MR. ROBERT PAUL CARNICELLA (NPI# 1700262243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700262243 |
| Entity Type | Individual |
| Full Name | MR. ROBERT PAUL CARNICELLA |
| Credential | PH.D. |
| Practice Address |
72 Strawberry Ave Lewiston ME 04240-5952 |
| Practice Telephone | 2077822150 |
| Mailing Telephone | 2077822150 |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2015-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PS 1448 | ME | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PS 1448 | ME | Behavioral Health & Social Service Providers |
| Street Address |
72 STRAWBERRY AVE |
| City | LEWISTON |
| State | ME |
| Zip Code | 04240-5952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881714491 | Sandcastle Preschool Program Foundation, Inc | Audiologist | 72 Strawberry Ave, Lewiston, ME 04240-5952 | 2007-03-29 |
| 1932700903 | Michaela Ann Mcnally | Occupational Therapist | 72 Strawberry Ave, Lewiston, ME 04240-5952 | 2020-11-05 |
| 1316556558 | Sarah Weekes | Speech-Language Pathologist | 72 Strawberry Ave, Lewiston, ME 04240-5952 | 2020-07-23 |
| 1568088508 | Emilee Hudgens | Audiologist | 72 Strawberry Ave, Lewiston, ME 04240-5952 | 2020-06-24 |
| 1649899147 | Ayris Franklin | Audiologist | 72 Strawberry Ave, Lewiston, ME 04240-5952 | 2020-04-14 |
| 1821659228 | Megan Elizabeth Ballard | Speech-Language Pathologist | 72 Strawberry Ave, Lewiston, ME 04240-5952 | 2019-06-26 |
| 1235797739 | Rachel Ann Campoli | Speech-Language Pathologist | 72 Strawberry Ave, Lewiston, ME 04240-5952 | 2019-05-31 |
| 1033683800 | Madeline Ruffin | Speech-Language Pathologist | 72 Strawberry Ave, Lewiston, ME 04240-5952 | 2019-01-15 |
| 1831671098 | Emily Croft | Occupational Therapist | 72 Strawberry Ave, Lewiston, ME 04240-5952 | 2018-09-04 |
| 1396230934 | Nicole M Mossman | Speech-Language Pathologist | 72 Strawberry Ave, Lewiston, ME 04240-5952 | 2018-06-26 |
| Find all providers in the same location | ||||
| 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 | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1013353739 | Bates College Health Center | Psychologist | 31 Campus Ave, Lewiston, ME 04240-6009 | 2013-05-21 |
| 1053627133 | Frank Ellis | Psychologist | 111 Pond Rd, Lewiston, ME 04240-1604 | 2010-08-26 |
| 1184854630 | Eventus Maine LLC | Psychologist | 1180 Lisbon St, Lewiston, ME 04240-5059 | 2009-07-18 |
| 1629159140 | James R Phillips | Psychologist | 532 Bryden Ave, Lewiston, ID 83501-4445 | 2006-10-18 |
| 1376634345 | Richard Ballou Gallaher Jr. | Psychologist | 513 Thain Road, Lewiston, ID 83501-4140 | 2006-09-27 |
| 1386682466 | James Cogan | Psychologist | 443 Main St, Lewiston, ME 04240-6733 | 2006-06-02 |
| 1124078753 | George R Sheckart | Psychologist | 33r Mollison Way, Lewiston, ME 04240 | 2006-05-12 |
| 1689039422 | Annie Derthick | Psychologist | 76 High St, Lewiston, ME 04240 | 2015-12-21 |
| 1861709990 | Paul Kwon | Psychologist | 422 17th St, Lewiston, ID 83501-2526 | 2010-09-10 |
| Find all providers in LEWISTON | ||||
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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.