SUSAN E BAKALEY-MARSHALL (NPI# 1912199951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912199951 |
| Entity Type | Individual |
| Full Name | SUSAN E BAKALEY-MARSHALL |
| Credential | LCPC |
| Practice Address |
253 Halldale Rd Montville ME 04941-4066 |
| Practice Telephone | 2075893063 |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2009-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
CC256 | ME | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 431547499 | 05 |
| Street Address |
253 HALLDALE RD |
| City | MONTVILLE |
| State | ME |
| Zip Code | 04941-4066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275862740 | Dawnella Sutton | Doula | 230 Belfast Rd, Freedom, ME 04941-3115 | 2009-12-13 |
| 1881912350 | Cassandra Kennedy Redwine | Occupational Therapist | 26 Smithton Rd, Freedom, ME 04941-3300 | 2010-05-09 |
| 1508246190 | James Bean | Registered Nurse | 635 Center Rd, Montville, ME 04941-4205 | 2015-06-09 |
| 1548587371 | Louis Michael Pontillo | Acupuncturist | 31 Spring Hill Rd, Montville, ME 04941-4418 | 2010-05-04 |
| 1124301551 | Scott E. Miller | Social Worker | 868 Woodsmans Mill Rd, Montville, ME 04941-4640 | 2011-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447859194 | Jacqueline Sousa | Behavioral Analyst | 127 Old Changebridge Rd, Montville, NJ 07045-9400 | 2020-10-23 |
| 1770111320 | Adrian A Sanchez | Nurse Practitioner | 28 Springbrook Rd E, Montville, NJ 07045-9162 | 2020-03-30 |
| 1588299390 | Developmental Disability Awareness With Love (ddawl) | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2 Stiles Ln, Montville, NJ 07045-9424 | 2020-03-12 |
| 1215588090 | Total Health Physical Medicine and Rehab Center | Chiropractor | 137 Main Rd Ste 100, Montville, NJ 07045-9231 | 2019-09-24 |
| 1124676226 | Janice Y Lee Dds P.a. | Dentist | 170 Changebridge Rd Bldg D52, Montville, NJ 07045-8803 | 2019-09-01 |
| 1811478407 | Dana D'amato | Physical Therapist | 2 Changebridge Rd Bldg Suitef2, Montville, NJ 07045-8947 | 2018-08-22 |
| 1780160655 | Jkf Consulting | Psychologist | 120 Ridge Dr, Montville, NJ 07045 | 2018-07-13 |
| 1093205031 | Alexandra Charles | Student in an Organized Health Care Education/Training Program | 4 Fox Hollow Rd, Montville, NJ 07045-9300 | 2018-05-15 |
| 1053812214 | Professional Occupational & Physical Therapy, Pllc | Occupational Therapist | 137 Main Rd Fl 2, Montville, NJ 07045-9231 | 2018-02-23 |
| 1265949424 | Emily Spicka | Physical Therapist | 2 Changebridge Rd Ste F, Montville, NJ 07045-8947 | 2018-01-09 |
| Find all providers in MONTVILLE | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457749095 | Jaclyn Festa | Counselor | 170 Changebridge Rd, B3-2, Montville, NJ 07045-9115 | 2015-01-06 |
| 1770877250 | Denise Ann Brewer | Counselor | 390 Main Rd, Montville, NJ 07045 | 2011-06-02 |
| 1437452273 | Shannon Santoro | Counselor | 390 Main Road, New Bridge Services, Montville, NJ 07045 | 2010-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062271 | Megan Joanne Mitchell | Counselor | 471 Howe Hill Road, Greenwood, ME 04255 | 2020-10-30 |
| 1245862150 | Jing Ye | Counselor | 165 Captain John Parker Rd, Phippsburg, ME 04562-4546 | 2020-02-08 |
| 1336770726 | Holly Helena Carletti Alivizatos | Counselor | 43 Coach Lantern Ln W, Scarborough, ME 04074-8510 | 2020-02-04 |
| 1437780590 | Cheryl Bedan | Counselor | 300 Portland Rd Ste 1, Bridgton, ME 04009-4227 | 2020-01-28 |
| 1427694546 | Gerard Fitzgerald | Counselor | 303 Coopers Mills Rd, Windsor, ME 04363-3825 | 2019-11-24 |
| 1922658988 | Bailey G Knox | Counselor | 64 Lisbon St Ste 2, Lewiston, ME 04240-8064 | 2019-09-12 |
| 1780233445 | Amy Marie Tardy | Counselor | 325 Kmd, Building D - Unit 4, 325 Kmd - Building D -- Unit 4, Waterville, ME 04901 | 2019-09-05 |
| 1467928317 | Carlos Lopez & Associates LLC | Counselor | 213 W. Broadway, Lincoln, ME 04457 | 2018-10-18 |
| 1609368877 | Laurie Mclean Reckendorf | Counselor | 16 Jamesey Court, Suite 100, New Harbor, ME 04554 | 2018-06-04 |
| 1215434477 | Kelley Anne Hill | Counselor | 17 Houston Lane, Brewer, ME 04412 | 2018-04-12 |
| Find all providers with the same taxonomy | ||||
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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.