COASTAL NEUROBEHAVIORAL CENTER, PA (NPI# 1679737035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679737035 |
Entity Type | Organization |
Organization Name | COASTAL NEUROBEHAVIORAL CENTER, PA |
Practice Address |
46 Main St Yarmouth ME 04096-6709 |
Practice Telephone | 2078463023 |
Practice Fax Number | 2078463028 |
Mailing Telephone | 2078463023 |
Mailing Fax Number | 2078463028 |
Enumeration Date | 2008-07-15 |
Last Update Date | 2010-02-04 |
Authorized Official Name | DR. HOWARD R KESSLER (PRESIDENT) |
Authorized Official Telephone | 2078463023 |
Authorized Official Credential | PH.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
Street Address |
46 MAIN ST |
City | YARMOUTH |
State | ME |
Zip Code | 04096-6709 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306223508 | Mary Edgerton | Occupational Therapist | 370 Portland Ave, Brentwood Center for Health and Rehabilitation, Yarmouth, ME 04096 | 2015-04-27 |
1326454927 | Samantha Portnoy | Social Worker | 500 Us Rt. 1 Suite 102, Yarmouth, ME 04096 | 2014-07-03 |
1801143656 | Joanna L Thomas | Pharmacist | 478 Us-1, Yarmouth, ME 04096 | 2012-08-11 |
1871728287 | Joellen Stanton Mccosh | Speech-Language Pathologist | 26 Acorn Circle, Yarmouth, ME 04096 | 2009-05-29 |
1568624211 | Lynda A Doyle | Social Worker | 60 Forest Falls Drive, Suite 4, Yarmouth, ME 04096 | 2008-06-25 |
1003077165 | Patricia Limon Sands | Social Worker | 26 School St Ste 6, Yarmouth, ME 04096 | 2008-06-21 |
1811102957 | Ronald George Sawyer | Dentist | 9 Waters Edge Rd, Yarmouth, ME 04096 | 2007-05-11 |
1316167182 | Yarmouth School Department | Local Education Agency (LEA) | 101 Mccartney St, Yarmouth, ME 04096 | 2007-04-26 |
1386706802 | Howard R Kessler | Clinical Neuropsychologist | 500 Us Route 1 Ste 26, Yarmouth, ME 04096 | 2006-12-14 |
1538227319 | Amy Fuller | Dentist | 247 Portland Street, Yarmouth, ME 04096 | 2006-12-05 |
Find all providers in zip 04096 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821150699 | David A Marks | Clinical Neuropsychologist | 500 Route 1 Ste 26, Yarmouth, ME 04096-4712 | 2006-12-15 |
1386706802 | Howard R Kessler | Clinical Neuropsychologist | 500 Us Route 1 Ste 26, Yarmouth, ME 04096 | 2006-12-14 |
1447817390 | Jana Zimmerman | Clinical Neuropsychologist | 40 Forest Falls Dr Ste 3, Yarmouth, ME 04096-7005 | 2019-05-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467909168 | Maureen D. Sanford | Clinical Neuropsychologist | 120 Main St Ste 126, Saco, ME 04072-3527 | 2016-09-10 |
1033666359 | Rebecca Richards | Clinical Neuropsychologist | 2178 Post Rd Ste 201, Wells, ME 04090-4794 | 2016-09-02 |
1033592837 | Rachel Lawson Orr | Clinical Neuropsychologist | Southern Maine Health Care Pediatrics, 3 Shape Drive, Kennebunk, ME 04043 | 2015-06-30 |
1326451212 | Abigail Bernett Ryan | Clinical Neuropsychologist | 220 Union St, Rockport, ME 04856 | 2014-06-09 |
1770788598 | Austin Louis Errico | Clinical Neuropsychologist | 45 Cunningham Rd, Freeport, ME 04032-6312 | 2007-06-20 |
1346457017 | Mark Gregory Kiefner | Clinical Neuropsychologist | 26 Portland Street, Portland, ME 04101 | 2007-05-16 |
1184774937 | Melvyn E Attfield | Clinical Neuropsychologist | 225 Commercial Street, Suite #303, Portland, ME 04101 | 2007-01-12 |
1174685945 | Christine Barth Ramsay | Clinical Neuropsychologist | 21 Bailey Farm Rd, Freeport, ME 04032-5808 | 2006-12-15 |
1255492716 | Robert L. Gallon | Clinical Neuropsychologist | 77 James St, Bangor, ME 04401-4661 | 2006-12-12 |
1336219120 | Ann Mary Palozzi | Clinical Neuropsychologist | 28 W Cole Rd Ste A, Biddeford, ME 04005-9428 | 2006-11-08 |
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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.