PETER JAMES IPPOLITI (NPI# 1649442633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649442633 |
| Entity Type | Individual |
| Full Name | PETER JAMES IPPOLITI |
| Credential | PHD |
| Practice Address |
4 Union St Suite 25 Bangor ME 04401 |
| Practice Telephone | 2079425656 |
| Mailing Telephone | 2079425656 |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-05-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS917 | ME | Behavioral Health & Social Service Providers |
| Street Address |
4 UNION ST SUITE 25 |
| City | BANGOR |
| State | ME |
| Zip Code | 04401 |
| 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 | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942498183 | Christine L. B. Selby | Psychologist | 6 State St Ste 208, Bangor, ME 04401-5136 | 2007-10-12 |
| 1861608267 | John R Lorenz | Psychologist | 82 Columbia St Ste 301, Bangor, ME 04401-6357 | 2007-05-15 |
| 1760509038 | John Erroll Burns | Psychologist | 84 5th St, Bangor, ME 04401-6044 | 2007-03-23 |
| 1588715999 | Robert Stephen Peddicord | Psychologist | 45 Packard Dr, Bangor, ME 04401-2524 | 2007-01-13 |
| 1588769319 | Maryanne Nmn Shaver | Psychologist | 304 Hancock Street, Suite 2d, Bangor, ME 04401 | 2006-09-14 |
| 1083621346 | Bruce Thomas Saunders | Psychologist | 363 Mount Hope Ave, Bangor, ME 04401-4210 | 2006-08-01 |
| 1063969202 | Agnieszka Karolina Serwik Kronholm | Psychologist | 905 Union St, 9, Bangor, ME 04401-3050 | 2016-09-06 |
| 1730595299 | Kathrine Butler Hepler | Psychologist | 15 State St, Ste 303, Bangor, ME 04401-5166 | 2014-07-06 |
| 1992037980 | Matthew D Tolman | Psychologist | 268 Stillwater Avenue, Acadia Hospital Corp., Bangor, ME 04401 | 2010-02-02 |
| 1104080381 | Alison Lynn Glanville | Psychologist | 29 Franklin St, Bangor, ME 04401-4909 | 2008-07-16 |
| Find all providers in BANGOR | ||||
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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.