JULIE S BUCCARELLI (NPI# 1841717956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841717956 |
| Entity Type | Individual |
| Full Name | JULIE S BUCCARELLI |
| Credential | PMHNP |
| Practice Address |
2 Wall St Ste 300 Manchester NH 03101 |
| Mailing Address |
2 Wall St Ste 300 Manchester NH 03101-1518 |
| Practice Telephone | 6036684111 |
| Practice Fax Number | 6036416910 |
| Mailing Telephone | 6036684111 |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2019-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
CNP171133 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
067479-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 50 Moody St, Saco, ME 040721536 | (800) 434-3000 |
| 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 |
| 1770057291 | Jeffrey Peter Wedge | Counselor | 2 Wall St Ste 300, Manchester, NH 03101 | 2019-01-17 |
| 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 |
| 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 | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535008 | Dawn of A New Day Mental Health, Pllc | Nurse Practitioner | 250 Commercial St Ste 2100, Manchester, NH 03101-1142 | 2019-12-18 |
| 1033757893 | Joanna Mrozek | Nurse Practitioner | 270 Oak St, Manchester, CT 06040-5563 | 2019-12-11 |
| 1821575929 | Maria D. Ruiz | Nurse Practitioner | 25 Middle Tpke W, Manchester, CT 06040-4045 | 2018-07-23 |
| 1881104826 | Progressive Psychiatric Services, Pllc | Nurse Practitioner | 771 Chestnut Street, Manchester, NH 03104-3011 | 2017-10-04 |
| 1689045338 | Pat Buth | Nurse Practitioner | 111 Amherst Dr, Manchester, CT 06042-8543 | 2015-10-07 |
| 1730589615 | Lisa Weldon | Nurse Practitioner | 771 Chestnut St, Manchester, NH 03104-3011 | 2014-08-28 |
| 1265598056 | Albert S Ward | Nurse Practitioner | 30 Canton St., Suite 13, Manchester, NH 03103 | 2006-12-28 |
| 1851472427 | Rodney C Patterson | Nurse Practitioner | 715 Big Oak Dr, Manchester, TN 37355-7808 | 2006-10-18 |
| 1932121340 | Barbara D. Steele | Nurse Practitioner | 913 Elm St, Suite 511, Manchester, NH 03101-2005 | 2006-07-24 |
| 1952359192 | Pennie Marie Kane | Nurse Practitioner | 27 Lowell St, Suite 205, Manchester, NH 03101-1646 | 2006-05-04 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03101 |
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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.