BAYSIDE NEUROREHABILITATION SERVICES (NPI# 1881851517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881851517 |
| Entity Type | Organization |
| Organization Name | BAYSIDE NEUROREHABILITATION SERVICES |
| Other Organization Name | GOOD WILL INDUSTRIES OF NEW ENGLAND |
| Practice Address |
26 Portland St Portland ME 04101-2912 |
| Practice Telephone | 2072618402 |
| Practice Fax Number | 2072718405 |
| Mailing Telephone | 2072618402 |
| Mailing Fax Number | 2072718405 |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |
| Authorized Official Name | MS. ANN P COSTELLO (CLINICAL SOCIAL WORKER) |
| Authorized Official Telephone | 2077618402 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
LC9494 | ME | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Good Will Industries of New England | Doing Business As Name - Organization |
| Street Address |
26 PORTLAND ST |
| City | PORTLAND |
| State | ME |
| Zip Code | 04101-2912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376734665 | Meridyth R Astrosky | Occupational Therapist | 26 Portland St, Portland, ME 04101-2912 | 2007-08-05 |
| 1447567318 | Kacie Noelle Szemela | Speech-Language Pathologist | 26 Portland St, Portland, ME 04101-2912 | 2010-09-13 |
| 1114233129 | Elise Cote Laplante | Speech-Language Pathologist | 26 Portland St, Portland, ME 04101-2912 | 2010-08-27 |
| 1962718049 | Goodwill Industries of Northern New England | Case Management | 26 Portland St, Portland, ME 04101-2912 | 2010-08-26 |
| 1891927331 | Sherry A Corey | Physical Therapy Assistant | 26 Portland St, Portland, ME 04101-2912 | 2009-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450655 | Jocylin Egan | Nurse Practitioner | 442 Congress Street, 2nd Floor, Portland, ME 04101 | 2020-09-03 |
| 1255963559 | Portcity Home Healthcare LLC | In Home Supportive Care | 525 Forest Avenue, Suite 8, Portland, ME 04101 | 2020-02-05 |
| 1578101929 | Mohamed Hassan Mohamed | Student in an Organized Health Care Education/Training Program | 75 Lancaster St Ste 218a, Portland, ME 04101 | 2019-12-17 |
| 1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
| 1093379224 | Alexandra Strawbridge Maurer | Acupuncturist | 50 A Cove Street, Portland, ME 04101 | 2019-04-23 |
| 1245719541 | Scott J Whited | Nurse Practitioner | 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 | 2018-08-08 |
| 1144733064 | Alixandria Elaine Marie Winchell | Massage Therapist | One City Center, Portland, ME 04101 | 2017-11-14 |
| 1417473638 | Rachel S Schwaner | Occupational Therapist | 78 Danforth Street, Apartment 6, Portland, ME 04101 | 2017-08-18 |
| 1023538154 | Derina Boothroyd | Audiologist-Hearing Aid Fitter | 985 Forest Ave., Portland, ME 04101 | 2017-06-20 |
| 1881123297 | Mark Mccullough | Social Worker | 57 Exchange Street, Suite 403, Portland, ME 04101 | 2017-06-08 |
| Find all providers in zip 04101 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174907638 | Bridgeton Chiropractic, LLC | Clinic/Center | 10350 N Vancouver Way # 92, Portland, OR 97217-7530 | 2015-07-15 |
| 1912241746 | Portland Preventive Cardiology LLC | Clinic/Center | 8855 Sw Canyon Ln, Portland, OR 97225-3411 | 2012-11-16 |
| 1619234317 | Derek Libby Do | Clinic/Center | 97a Exchange St Ste 201, Portland, ME 04101-5016 | 2012-04-19 |
| 1447563010 | Jeanette Cummings, Dc, PC | Clinic/Center | 516 Se Morrison Street, Suite 1110, Portland, OR 97214-2390 | 2010-07-23 |
| 1982921607 | Naveen Sachdev Md Inc | Clinic/Center | 9155 Sw Barnes Rd Ste 417, Portland, OR 97225-6631 | 2010-04-21 |
| 1538298336 | Oregon Sleep and Pulmonary, LLC | Clinic/Center | 2228 Nw Pettygrove St Ste 150, Portland, OR 97210-2761 | 2007-03-05 |
| 1538191606 | Northwest Neurological Specialists PC | Clinic/Center | 1585 Sw Marlow Ave Ste 110, Portland, OR 97225-5177 | 2006-07-07 |
| 1659939296 | The Travelling Tao | Clinic/Center | 121 Nw Everett St, Portland, OR 97209-4049 | 2019-05-29 |
| 1689189151 | Personaleyes, LLC | Clinic/Center | 14740 Nw Cornell Rd, Portland, OR 97229-5496 | 2017-12-06 |
| 1851810626 | Cascadia Behavioral Healthcare, Inc | Clinic/Center | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 | 2017-09-13 |
| Find all providers in PORTLAND | ||||
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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.