MAURA DERRIVAN (NPI# 1811486673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811486673 |
| Entity Type | Individual |
| Full Name | MAURA DERRIVAN |
| Practice Address |
71 Us Route 1 Ste H Scarborough ME 04074 |
| Mailing Address |
3 Ethel Ave Apt A Westbrook ME 04092-2418 |
| Practice Telephone | 2077743570 |
| Mailing Telephone | 5088435587 |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2019-08-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
XL5292 | ME | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| N | 251S00000X | Community/Behavioral Health | XL5292 | ME | Agencies |
| N | 251S00000X | Community/Behavioral Health | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 35 Congress St Ste 214, Salem, MA 019707312 | 9785421951 |
| Street Address |
71 US ROUTE 1 STE H |
| City | SCARBOROUGH |
| State | ME |
| Zip Code | 04074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417220294 | Amanda Jean Daigle | Social Worker | 71 Us Route 1 Ste H, Scarborough, ME 04074-7174 | 2012-02-09 |
| 1386261485 | Emma Ewy | Social Worker | 71 Us Route 1 Ste H, Scarborough, ME 04074-7174 | 2020-07-06 |
| 1124585617 | Caitlin Louise Bodlovick | Behavioral Analyst | 71 Us Route 1 Ste H, Scarborough, ME 04074-7174 | 2019-02-21 |
| 1225513831 | Samantha Louise Ciullo Parlin | Social Worker | 71 Us Route 1 Ste H, Scarborough, ME 04074-7174 | 2018-09-28 |
| 1477036838 | Ryan Paul Contois | Social Worker | 71 Us Route 1 Ste H, Scarborough, ME 04074-7174 | 2018-09-12 |
| 1629558366 | Shelby Ryan Flanagan | Social Worker | 71 Us Route 1 Ste H, Scarborough, ME 04074-7174 | 2018-08-21 |
| 1447758172 | Kelly Sorensen | Counselor | 71 Us Route 1 Ste H, Scarborough, ME 04074-7174 | 2018-01-29 |
| 1447590914 | Richard Alfred Charity IIi | Counselor | 71 Us Route 1 Ste H, Scarborough, ME 04074-7174 | 2013-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407462443 | Jennifer Marlowe | Counselor | Crossroads Maine 71-us-1, Scarborough, ME 04074 | 2020-09-16 |
| 1508475724 | Whole Medicine LLC | Family Medicine | 2o Mussey Road, Suite 2, Scarborough, ME 04074 | 2020-07-23 |
| 1154957793 | Maria Robin Libby | Occupational Therapist | 144 Us-1 #4, Scarborough, ME 04074 | 2020-03-16 |
| 1558902932 | Daphne Berta Counseling P.C. | Counselor | 636 Route 1, Scarborough, ME 04074 | 2019-10-07 |
| 1619450574 | Louise Valati | Physical Therapist | Piper Shores, 15 Piper Road, Scarborough, ME 04074 | 2018-09-07 |
| 1770001315 | Emily Dunuwila | Massage Therapist | 51 Us Route One Suite R2, Scarborough, ME 04074 | 2017-09-04 |
| 1750808788 | Jill Daicey Hutchison | Physical Therapy Assistant | 67 Pine Point Road, Scarborough, ME 04074 | 2017-08-30 |
| 1457887580 | Rebecca Shaw | Social Worker | 119 Ash Swamp Road, Scarborough, ME 04074 | 2017-05-10 |
| 1184168767 | Jessica Ann Kaake | Occupational Therapist | 308 Us Route 1 Ste E1, Scarborough, ME 04074 | 2016-12-15 |
| 1356895056 | Nancy Gaudet | Counselor | 6 Catherine Drive, Scarborough, ME 04074 | 2016-08-10 |
| Find all providers in zip 04074 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407462443 | Jennifer Marlowe | Counselor | Crossroads Maine 71-us-1, Scarborough, ME 04074 | 2020-09-16 |
| 1558902932 | Daphne Berta Counseling P.C. | Counselor | 636 Route 1, Scarborough, ME 04074 | 2019-10-07 |
| 1679054498 | Kate Lynn Matthews Clark | Counselor | 7 Oak Hill Ter Ste 211, Scarborough, ME 04074-8996 | 2018-08-29 |
| 1669890190 | Brittany Price | Counselor | 9 Saratoga Ln, Scarborough, ME 04074-9818 | 2014-04-02 |
| 1790014439 | Jessica Hamlin | Counselor | 636 Us Route 1, Suite D, Scarborough, ME 04074 | 2009-12-09 |
| 1548225311 | Geneva Lynn Meserve | Counselor | 636 Us Route 1, Scarborough, ME 04074-9700 | 2006-04-17 |
| 1114571684 | Mary Cole | Counselor | 71 U.S. Route 1, Scarborough, ME 04074 | 2019-08-01 |
| 1285101212 | Penny Glover | Counselor | 433 Us Route 1, Scarborough, ME 04074-9089 | 2018-10-29 |
| 1801332648 | Claudia Lentz | Counselor | 71 Us Route 1, Suite E, Scarborough, ME 04074-7173 | 2017-01-18 |
| 1114332186 | Kathleen Morrissette | Counselor | 7 Oak Hill Ter, Suite 211, Scarborough, ME 04074-8996 | 2014-06-27 |
| Find all providers in SCARBOROUGH | ||||
| City | SCARBOROUGH |
| Zip Code | 04074 |
Please comment or provide details below to improve the information on MAURA DERRIVAN.
| 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.