Pomarand Behavioral Services | Nurse Practitioner | 217 Main St., Suite 201, Lewiston, ME 04240 | 2019-10-10 |
| 1396248258 | William Bucklin | Counselor | 17 Main St Fl 2, Lewiston, ME 04240 | 2018-03-16 |
| 1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
| 1033637673 | Wellness Center | Clinic/Center | 37 Park Street, Suite 305, Lewiston, ME 04240 | 2017-09-04 |
| 1710404561 | Colasante Chiropractic, LLC | Clinic/Center | 184 Webster Street, #100, Lewiston, ME 04240 | 2017-08-23 |
| 1609398544 | Lindsey Laforge | Occupational Therapist | 984 1/2 Sabattus Street, Lewiston, ME 04240 | 2017-07-12 |
| 1861922478 | Seth Toothaker | Counselor | 1190 Lisbon Street, Lewiston, ME 04240 | 2017-06-15 |
| 1861850828 | Black Bear Support Services, LLC | Community/Behavioral Health | 571 Sabattus Street, Suite 15, Lewiston, ME 04240 | 2016-02-05 |
| Find all providers in zip 04240 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063731586 | Kristy Kuehfuss, Phd, Pllc | Psychologist | 633 Main St Ste B2, Lewiston, ID 83501-1882 | 2010-05-24 |
| 1326671454 | Leanne Parker | Psychologist | 1720 18th Ave, Lewiston, ID 83501-4047 | 2020-02-17 |
| 1619035599 | Philip Dahl White | Psychologist | 111 Main St, Ste 301, Lewiston, ID 83501-2141 | 2006-12-04 |
| 1093813958 | Richard Victor Primo | Psychologist | 120 N 7th St, Lewiston, NY 14092-1306 | 2006-09-21 |
| 1669571493 | Sherrill Lee Primo | Psychologist | 120 N 7th St, Lewiston, NY 14092-1306 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007387 | Lyle Vintinner | Psychologist | 53 Baxter Blvd Ste 3, Portland, ME 04101-1827 | 2020-09-11 |
| 1720696586 | Sound Mind Psychology LLC | Psychologist | 110 Main St Ste 1201b, Saco, ME 04072-3516 | 2020-07-17 |
| 1134769391 | Lagom Psychology, Pllc | Psychologist | 106 Lafayette St Ste 2b, Yarmouth, ME 04096-6125 | 2020-01-15 |
| 1952942559 | Andrea J Medaris | Psychologist | 153 Park Row Ste 302, Brunswick, ME 04011-2053 | 2019-10-04 |
| 1528539335 | Mark G Kiefner Phd LLC | Psychologist | 225 Commercial St Ste 403, Portland, ME 04101-6603 | 2018-12-06 |
| 1841785680 | Joseph Michael Graziadei | Psychologist | 21 Poolside Ln, Biddeford, ME 04005-9466 | 2018-06-25 |
| 1548770332 | Amanda Seirup | Psychologist | 16 Lincoln St Ste C, Brunswick, ME 04011-1900 | 2017-10-05 |
| 1942743679 | Medoptions of Maine, LLC | Psychologist | 45 Memorial Cir, Augusta, ME 04330-6400 | 2016-11-29 |
| 1578019113 | Lydia Ward-gray, Psyd, LLC | Psychologist | 19 South Street, Suite 4, Portland, ME 04101 | 2016-09-01 |
| 1942652656 | Nancy Slobodnik | Psychologist | 1 Va Ctr # 28, Augusta, ME 04330-6719 | 2016-07-06 |
| Find all providers with the same taxonomy | ||||
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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.