MEG GORMAN (NPI# 1427584275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427584275 |
Entity Type | Individual |
Full Name | MEG GORMAN |
Credential | MSED |
Practice Address |
435 4th St Troy NY 12180-5324 |
Practice Telephone | 5182716777 |
Mailing Telephone | 5182716777 |
Enumeration Date | 2017-05-11 |
Last Update Date | 2017-05-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 405300000X | Prevention Professional | 1125330172 | NY | Other Service Providers |
Street Address |
435 4TH ST |
City | TROY |
State | NY |
Zip Code | 12180-5324 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518084235 | Patricia A Mertz | Social Worker | 435 4th St, Troy, NY 12180-5324 | 2007-03-26 |
1245844778 | Jenna E Hopper | Specialist/Technologist | 435 4th St, Troy, NY 12180-5324 | 2020-09-02 |
1679191027 | Sabrina Dominique | Specialist/Technologist | 435 4th St, Troy, NY 12180-5324 | 2020-07-13 |
1093349722 | Katherine Janice Bernal | Occupational Therapist | 435 4th St, Troy, NY 12180-5324 | 2020-03-03 |
1356971832 | Samantha Rae Romenesko | Specialist/Technologist | 435 4th St, Troy, NY 12180-5324 | 2020-01-23 |
1063947000 | Alexandra Luttinger | Prevention Professional | 435 4th St, Troy, NY 12180-5324 | 2017-04-27 |
1801346754 | Elizabeth Kluz | Registered Nurse | 435 4th St, Troy, NY 12180-5324 | 2016-10-04 |
1144779786 | Divya Divakaran | Specialist | 435 4th St, Troy, NY 12180-5324 | 2016-09-23 |
1003363268 | Tarah L Lenyk | Specialist | 435 4th St, Troy, NY 12180-5324 | 2016-09-06 |
1528415585 | Kayla Parvana | Specialist | 435 4th St, Troy, NY 12180-5324 | 2016-05-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528616232 | Gwendolyn Eve Guarino | Massage Therapist | Lux, 207 River St, Troy, NY 12180 | 2019-08-27 |
1568020857 | Shelby Mara Quintal | Counselor | 7 Collins Ave, Troy, NY 12180 | 2019-05-31 |
1881179646 | St. Peter's Health Partners Medical Associates, P.C. | Family Medicine | 2109 15th Street, Troy, NY 12180 | 2018-09-27 |
1104354315 | Karen Lynm Vincent | Licensed Practical Nurse | 830 Hoosick Rd Apt 1, Troy, NY 12180 | 2017-06-01 |
1740728013 | Upstate Physician Services, PC | Specialist | 2001 5th Avenue, Suite 110, Troy, NY 12180 | 2017-02-07 |
1205373263 | Tsu Han Poh | Pharmacist | 204 Washington Street, Apt C1, Troy, NY 12180 | 2017-01-27 |
1053760546 | Linda Pierre | Religious Nonmedical Nursing Personnel | 1680 Tibbits Ave, Troy, NY 12180 | 2016-06-06 |
1518312925 | Matthew Pittelli | Student in an Organized Health Care Education/Training Program | 83 Lockrow Rd, Troy, NY 12180 | 2016-05-04 |
1780045765 | Tara Michelle Miller | Hearing Instrument Specialist | 2000 6th Avenue, Troy Towers, Bldg. B, 1st Floor, Troy, NY 12180 | 2016-03-17 |
1326410937 | Seton Health System, Inc. | Physician Assistant | 1401 Massachusetts Avenue, Troy Internal Medicine, Troy, NY 12180 | 2015-10-22 |
Find all providers in zip 12180 |
Taxonomy Code | 405300000X |
Grouping | Other Service Providers |
Classification | Prevention Professional |
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063947000 | Alexandra Luttinger | Prevention Professional | 435 4th St, Troy, NY 12180-5324 | 2017-04-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558976456 | Harriet Lester | Prevention Professional | 15930 Rockaway Blvd # 247, Jamaica, NY 11434-4848 | 2020-09-09 |
1942813852 | Amazon Wellbeing Services | Prevention Professional | 132 W 238th St, Bronx, NY 10463-4204 | 2020-08-29 |
1932729027 | Monique Marie Daley | Prevention Professional | 278 Bedford Park Blvd Apt 5c, Bronx, NY 10458-2547 | 2020-04-20 |
1174150304 | Delgracia Corp | Prevention Professional | 59 W 137th St, New York, NY 10037-1902 | 2020-03-26 |
1982235727 | Marci Kenon | Prevention Professional | 101 W 123rd St, New York, NY 10027-5511 | 2020-01-30 |
1407487499 | Palette Care Inc | Prevention Professional | 101 Saint Felix St, Brooklyn, NY 11217-1432 | 2020-01-29 |
1134789878 | Trinisha Sanjurjo | Prevention Professional | 2817 James St Ste 211, Syracuse, NY 13206-2238 | 2019-06-14 |
1699283002 | Robert A Martinez | Prevention Professional | 1281 Saint Johns Pl Apt 4, Brooklyn, NY 11213-3714 | 2018-01-19 |
1972011039 | Pamela Bubb | Prevention Professional | 357 17th St, Brooklyn, NY 11215-6113 | 2018-01-11 |
1366965097 | Stefani Rose Gagliardi | Prevention Professional | 4042 Route 203, North Chatham, NY 12184 | 2017-07-25 |
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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.