MACKENZIE MULLEN ROSS (NPI# 1033627237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033627237 |
| Entity Type | Individual |
| Full Name | MACKENZIE MULLEN ROSS |
| Credential | NP |
| Practice Address |
165 Lancaster St Portland ME 04101-2406 |
| Practice Telephone | 2078741030 |
| Practice Fax Number | 2078741044 |
| Mailing Telephone | 2078741030 |
| Mailing Fax Number | 2078741044 |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2020-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN2312246 | MA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
CNP191293 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
2312246 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20 Central Ave, Lynn, MA 019011201 | 7814777222 | |
| 5 Neponset St, Worcester, MA 01606 | 5088560732 | 5084255126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871109033 | Mackenzie Ross | Occupational Therapist | 220 Reservoir St, Harrisonburg, VA 22801-4321 | 2020-09-22 |
| 1386265817 | Mackenzie Ross | Social Worker | 3280 W 3500 S Ste E, West Valley, UT 84119-2668 | 2020-05-06 |
| Street Address |
165 LANCASTER ST |
| City | PORTLAND |
| State | ME |
| Zip Code | 04101-2406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780646430 | Marianne Decain Tarraza | Registered Nurse | 165 Lancaster St, Portland, ME 04101-2406 | 2006-04-06 |
| 1033743232 | Glenn Andrew Mayer | Counselor | 165 Lancaster St, Portland, ME 04101-2406 | 2020-02-26 |
| 1972137172 | Erin Eileen Freysinger | Social Worker | 165 Lancaster St, Portland, ME 04101-2406 | 2020-02-26 |
| 1528603396 | Miranda Nichols | Counselor | 165 Lancaster St, Portland, ME 04101-2406 | 2019-11-15 |
| 1265912067 | Mainehealth | Community/Behavioral Health | 165 Lancaster St, Portland, ME 04101-2406 | 2018-08-21 |
| 1952889529 | Elizabeth Clifford | Nurse Practitioner | 165 Lancaster St, Portland, ME 04101 | 2018-08-05 |
| 1295222388 | Christine Renaud | Social Worker | 165 Lancaster St, Portland, ME 04101-2406 | 2018-04-16 |
| 1699282194 | Elizabeth Center | Counselor | 165 Lancaster St, Portland, ME 04101-2406 | 2018-01-05 |
| 1154794246 | Rebekah Joy Crabtree | Social Worker | 165 Lancaster St, Portland, ME 04101-2406 | 2015-11-11 |
| 1093198749 | Anthony C. Brucato | Counselor | 165 Lancaster St, Portland, ME 04101-2406 | 2015-06-30 |
| Find all providers in the same location | ||||
| 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 | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
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| 1457967325 | Megan L Langworthy | Nurse Practitioner | 1914 Se 46th Ave, Portland, OR 97215-3148 | 2020-09-16 |
| 1104446681 | Skycloud Psychiatry LLC | Nurse Practitioner | 106 South West Woods St, Portland, OR 97201 | 2020-04-24 |
| 1730712290 | Lucy Anne Bloedon | Nurse Practitioner | 4020 Sw Iowa St, Portland, OR 97221-3423 | 2020-02-12 |
| 1346802733 | Compass Psychiatric Wellness LLC | Nurse Practitioner | 4300 Ne Fremont St Ste 260, Portland, OR 97213-1100 | 2019-07-05 |
| 1548721871 | Cooke Therapy Pllc | Nurse Practitioner | 1125 Se Madison St Ste 102, Portland, OR 97214-3600 | 2019-03-28 |
| 1245719541 | Scott J Whited | Nurse Practitioner | 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 | 2018-08-08 |
| 1467969220 | Nw Mind-body Wellness, LLC | Nurse Practitioner | 16986 Nw Lynch Ln, Portland, OR 97229-1221 | 2018-01-02 |
| 1811441348 | Anthony Hoy | Nurse Practitioner | 5562 Se Pine St, Portland, OR 97215-1276 | 2016-08-12 |
| 1700241254 | Jacqueline J Cole | Nurse Practitioner | 5228 Ne Hoyt St Ste 300, Portland, OR 97213-3055 | 2015-12-29 |
| 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.