DR. JUNEAU MAHAN GARY (NPI# 1831300086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831300086 |
Entity Type | Individual |
Full Name | DR. JUNEAU MAHAN GARY |
Credential | PSY.D. |
Practice Address |
32 Bowsprit Dr Bayville NJ 08721-1400 |
Practice Telephone | 7322698026 |
Practice Fax Number | 7322698026 |
Mailing Telephone | 7322698026 |
Mailing Fax Number | 7322698026 |
Enumeration Date | 2007-05-26 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 101YP2500X |
Counselor Specialization: Professional |
37PC00153600 | NJ | Behavioral Health & Social Service Providers |
X | 103TC0700X |
Psychologist Specialization: Clinical |
35SI00192700 | NJ | Behavioral Health & Social Service Providers |
Street Address |
32 BOWSPRIT DR |
City | BAYVILLE |
State | NJ |
Zip Code | 08721-1400 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306491469 | Caps Off LLC | Case Management | 6 Toppinglift Drive, Bayville, NJ 08721 | 2019-08-06 |
1336610682 | Edmond Osei Kankam | Pharmacist | 416 U.s 9, Bayville, NJ 08721 | 2018-12-16 |
1881083483 | Richard Foster II | Emergency Medical Technician, Basic | 660 Atlantic City Blvd, Bayville, NJ 08721 | 2015-01-20 |
1346640299 | Bayville First Aid Squad | Ambulance | 660 Route 9, Bayville, NJ 08721 | 2014-08-28 |
1982003893 | A-one Dental of Bayville LLC | Dentist | 800 Atlantic City Blvd, Bayville, NJ 08721 | 2014-08-15 |
1396028098 | Jaime Borrelli | Social Worker | 160 Rt 9, Bayville, NJ 08721 | 2011-09-20 |
1225348717 | Garret W Henshaw | Specialist/Technologist | Forest Hills Parkway, Bayville, NJ 08721 | 2010-10-18 |
1174839518 | Kenneth Zalenski | Pharmacist | 419 Atlantic City Blvd, Bayville, NJ 08721 | 2010-08-24 |
1154659324 | Norman Santo-domingo | Pediatrics | 800 Rte 9, Ste 4, Bayville, NJ 08721 | 2009-11-30 |
1700055670 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 400 Route 9, Bayville, NJ 08721 | 2008-02-26 |
Find all providers in zip 08721 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629411475 | Craig L Conway | Counselor | 46 Marlin Ct, Bayville, NJ 08721-2465 | 2013-04-11 |
1962031773 | Kelly Ann Rafter-kwortnik | Counselor | 160 Atlantic City Blvd, Bayville, NJ 08721-1229 | 2020-04-03 |
1225592892 | Danielle M Thompson | Counselor | 160 Route 9, Bayville, NJ 08721-1229 | 2019-01-28 |
1861932030 | Stephanie Derosa | Counselor | 160 Atlantic City Blvd, Bayville, NJ 08721-1229 | 2017-03-07 |
1891155180 | Monique Gabriele | Counselor | 160 Route 9, Bayville, NJ 08721-1229 | 2016-02-29 |
1437542404 | Nicole Sullivan | Counselor | 160 Atlantic City Blvd, Bayville, NJ 08721-1229 | 2015-03-14 |
1487095477 | Kim Class | Counselor | 160 Route 9, Bayville, NJ 08721-1229 | 2013-07-08 |
1003159724 | Christine Mcgowan | Counselor | 160 Route 9, Bayville, NJ 08721-1229 | 2013-04-01 |
1396081022 | Deanne Gettis | Counselor | 160 Route 9, Bayville, NJ 08721-1229 | 2012-12-28 |
1346586500 | Lisa M Miller-samber | Counselor | 160 Route 9, Bayville, NJ 08721-1229 | 2012-12-17 |
Find all providers in BAYVILLE |
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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.