MR. JEFFREY PETER WEDGE (NPI# 1770057291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770057291 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY PETER WEDGE |
| Credential | MLADC,LMHC |
| Practice Address |
2 Wall St Ste 300 Manchester NH 03101 |
| Mailing Address |
2 Wall St Ste 300 Manchester NH 03101-1518 |
| Practice Telephone | 6036684111 |
| Mailing Telephone | 6036684111 |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2019-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0431 | NH | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 140 Tarrytown Rd, Manchester, NH 031032713 | 6036634472 | 6032962232 |
| Street Address |
2 WALL ST STE 300 |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275599094 | Cynthia Wolz | Nurse Practitioner | 2 Wall St Ste 300, Manchester, NH 03101-1518 | 2006-04-21 |
| 1649828617 | Kevin Moul | Peer Specialist | 2 Wall St Ste 300, Manchester, NH 03101-1518 | 2019-09-03 |
| 1811544653 | Idolyn Carnahan | Counselor | 2 Wall St Ste 300, Manchester, NH 03101-1518 | 2019-08-26 |
| 1518424977 | Debra Gribbohm | Specialist | 2 Wall St Ste 300, Manchester, NH 03101-1518 | 2019-02-21 |
| 1821554338 | Moresvy Duval | Specialist | 2 Wall St Ste 300, Manchester, NH 03101-1518 | 2019-02-20 |
| 1649746736 | Yu-mei Chen | Nurse Practitioner | 2 Wall St Ste 300, Manchester, NH 03101-1518 | 2018-10-16 |
| 1154805208 | Emmaleen Lemay | Specialist | 2 Wall St Ste 300, Manchester, NH 03101-1518 | 2018-09-24 |
| 1508345919 | Traci Debatis | Specialist | 2 Wall St Ste 300, Manchester, NH 03101-1518 | 2018-08-08 |
| 1174002489 | Michelle Smith | Counselor | 2 Wall St Ste 300, Manchester, NH 03101-1518 | 2018-08-08 |
| 1508345844 | Sarah Picard | Specialist | 2 Wall St Ste 300, Manchester, NH 03101-1518 | 2018-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003320425 | Miranda Sherburne | Occupational Therapist | 470 Pine Street, Manchester, NH 03101 | 2017-11-21 |
| 1396266938 | Juliette W Daniels | Social Worker | 464 Chestnut Street, Child and Family Services, Manchester, NH 03101 | 2017-07-05 |
| 1851820450 | Samantha Ysabelle Kattiria | Specialist/Technologist | 39 Kosciuszko Street, Apt 4, Manchester, NH 03101 | 2017-06-07 |
| 1598121188 | Angelique Alicia Fortin | Counselor | 77 Pearl St., Manchester, NH 03101 | 2016-01-12 |
| 1578946786 | Reta Goldman | Counselor | 25 Lowell St Ste 208, Manchester, NH 03101 | 2015-07-07 |
| 1306239207 | Myra Jean Nikitas | Dental Hygienist | 97 West Merrimack Street, Manchester, NH 03101 | 2015-03-17 |
| 1902234586 | Judith Patrick Ronshagen | Pharmacist | 175 Queen City Avenue, Ste 1, Manchester, NH 03101 | 2013-10-17 |
| 1942566336 | Elizabeth Zavagnin | Specialist | 2 Wall St Ste 200, Manchester, NH 03101 | 2012-04-10 |
| 1538463088 | William Gerald Mccormick | Pharmacist | 175 Queen City Ave, Manchester, NH 03101 | 2010-12-27 |
| 1215241799 | Melissa Ann Dinoto | Counselor | 20 Market St., Manchester, NH 03101 | 2010-07-27 |
| Find all providers in zip 03101 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891843 | Faithanne Blue | Counselor | 60 Rogers St Unit 1, Manchester, NH 03103-5070 | 2020-11-05 |
| 1073129367 | Deborah Lynn Bowles-lee | Counselor | 1541 Sainville Rd, Manchester, TN 37355-6248 | 2020-09-22 |
| 1477199081 | Helping Hands Outreach Ministries, Inc. | Counselor | 50 Lowell St, Manchester, NH 03101-1635 | 2019-11-19 |
| 1710538673 | Samantha Corinne Boutsianis | Counselor | 206 Jewett St Apt 2b, Manchester, NH 03103-2879 | 2019-09-23 |
| 1306493531 | Mackenzie Ryan Seely | Counselor | 293 Wilson Street, 3rd Floor, Manchester, NH 03103-5021 | 2019-08-22 |
| 1174178743 | Melissa Ann Kimball | Counselor | 60 Rogers St Unit 204, Manchester, NH 03103-5070 | 2019-08-09 |
| 1871145086 | Healthy Solutions | Counselor | 643 Main Street, Manchester, CT 06084 | 2019-07-09 |
| 1629639034 | Mano-en-mano Hand In Hand,llc | Counselor | 843 Main St Ste 10, Manchester, CT 06040-6041 | 2019-06-26 |
| 1619432994 | Michelle Lee Poulin | Counselor | 303 Belmont St, Manchester, NH 03103-4311 | 2019-01-31 |
| 1770056632 | Joan Catharine Sementa | Counselor | Sununu Youth Center, 1056 River Road, Manchester, NH 03104-0305 | 2019-01-03 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03101 |
Please comment or provide details below to improve the information on MR. JEFFREY PETER WEDGE.
| 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.