DR. JONATHAN ADAM DUDEK


Address: 136 Mill St, Princeton, ME 04668-3344
Phone: 2077965503

DR. JONATHAN ADAM DUDEK (NPI# 1356687040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356687040
Entity Type Individual
Full Name DR. JONATHAN ADAM DUDEK
Credential PH.D.
Practice Address 136 Mill St
Princeton
ME 04668-3344
Practice Telephone 2077965503
Practice Fax Number 2077965528
Mailing Telephone 2077965503
Mailing Fax Number 2077965528
Enumeration Date 2012-12-27
Last Update Date 2015-06-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TC0700X Psychologist
Specialization: Clinical
1052 NH Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
PS1103 ME Behavioral Health & Social Service Providers

Office Location

Street Address 136 MILL ST
City PRINCETON
State ME
Zip Code 04668-3344

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831174614 St Croix Regional Family Health Center Clinic/Center 136 Mill St, Princeton, ME 04668-3344 2005-12-14
1780283432 Malinda Helen Mcevoy Nurse Practitioner 136 Mill St, Princeton, ME 04668-3344 2020-10-23
1710456439 Phylicia Joanne Bonavida Nurse Practitioner 136 Mill St, Princeton, ME 04668-3344 2018-11-26
1952826042 Beth Ingersoll Registered Nurse 136 Mill St, Princeton, ME 04668-3344 2017-08-09
1457724148 Janice Marie Small Nurse Practitioner 136 Mill St, Princeton, ME 04668-3344 2015-11-04
1457795007 Paulette M Gillespie Licensed Practical Nurse 136 Mill St, Princeton, ME 04668-3344 2013-04-25
1811235732 Christine M Morris Social Worker 136 Mill St, Princeton, ME 04668-3344 2013-01-28
1275518052 Brandi Walston Registered Nurse 136 Mill St, Princeton, ME 04668-3344 2005-12-14
1457336224 Sally Johnson Nurse Practitioner 136 Mill St, Princeton, ME 04668-3344 2005-12-14
1336124114 Christine White Psychiatry & Neurology 136 Mill St, Princeton, ME 04668-3344 2005-12-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740500255 Jessica N Caraballo Counselor 401 Peter Dana Point Rd, Princeton, ME 04668 2010-06-07
1346363009 Indian Township Tribal Government Ambulance 443 Us Route 1, Princeton, ME 04668 2007-04-09
1689747479 Patricia Jean Todd-lewis Social Worker 1 Newell Drive, Princeton, ME 04668 2006-11-17
1043382658 Mary C Repole Dental Hygienist 401 Peter Dana Point Rd., Princeton, ME 04668 2006-11-15
1033281563 Dana Anthony Johnson Dentist 401 Peter Dana Point Road, Princeton, ME 04668 2006-11-13
1013096627 Truman L Gillette Pharmacist 401 Peter Dana Point, Princeton, ME 04668 2006-11-03
1689187544 Carol Francis Registered Nurse 401 Peter Dana Point Road, Princeton, ME 04668 2017-11-14
1831548437 Merlin J Francis Nurse Practitioner 401 Peter Dana Point Road, Princeton, ME 04668 2016-06-06
1083058044 Barbara Elizabeth Whipple Counselor 401 Peter Dana Point Road, Indian Township, ME 04668 2013-04-22
1285868042 Heather Lane Harriman Dental Hygienist 401 Peter Dana Point Road, Princeton, ME 04668 2009-05-08
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043709504 Susan Ellen Darley X Psychologist 16 Deer Path, Princeton, NJ 08540-4053 2018-05-09
1871035733 Hillary Koskinen Vescio Psychologist 204 Camelot Ct, Princeton, NJ 08540-9003 2016-11-09
1629439997 Daniel Goldberg Psychologist 601 Ewing St Ste C9, Princeton, NJ 08540-2756 2016-03-15
1811354822 Brooke Sweet Psychologist 20 Nassau Street, Suite 409, Princeton, NJ 08542 2016-01-21
1407152804 Linda R Hay Psychologist 344 Nassau St, Suite 101, Princeton, NJ 08540-4622 2011-02-02
1114243615 Jonathan Geller Psychologist 247 Nassau St, Princeton, NJ 08540-4619 2010-04-09
1083871925 Peter Owen Whitmer Psychologist 10 Laurel Ln, Princeton, MA 01541-1018 2008-05-19
1689878290 Michael Robertson Psychologist 604 1st St Ste 100, Princeton, MN 55371-1606 2007-06-14
1225259658 Linda I Meyers Psychologist 484 Prospect Ave, Princeton, NJ 08540-4077 2007-05-02
1427170703 Charles T Bachus, Pa Psychologist 166 Bunn Dr Ste 101, Princeton, NJ 08540-2800 2007-04-06
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Competitor

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City PRINCETON
Zip Code 04668

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Dataset Information

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.

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