MEAGAN PAVAO (NPI# 1841731338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841731338 |
| Entity Type | Individual |
| Full Name | MEAGAN PAVAO |
| Other Name | MEAGAN DERBY |
| Credential | LADC 1 |
| Practice Address |
31 Workshop Road South Yarmouth MA 02664 |
| Practice Telephone | 8558304329 |
| Mailing Telephone | 8558304329 |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2017-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1598 | MA | Behavioral Health & Social Service Providers |
| Street Address |
31 WORKSHOP ROAD |
| City | SOUTH YARMOUTH |
| State | MA |
| Zip Code | 02664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730721648 | Taylor Drew | Behavior Technician | 435 Station Ave., Unit B, South Yarmouth, MA 02664 | 2019-10-11 |
| 1114428794 | Emily Rose Clark | Behavioral Analyst | 936b Station Ave, Yarmouth, MA 02664 | 2018-02-28 |
| 1124547906 | Kylie Joanne Zurn | Speech-Language Pathologist | 76 Phyllis Drive, South Yarmouth, MA 02664 | 2017-09-13 |
| 1205296878 | Howayne A L Hamilton | Behavioral Analyst | 107 West Great Western Road, South Yarmouth, MA 02664 | 2016-02-25 |
| 1053656371 | Susan Elizabeth Davenport | Nurse Practitioner | 23 F. Whites Path, South Yarmouth, MA 02664 | 2012-11-28 |
| 1649444514 | Transitions Centers Inc. | Day Training, Developmentally Disabled Services | 782 Route 28, South Yarmouth, MA 02664 | 2008-04-22 |
| 1902934326 | David Mishkin | Clinical Neuropsychologist | 23p2 Union Station- Whites Path, S. Yarmouth, MA 02664 | 2007-02-28 |
| 1841343084 | Kristin Elizabeth Schmidt | Counselor | 50 Long Pond Dr, South Yarmouth, MA 02664 | 2007-01-19 |
| 1578628111 | Rhetta Annie Scott | Social Worker | 50 Long Pond Drive, South Yarmouth, MA 02664 | 2006-12-26 |
| 1083775548 | Sandra Michelle Korona | Counselor | 2302 Whites Path, S Yarmouth, MA 02664 | 2006-12-12 |
| Find all providers in zip 02664 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639618010 | Stephenq Micheal Jordan | Counselor | 31 Workshop Rd, South Yarmouth, MA 02664-1210 | 2017-02-17 |
| 1376903245 | Scott Giordano | Counselor | 31a Workshop Rd, South Yarmouth, MA 02664-1210 | 2016-03-04 |
| 1134585607 | Jodi Sylvester-dickerson | Counselor | 31a Workshop Rd, South Yarmouth, MA 02664-1210 | 2016-01-13 |
| 1508222191 | Margaret Angela Moynagh | Counselor | 31a Workshop Rd, South Yarmouth, MA 02664-1210 | 2016-01-12 |
| 1033449715 | Carol Wood | Counselor | 50 Long Pond Dr, South Yarmouth, MA 02664-4180 | 2010-01-03 |
| 1598988586 | Eileen Ryan O'doherty | Counselor | 20 Forsythe Ave, South Yarmouth, MA 02664-1814 | 2007-04-10 |
| 1700908860 | Sheryl Nuccio Vinsun | Counselor | 20 Forsythe Ave, South Yarmouth, MA 02664-1814 | 2007-04-06 |
| 1891813077 | Arthur Charles Chadwick | Counselor | 20 Forsythe Ave, South Yarmouth, MA 02664-1814 | 2007-03-27 |
| 1790803955 | Nicholas John Mazzoni | Counselor | 20 Forsythe Ave, South Yarmouth, MA 02664-1814 | 2007-03-27 |
| 1639297658 | Verlyna F Furblur | Counselor | 20 Forsythe Ave, South Yarmouth, MA 02664-1814 | 2007-03-27 |
| Find all providers in SOUTH YARMOUTH | ||||
| City | SOUTH YARMOUTH |
| Zip Code | 02664 |
Please comment or provide details below to improve the information on MEAGAN PAVAO.
| 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.