Susan E Ouellette (NPI# 1720164320, PAC ID# 4880611458) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1720164320 |
| PAC ID by PECOS | 4880611458 |
| Professional Enrollment ID | I20051102000358 |
| Full Name | Susan E Ouellette |
| Organization Legal Name | CORSICA RIVER MENTAL HEALTH SERVICES, INC. |
| Address |
120 Banjo Ln Centreville MD 21617-1002 |
| Phone Number | 4107582211 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1999 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0941497382 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210034 | MEDSTAR HARBOR HOSPITAL |
| 210064 | LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6501 N Charles St, Baltimore, MD 21204-6819 | 4109383000 | SHEPPARD PRATT PHYSICIANS PA |
| 405 Frederick Rd, Suite 162, Catonsville, MD 21228-4646 | 4436371002 | TRIUMPH BEHAVIORAL HEALTH LLC |
| 120 Banjo Ln, Centreville, MD 21617-1002 | 4107582211 | CORSICA RIVER MENTAL HEALTH SERVICES, INC. |
| 4100 College Ave, Ellicott City, MD 21043-5506 | 4104653322 | SHEPPARD PRATT PHYSICIANS PA |
| 1447 York Rd, Suite 506, Lutherville, MD 21093-6022 | 4108252281 | WINDRUSH BEHAVIORAL HEALTH LLC |
| Organization Legal Name | CORSICA RIVER MENTAL HEALTH SERVICES, INC. |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maureen A Jacobs | Clinical Social Worker | Corsica River Mental Health Services, Inc. | 502 Poplar St, Cambridge, MD 21613-1834 |
| Kevin C Mcquiston | Clinical Social Worker | Corsica River Mental Health Services, Inc. | 120 Banjo Ln, Centreville, MD 21617-1002 |
| Julia R Strong | Nurse Practitioner | Corsica River Mental Health Services, Inc. | 502 Poplar St, Cambridge, MD 21613-1834 |
| Anna M Pokrywka | Clinical Social Worker | Corsica River Mental Health Services, Inc. | 502 Poplar St, Cambridge, MD 21613-1834 |
| Paula Turner | Clinical Social Worker | Corsica River Mental Health Services, Inc. | 502 Poplar St, Cambridge, MD 21613-1834 |
| Krystle Nicole Ladd | Nurse Practitioner | Corsica River Mental Health Services, Inc. | 120 Banjo Ln, Centreville, MD 21617-1002 |
| Mary E Hall | Clinical Social Worker | Corsica River Mental Health Services, Inc. | 120 Banjo Ln, Centreville, MD 21617-1002 |
| Victoria Tyson | Nurse Practitioner | Corsica River Mental Health Services, Inc. | 120 Banjo Ln, Centreville, MD 21617-1002 |
| Catherine Proa | Clinical Social Worker | Corsica River Mental Health Services, Inc. | 502 Poplar St, Cambridge, MD 21613-1834 |
| Sherri J Hitchcock | Clinical Social Worker | Corsica River Mental Health Services, Inc. | 502 Poplar St, Cambridge, MD 21613-1834 |
| Street Address |
120 BANJO LN |
| City | CENTREVILLE |
| State | MD |
| Zip | 21617-1002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin C Mcquiston | Clinical Social Worker | Corsica River Mental Health Services, Inc. | 120 Banjo Ln, Centreville, MD 21617-1002 |
| Krystle Nicole Ladd | Nurse Practitioner | Corsica River Mental Health Services, Inc. | 120 Banjo Ln, Centreville, MD 21617-1002 |
| Mary E Hall | Clinical Social Worker | Corsica River Mental Health Services, Inc. | 120 Banjo Ln, Centreville, MD 21617-1002 |
| Victoria Tyson | Nurse Practitioner | Corsica River Mental Health Services, Inc. | 120 Banjo Ln, Centreville, MD 21617-1002 |
| Kathleen S Van Fossen | Clinical Social Worker | Corsica River Mental Health Services, Inc. | 120 Banjo Ln, Centreville, MD 21617-1002 |
| Susan K Eakins | Clinical Social Worker | Corsica River Mental Health Services, Inc. | 120 Banjo Ln, Centreville, MD 21617-1002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindy L Lewis | Clinical Social Worker | Bridges Behavioral Health and Wellness | 207 N Liberty St, Suite B, Centreville, MD 21617-1022 |
| Jeanette L Metz | Clinical Social Worker | Bridges Behavioral Health and Wellness | 207 N Liberty St, Suite B, Centreville, MD 21617-1022 |
| Deborah L Dadds | Clinical Social Worker | Bridges Behavioral Health and Wellness | 207 N Liberty St, Suite B, Centreville, MD 21617-1022 |
| Charlotte F Pierce | Clinical Social Worker | Bridges Behavioral Health and Wellness | 207 N Liberty St, Suite B, Centreville, MD 21617-1022 |
| Desmond M Kaplan | Psychiatry | Bridges Behavioral Health and Wellness | 207 N Liberty St, Suite B, Centreville, MD 21617-1022 |
| Eric F Ciganek | Family Medicine | 629 Railroad Ave, Centreville, MD 21617-1144 | |
| Adam L Cohen | Chiropractic | 423 Railroad Ave, Centreville, MD 21617-1170 | |
| Gurpreet Kaur Saini | Internal Medicine | University of Maryland Community Medical Group Inc | 2540 Centreville Rd, Centreville, MD 21617-2681 |
| Marcia V Reynolds | Nurse Practitioner | University of Maryland Community Medical Group Inc | 2540 Centreville Rd, Centreville, MD 21617-2681 |
| Lisa V Mcdonald | Nurse Practitioner | University of Maryland Community Medical Group Inc | 2540 Centreville Rd, Centreville, MD 21617-2681 |
| Find all physicians in zip 21617 | |||
| City | CENTREVILLE |
| Zip Code | 21617 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CENTREVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Susan E Ouellette.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.