JAMES R SISUNG II (NPI# 1790921963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790921963 |
| Entity Type | Individual |
| Full Name | JAMES R SISUNG II |
| Credential | PSYD |
| Practice Address |
30 Chase Ave Waterville ME 04901-4624 |
| Practice Telephone | 2078724139 |
| Mailing Telephone | 2078724139 |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2008-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | TE1261 | ME | Behavioral Health & Social Service Providers |
| Street Address |
30 CHASE AVE |
| City | WATERVILLE |
| State | ME |
| Zip Code | 04901-4624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487648713 | Nicholas Jay Thompson | Specialist/Technologist | 30 Chase Ave, Waterville, ME 04901-4624 | 2005-09-01 |
| 1326465063 | Diane Weinstein | Social Worker | 30 Chase Ave, Waterville, ME 04901-4624 | 2014-03-19 |
| 1952737041 | Jill M Godfrey | Counselor | 30 Chase Ave, Waterville, ME 04901-4624 | 2013-09-20 |
| 1306272547 | Caroline W Feely | Social Worker | 30 Chase Ave, Waterville, ME 04901-4624 | 2013-09-19 |
| 1538469044 | Carmen Alvarado Bernhardt | Occupational Therapy Assistant | 30 Chase Ave, Waterville, ME 04901-4624 | 2010-10-31 |
| 1063743961 | Susan Lewis Cruz | Nurse Practitioner | 30 Chase Ave, Workplace Health, Waterville, ME 04901-4624 | 2010-01-18 |
| 1063662351 | Mary Anne F Booth | Audiologist | 30 Chase Ave, Waterville, ME 04901-4624 | 2008-09-24 |
| 1831374750 | Meredyth Ann Sanborn | Speech-Language Pathologist | 30 Chase Ave, Waterville, ME 04901-4624 | 2008-01-09 |
| 1083834485 | Kathleen Ann Kelleher | Physical Therapist | 30 Chase Ave, Edmund Ervin Pediatric Center, Waterville, ME 04901-4624 | 2007-04-26 |
| 1861515330 | John Taylor Bielecki | Preventive Medicine | 30 Chase Ave, Waterville, ME 04901-4624 | 2007-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093325649 | Orthopedic Physical Therapy | Physical Therapist | Orthopedic Physical Therapy, 234 College Ave, Waterville, ME 04901 | 2020-08-07 |
| 1790328771 | Elizabeth Saucier | Counselor | Discovery House 40 Airport Rd, Waterville, ME 04901 | 2019-10-23 |
| 1780233445 | Amy Marie Tardy | Counselor | 325 Kmd, Building D - Unit 4, 325 Kmd - Building D -- Unit 4, Waterville, ME 04901 | 2019-09-05 |
| 1457905911 | Waterville Audiology PC | Audiologist-Hearing Aid Fitter | 124 Silver Street, Waterville, ME 04901 | 2019-08-01 |
| 1629537048 | Samantha Sobel | Behavioral Analyst | 2 Seton Center Dr, Waterville, ME 04901 | 2019-03-15 |
| 1366916025 | Waterville Pharmacy | Pharmacy | 20 Concourse W, Waterville, ME 04901 | 2019-01-16 |
| 1699243733 | Thomas James Demers | Counselor | Discovery House, 40 Airport Road, Waterville, ME 04901 | 2018-11-07 |
| 1851892442 | Alishia M Austin | Counselor | Discovery House Ctc Waterville 40 Airport Rd, Waterville, ME 04901 | 2018-02-28 |
| 1336671056 | Douglas Joseph Dicola | Family Medicine | Mainegeneral Medical Center, 149 North St, Waterville, ME 04901 | 2017-03-31 |
| 1134660020 | Waterville Medical Supplies | Durable Medical Equipment & Medical Supplies | 325 Waterville Commons Drive, Waterville, ME 04901 | 2017-03-13 |
| Find all providers in zip 04901 | ||||
| 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 |
|---|---|---|---|---|
| 1598016602 | Kristen Marie Heil | Psychologist | 149 North St, Waterville, ME 04901-4974 | 2012-09-28 |
| 1568648319 | Gary Rasmussen | Psychologist | 179 Main St Ste 208, Waterville, ME 04901-6672 | 2008-01-10 |
| 1851446793 | Ann Schoenthler-ervin | Psychologist | 2 School St, Waterville, ME 04901-7518 | 2007-01-23 |
| 1245397314 | Dennis Paul Ratner | Psychologist | 2 Elm St, Waterville, ME 04901-5905 | 2007-01-01 |
| 1811055353 | Mary Louisa Barnhart | Psychologist | 10 Water St, Suite 306, Waterville, ME 04901-6559 | 2006-12-05 |
| 1023176005 | Christina Marie Fasse | Psychologist | 2 Big Sky Ln, Waterville, ME 04901-4340 | 2006-12-04 |
| 1396824710 | Keith E Cook | Psychologist | 60 Front St, Waterville, ME 04901-6658 | 2006-11-05 |
| 1073697926 | Diane S Moongrove | Psychologist | 8 Highwood St, Waterville, ME 04901-5740 | 2006-10-25 |
| 1538243381 | Roger D Phelps | Psychologist | 10 Water St, Suite 306, Waterville, ME 04901-6559 | 2006-10-25 |
| 1932294782 | Richard J. Staples | Psychologist | 32 College Ave, Suite 301, Waterville, ME 04901-6100 | 2006-10-04 |
| Find all providers in WATERVILLE | ||||
| City | WATERVILLE |
| Zip Code | 04901 |
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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.