MS. STEPHANIE WAMBACK (NPI# 1225505720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225505720 |
| Entity Type | Individual |
| Full Name | MS. STEPHANIE WAMBACK |
| Practice Address |
20 Green St # 2 Dudley MA 01571-3210 |
| Practice Telephone | 4137177017 |
| Mailing Telephone | 1413717701 |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2018-11-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891312120 | Stephanie Wamback | Family Medicine | 2280 Us Highway 70 W, Goldsboro, NC 27530-9546 | 2020-07-02 |
| Street Address |
20 GREEN ST # 2 |
| City | DUDLEY |
| State | MA |
| Zip Code | 01571-3210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134670573 | Matthew Howard | Physical Therapist | 10 Dudley Oxford Road, Dudley, MA 01571 | 2016-10-20 |
| 1700025566 | Jadranka Perl | Acupuncturist | 348 Dudley Southbridge Road, Dudley, MA 01571 | 2009-02-18 |
| 1588790513 | William Mark Coffey | Specialist/Technologist | 119 Center Road, Dudley, MA 01571 | 2007-02-26 |
| 1417944620 | James Michael Bilodeau | Chiropractor | 185 W Main St, Dudley, MA 01571 | 2005-10-03 |
| 1447469937 | American Wellness Center | Chiropractor | 185 W Main St, Ste #1, Dudley, MA 01571 | 2007-05-21 |
| 1487625083 | Denise S. Duplessis | Registered Nurse | 161 W Main St, Dudley, MA 01571 | 2006-01-31 |
| 1831224443 | Elder Day Services of Swc Inc | Contractor | 196 West Main St, Dudley, MA 01571-1497 | 2007-02-22 |
| 1477824522 | Aphaxad Homecare Services LLC | Home Health | 9 Chestnut St Apt 21, Dudley, MA 01571-3239 | 2012-01-21 |
| 1124251327 | Town of Dudley Health Department | Public Health or Welfare | 71 W Main St, Dudley, MA 01571-3264 | 2009-09-03 |
| 1770193252 | Magda Komosinska | Counselor | 21 Green St, Dudley, MA 01571-3286 | 2020-08-09 |
| Find all providers in zip 01571 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010043 | Christopher Solomon | Peer Specialist | 8201 Inwood Dr, Woburn, MA 01801-5161 | 2020-07-14 |
| 1346878725 | Dynamicare Health | Peer Specialist | 288 Norfolk St Ste 4, Cambridge, MA 02139-1430 | 2020-03-31 |
| 1114553989 | Theresa Buccico | Peer Specialist | 284 Union Ave, Framingham, MA 01702-6318 | 2020-03-12 |
| 1235762741 | Peter Douglas Mantell IIi | Peer Specialist | 130 Millers Falls Rd, Turners Falls, MA 01376-2250 | 2020-02-13 |
| 1083259154 | Darlene Cruz | Peer Specialist | 5121 Crane Brook Way, Peabody, MA 01960-8526 | 2019-11-13 |
| 1700437571 | Edith Silva | Peer Specialist | 131 W Main St Ste 101, Orange, MA 01364-1157 | 2019-09-24 |
| 1366918724 | Coretta Mcgill | Peer Specialist | 12 Montague St, Worcester, MA 01603-3125 | 2018-10-23 |
| 1902380017 | Choice Recovery Coaching Inc. | Peer Specialist | 155 Maple St., Suite 305, Springfield, MA 01105 | 2018-09-24 |
| 1891219747 | Daniel Robert Proulx | Peer Specialist | 2 Endicott Ave, Marblehead, MA 01945-1617 | 2017-08-02 |
| 1093256133 | Bonnie J Peterson | Peer Specialist | 5 Wakefield Ave, Saugus, MA 01906-2711 | 2017-03-08 |
| 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.