METHODIST SERVICES (NPI# 1457386328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457386328 |
| Entity Type | Organization |
| Organization Name | METHODIST SERVICES |
| Other Organization Name | METHODIST SERVICES |
| Practice Address |
51 Market St Bangor PA 18013-1901 |
| Mailing Address |
4300 Monument Rd Philadelphia PA 19131-1616 |
| Practice Telephone | 6105889109 |
| Practice Fax Number | 6105885016 |
| Mailing Telephone | 2158771925 |
| Mailing Fax Number | 2158771942 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2019-01-14 |
| Authorized Official Name | ANITA HOWARD (ADMINISTRATOR) |
| Authorized Official Telephone | 2158771925 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1019507060006 | 05 |
| Other Name | Type Code |
|---|---|
| Methodist Services | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1555 Northampton St, Easton, PA 180423160 | 6102522000 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | METHODIST SERVICES | 4300 Monument Rd, Philadelphia, PA 19131-1616 |
| Street Address |
51 MARKET ST |
| City | BANGOR |
| State | PA |
| Zip Code | 18013-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467090951 | Ruthanne Taggart | Counselor | 51 Market St, Bangor, PA 18013-1901 | 2019-12-15 |
| 1033615240 | Kimberly Niyogi | Counselor | 51 Market St, Bangor, PA 18013-1901 | 2018-04-05 |
| 1912387200 | Wendy Watkins | Counselor | 51 Market St, Bangor, PA 18013-1901 | 2015-06-02 |
| 1285064279 | Jayson Leeman | Counselor | 51 Market St, Bangor, PA 18013-1901 | 2013-11-12 |
| 1831528066 | Eric Black | Social Worker | 51 Market St, Bangor, PA 18013-1901 | 2013-11-07 |
| 1033545611 | Dody Star Siegfried | Counselor | 51 Market St, Bangor, PA 18013-1901 | 2013-09-16 |
| 1396088662 | Andrea Jean Miles | Counselor | 51 Market St, Bangor, PA 18013-1901 | 2013-04-04 |
| 1033457221 | Lisa Michele Willson | Counselor | 51 Market St, Bangor, PA 18013-1901 | 2013-01-22 |
| 1932457447 | Alexander Szoke-benton | Counselor | 51 Market St, Bangor, PA 18013-1901 | 2012-08-15 |
| 1396013926 | Dale A English | Counselor | 51 Market St, Community Couseling, Bangor, PA 18013-1901 | 2011-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104298140 | Blue Valley Vision LLC | Eyewear Supplier (Equipment, not the service) | 455 Blue Valley Dr, Bangor, PA 18013 | 2015-10-29 |
| 1588064554 | Roxanne Decesare | Reflexologist | 429 South First St, Bangor, PA 18013 | 2014-08-27 |
| 1467781708 | Shadys Rest | Preferred Provider Organization | 1004 W Juniata Street, Allentown, PA 18013 | 2009-12-16 |
| 1912911371 | Richard J Weaver | Chiropractor | 83 Bangor Junction Road, Blue Valley Plaza, Bangor, PA 18013 | 2006-07-28 |
| 1104373265 | Heavenly Vision | Technician/Technologist | 455 Blue Valley Dr, Bangor, PA 18013 | 2016-09-07 |
| 1881059293 | Timothy James Velekei Sr. | Technician/Technologist | 455 Blue Valley Dr, Bangor, PA 18013 | 2015-12-30 |
| 1629492608 | Elizabeth Kostura | Counselor | 51 Market Street, Bangor, PA 18013 | 2014-02-11 |
| 1518261593 | Carol Augusta Olzinski | Social Worker | 51 Market Street, Bangor, PA 18013 | 2011-01-05 |
| 1073846390 | Christa Robinson | Specialist/Technologist | 19 Columbus St, Apt 3, Roseto, PA 18013 | 2009-09-18 |
| 1326096587 | Matthew Nicholas Sabatine Jr. | Dentist | 137 Broadway, Bangor, PA 18013 | 2006-05-04 |
| Find all providers in zip 18013 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1104476811 | Janet May | Counselor | 49 16th St, Bangor, ME 04401-3122 | 2019-09-14 |
| 1811471766 | Tristan Oliver Greenlaw | Counselor | 9 Central St Ste 401, Bangor, ME 04401-5168 | 2018-09-17 |
| 1699257782 | Jesse Robinson Call | Counselor | 304 Hancock St Ste 3b, Bangor, ME 04401-6573 | 2018-09-05 |
| 1225551203 | Macy Marie Pelletier | Counselor | 30 Summer St Ste 5, Bangor, ME 04401-6467 | 2017-07-20 |
| 1356680995 | Kaleigh Marie Dupuis | Counselor | 43 Columbia St Ste 12, Bangor, ME 04401-6346 | 2013-02-01 |
| 1063651792 | Tamara J Hunt | Counselor | 31 Central St Ste 201, Bangor, ME 04401-5146 | 2009-02-19 |
| 1093872327 | Keith Laplante | Counselor | 70 E Broadway, Bangor, ME 04401-3425 | 2007-01-03 |
| 1003971912 | Debbie Lynn Webber | Counselor | 24 Springer Road, 1 Springer Place Suite 202, Bangor, ME 04401 | 2006-12-22 |
| 1871676890 | Robin V Hamilton | Counselor | 304 Hancock St Ste 2b, Families and Children Together, Bangor, ME 04401-6573 | 2006-10-23 |
| Find all providers in BANGOR | ||||
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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.