SAMANTHA MARISTANY (NPI# 1255931697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255931697 |
| Entity Type | Individual |
| Full Name | SAMANTHA MARISTANY |
| Practice Address |
934 Intervale Rd New Gloucester ME 04260-4605 |
| Mailing Address |
525 Main St Ste E South Portland ME 04106-5457 |
| Practice Telephone | 2077670991 |
| Mailing Telephone | 2077670991 |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | MC18308 | ME | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CAC5923 | ME | Behavioral Health & Social Service Providers |
| Street Address |
934 INTERVALE RD |
| City | NEW GLOUCESTER |
| State | ME |
| Zip Code | 04260-4605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801254859 | Olena Pylypenko | Nurse Anesthetist, Certified Registered | 23 Country Way, New Gloucester, ME 04260 | 2016-02-05 |
| 1154639003 | Catherine Skilling Grannell | Speech-Language Pathologist | 667 Morse Road, New Gloucester, ME 04260 | 2010-09-14 |
| 1326356262 | Annette Lynn Tynes | Speech-Language Pathologist | 86 Intervale Rd, New Gloucester, ME 04260 | 2010-09-14 |
| 1134386725 | Jonathan Smolin | Specialist | 73 Bald Hill Rd, New Gloucester, ME 04260 | 2008-05-21 |
| 1922218593 | Opportunity Farm for Boys & Girls | Lodging | 215 Gloucester Hill Road, New Gloucester, ME 04260 | 2007-05-23 |
| 1558446484 | Healthy Solutions Inc. | Physical Therapist | 71 Pineland Drive, Suite 101, New Gloucester, ME 04260 | 2006-10-26 |
| 1336191279 | Richard Urbain Sirois | Specialist/Technologist | 46 Briarwood Drive, New Gloucester, ME 04260 | 2006-05-17 |
| 1861512311 | Keith Scott Seltzer | Physical Therapist | 342 Sabbathday Rd, New Gloucester, ME 04260-2657 | 2007-03-29 |
| 1598915118 | Jds Surgical Associates | Specialist/Technologist, Other | 73 Bald Hill Rd, New Gloucester, ME 04260-3222 | 2008-09-19 |
| 1053377259 | Jennifer Consiglia Mercier | Registered Nurse | 108 Ricker Rd, New Gloucester, ME 04260-3248 | 2006-04-25 |
| Find all providers in zip 04260 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649658162 | Patrick Andrew D'amboise | Counselor | 169 Town Farm Rd, New Gloucester, ME 04260-4435 | 2015-05-17 |
| 1225313992 | Louis C. Talarico II | Counselor | 114 Hatch Road, New Gloucester, ME 04260-3610 | 2011-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679180889 | Laurie A Spataro | Counselor | 855 Church Hill Rd, Augusta, ME 04330-8218 | 2020-09-30 |
| 1083224679 | Theresa Louise Allocca | Counselor | 96 Birch Dr, Poland Spring, ME 04274-6115 | 2020-08-07 |
| 1356968630 | Christopher A Percy | Counselor | 67 Captan Cushman Rd, Morrill, ME 04952 | 2020-07-02 |
| 1962022350 | Nicole Blake | Counselor | 400 Commercial St, Portland, ME 04101-4660 | 2020-04-25 |
| 1215569959 | Victor R. Leclerc | Counselor | 95 Park St Ste 201, Lewiston, ME 04240-7282 | 2020-02-11 |
| 1861030553 | Steve Bijoga | Counselor | 1350 Forest Ave Apt 16, Portland, ME 04103-1815 | 2019-12-13 |
| 1275170912 | Patricia Pelkey | Counselor | 43 Hatch Dr Ste 301, Caribou, ME 04736-2064 | 2019-12-02 |
| 1235787375 | Samantha Faith Guerra | Counselor | 110 Main St Ste 1201a, Saco, ME 04072-3516 | 2019-09-02 |
| 1699329821 | Mallory Zwerdling | Counselor | 52 Bolton St, Portland, ME 04102-2502 | 2019-07-25 |
| 1003396037 | Brandon L Ouellette | Counselor | 71 Us Route 1 Ste G, Scarborough, ME 04074-7174 | 2018-08-20 |
| Find all providers with the same taxonomy | ||||
| City | NEW GLOUCESTER |
| Zip Code | 04260 |
Please comment or provide details below to improve the information on SAMANTHA MARISTANY.
| 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.