PAT CHANTERELLE LLC (NPI# 1003173972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003173972 |
| Entity Type | Organization |
| Organization Name | PAT CHANTERELLE LLC |
| Other Organization Name | PATRICIA CHANTERELLE, D.C. |
| Practice Address |
30 Forest Falls Dr Suite 1 Yarmouth ME 04096-6983 |
| Practice Telephone | 2078467711 |
| Practice Fax Number | 2078467711 |
| Mailing Telephone | 2078467711 |
| Mailing Fax Number | 2078467711 |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2012-07-10 |
| Authorized Official Name | DR. PATRICIA CHANTERELLE (PRESIDENT) |
| Authorized Official Telephone | 2078467711 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | CR601 | ME | Hospitals |
| Other Name | Type Code |
|---|---|
| Patricia Chanterelle, D.C. | Former Legal Business Name - Organization |
| Street Address |
30 FOREST FALLS DR SUITE 1 |
| City | YARMOUTH |
| State | ME |
| Zip Code | 04096-6983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104982941 | Cathleen M. Dimarzio | Counselor | 30 Forest Falls Dr, Suite 1, Yarmouth, ME 04096-6983 | 2006-12-28 |
| 1013223361 | Sequelcare of Maine, LLC | Community/Behavioral Health | 30 Forest Falls Dr, Yarmouth, ME 04096-6983 | 2010-08-25 |
| 1922314277 | Sequelcare of Maine, LLC | Community/Behavioral Health | 30 Forest Falls Dr, Yarmouth, ME 04096-6983 | 2010-08-25 |
| 1770702151 | Kimberly A. Egberts & Assoc. | Speech-Language Pathologist | 30 Forest Falls Dr, Suite #1, Yarmouth, ME 04096-6983 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306223508 | Mary Edgerton | Occupational Therapist | 370 Portland Ave, Brentwood Center for Health and Rehabilitation, Yarmouth, ME 04096 | 2015-04-27 |
| 1326454927 | Samantha Portnoy | Social Worker | 500 Us Rt. 1 Suite 102, Yarmouth, ME 04096 | 2014-07-03 |
| 1801143656 | Joanna L Thomas | Pharmacist | 478 Us-1, Yarmouth, ME 04096 | 2012-08-11 |
| 1871728287 | Joellen Stanton Mccosh | Speech-Language Pathologist | 26 Acorn Circle, Yarmouth, ME 04096 | 2009-05-29 |
| 1568624211 | Lynda A Doyle | Social Worker | 60 Forest Falls Drive, Suite 4, Yarmouth, ME 04096 | 2008-06-25 |
| 1003077165 | Patricia Limon Sands | Social Worker | 26 School St Ste 6, Yarmouth, ME 04096 | 2008-06-21 |
| 1811102957 | Ronald George Sawyer | Dentist | 9 Waters Edge Rd, Yarmouth, ME 04096 | 2007-05-11 |
| 1316167182 | Yarmouth School Department | Local Education Agency (LEA) | 101 Mccartney St, Yarmouth, ME 04096 | 2007-04-26 |
| 1386706802 | Howard R Kessler | Clinical Neuropsychologist | 500 Us Route 1 Ste 26, Yarmouth, ME 04096 | 2006-12-14 |
| 1538227319 | Amy Fuller | Dentist | 247 Portland Street, Yarmouth, ME 04096 | 2006-12-05 |
| Find all providers in zip 04096 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417370198 | Togus | Special Hospital | 320 Webber Pond Rd, Vassalboro, ME 04989-3938 | 2014-01-30 |
| 1255424933 | John Joseph Farina | Special Hospital | One Va Center, Togus, ME 04330 | 2006-10-02 |
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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.