BRENDA DIANE ELINE (NPI# 1942605522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942605522 |
Entity Type | Individual |
Full Name | BRENDA DIANE ELINE |
Practice Address |
11 King Charles Dr Ste A2 Portsmouth RI 02871-1364 |
Practice Telephone | 4016830857 |
Practice Fax Number | 4012930142 |
Mailing Telephone | 4016830857 |
Mailing Fax Number | 4012930142 |
Enumeration Date | 2014-10-25 |
Last Update Date | 2014-10-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDP595 | RI | Behavioral Health & Social Service Providers |
Street Address |
11 KING CHARLES DR STE A2 |
City | PORTSMOUTH |
State | RI |
Zip Code | 02871-1364 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114252897 | Sarah Mcneill | Specialist | 11 King Charles Dr Ste A2, Portsmouth, RI 02871-1364 | 2009-10-13 |
1699376970 | Simply Speech LLC | Speech-Language Pathologist | 11 King Charles Dr Ste A2, Portsmouth, RI 02871-1364 | 2020-11-04 |
1073125233 | Kara A Dunivin | Occupational Therapy Assistant | 11 King Charles Dr Ste A2, Portsmouth, RI 02871-1364 | 2020-08-19 |
1902373046 | Adcare Rhode Island | Clinic/Center | 11 King Charles Dr Ste A2, Portsmouth, RI 02871-1364 | 2018-10-26 |
1306367412 | Edward Joseph Ferreira | Counselor | 11 King Charles Dr Ste A2, Portsmouth, RI 02871-1364 | 2017-06-28 |
1255861431 | Laine Fountain | Occupational Therapy Assistant | 11 King Charles Dr Ste A2, Portsmouth, RI 02871-1364 | 2017-06-19 |
1497165898 | Stephanie Elisabeth Conrad Kelley | Speech-Language Pathologist | 11 King Charles Dr Ste A2, Portsmouth, RI 02871-1364 | 2014-05-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487028783 | Jocelyn Arruda | Marriage & Family Therapist | 275 Mccorrie Lane, Portsmouth, RI 02871 | 2015-11-24 |
1841587417 | Visiting Nurse Services of Newport and Bristol Counties | Clinic/Center | 1184 East Main Road, Portsmouth, RI 02871 | 2011-07-05 |
1831483148 | James Patrick Nolan | Pathology | 150 Carnegie Harbor Drive, Portsmouth, RI 02871 | 2011-06-03 |
1720378623 | Thomas Francis Reitano | Pharmacist | 3034 East Main Rd, Portsmouth, RI 02871 | 2011-04-12 |
1063716793 | Amber Kaltenstein | Psychologist | 2820 E Main Rd, Portsmouth, RI 02871 | 2011-01-10 |
1760660773 | Susan Mandrachia Killebrew | Social Worker | 107 Clock Tower Square, Portsmouth, RI 02871 | 2008-02-01 |
1235348335 | East Bay Endoscopy Center LLC | Clinic/Center | 109 Clock Tower Square, Portsmouth, RI 02871 | 2007-05-22 |
1346369147 | Todd Matthew Carbone | Physical Therapy Assistant | 459 Wapping Rd, Portsmouth, RI 02871 | 2007-03-29 |
1952436032 | Newport County Regional Special Education | Local Education Agency (LEA) | Elmhurst School, 1 Frank Coelho Drive, Portsmouth, RI 02871 | 2007-02-22 |
1437292760 | Aquidneck Dental, Inc. | Dentist | 21 King Charles Drive, Portsmouth, RI 02871 | 2007-02-15 |
Find all providers in zip 02871 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346858305 | Gwendolyn Daniels Slade | Counselor | 9 Canoe Ct, Portsmouth, VA 23703-5380 | 2020-07-16 |
1801410550 | Tequila Marie Estep | Counselor | 1870 Swauger Valley Rd, Portsmouth, OH 45662-9097 | 2020-05-28 |
1477174126 | Hollie Sue Maund | Counselor | 1619 Chillicothe St, Portsmouth, OH 45662-3477 | 2020-05-05 |
1730748260 | Mary Yost | Counselor | 212 Islington St, Portsmouth, NH 03801-4204 | 2019-06-09 |
1871150961 | Southern Hope Recovery Center | Counselor | 4342 Gallia St Ste A, Portsmouth, OH 45662-5563 | 2019-05-23 |
1851878540 | Laura K Lennex | Counselor | 5611 Gallia St, Portsmouth, OH 45662-5520 | 2018-07-25 |
1851880827 | Latiesha Davis Wiggins | Counselor | 355 Crawford St Ste 502, Portsmouth, VA 23704-2822 | 2018-05-06 |
1437667045 | Angela Dyke | Counselor | 1907 11th St, Portsmouth, OH 45662-4531 | 2018-01-17 |
1104338870 | Aryn Brown | Counselor | 1311 2nd St, Portsmouth, OH 45662-4602 | 2017-11-02 |
1871010967 | Nicole Lynne Johnson | Counselor | 800 Gallia Street Suite 600, Portsmouth, OH 45662 | 2017-08-29 |
Find all providers in PORTSMOUTH |
City | PORTSMOUTH |
Zip Code | 02871 |
Please comment or provide details below to improve the information on BRENDA DIANE ELINE.
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.