JESSICA N CARABALLO (NPI# 1740500255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740500255 |
Entity Type | Individual |
Full Name | JESSICA N CARABALLO |
Credential | LCPC, CADC |
Practice Address |
401 Peter Dana Point Rd Princeton ME 04668 |
Mailing Address |
Po Box 97 Princeton ME 04668-0097 |
Practice Telephone | 2077962321 |
Mailing Telephone | 2077962321 |
Enumeration Date | 2010-06-07 |
Last Update Date | 2019-07-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CAC6808 | ME | Behavioral Health & Social Service Providers |
Y | 101YM0800X |
Counselor Specialization: Mental Health |
CC4616 | ME | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437649100 | Jessica Ann Caraballo | Nurse Practitioner | 1560 Central Ave Unit 420, Saint Petersburg, FL 33705-1625 | 2018-05-17 |
Street Address |
401 PETER DANA POINT RD |
City | PRINCETON |
State | ME |
Zip Code | 04668 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346363009 | Indian Township Tribal Government | Ambulance | 443 Us Route 1, Princeton, ME 04668 | 2007-04-09 |
1689747479 | Patricia Jean Todd-lewis | Social Worker | 1 Newell Drive, Princeton, ME 04668 | 2006-11-17 |
1043382658 | Mary C Repole | Dental Hygienist | 401 Peter Dana Point Rd., Princeton, ME 04668 | 2006-11-15 |
1033281563 | Dana Anthony Johnson | Dentist | 401 Peter Dana Point Road, Princeton, ME 04668 | 2006-11-13 |
1013096627 | Truman L Gillette | Pharmacist | 401 Peter Dana Point, Princeton, ME 04668 | 2006-11-03 |
1689187544 | Carol Francis | Registered Nurse | 401 Peter Dana Point Road, Princeton, ME 04668 | 2017-11-14 |
1831548437 | Merlin J Francis | Nurse Practitioner | 401 Peter Dana Point Road, Princeton, ME 04668 | 2016-06-06 |
1083058044 | Barbara Elizabeth Whipple | Counselor | 401 Peter Dana Point Road, Indian Township, ME 04668 | 2013-04-22 |
1285868042 | Heather Lane Harriman | Dental Hygienist | 401 Peter Dana Point Road, Princeton, ME 04668 | 2009-05-08 |
1144489634 | Michael J Driscoll | Counselor | 401 Peter Dana Point Road, Princeton, ME 04668 | 2008-06-09 |
Find all providers in zip 04668 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336746254 | April Music | Counselor | 214 Island Way, Princeton, TX 75407-5486 | 2020-10-04 |
1720694797 | Smita Chopra | Counselor | 932 State Rd, Princeton, Nj 08540, Princeton, NJ 08540-0854 | 2020-09-16 |
1952928012 | Alice Fadiora | Counselor | 261 Washington Rd, Princeton, NJ 08540-6407 | 2020-07-06 |
1801412028 | Kaily Marie Moore | Counselor | 1507 Wilderness St, Princeton, TX 75407-0675 | 2020-06-23 |
1376180679 | Pretgraf | Counselor | 103 Carnegie Ctr Ste 104, Princeton, NJ 08540-6235 | 2019-12-05 |
1215596440 | Karla Carey | Counselor | 400 S 2nd St Ste 125, Princeton, MN 55371-1878 | 2019-06-11 |
1093275893 | Siobhan Strickhart | Counselor | 213 Commons Way, Princeton, NJ 08540-1508 | 2019-03-20 |
1235614629 | Erica Tate | Counselor | 500 Brant Dr, Princeton, LA 71067-9332 | 2018-10-01 |
1821500422 | Jennifer Marshall | Counselor | 245 Nassau St Unit C, Princeton, NJ 08540-4600 | 2017-11-04 |
1376053009 | Julia Ann Gollas | Counselor | 103 Carnegie Ctr Ste 258, Princeton, NJ 08540-6235 | 2017-10-09 |
Find all providers in PRINCETON |
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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.