MS. TARA JEANNE BRENNAN (NPI# 1588766679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588766679 |
| Entity Type | Individual |
| Full Name | MS. TARA JEANNE BRENNAN |
| Credential | LCSW, LADC |
| Practice Address |
43 Durkee St Suite 400, Va Medical Clinic Plattsburgh NY 12901-2942 |
| Mailing Address |
19 Columbus Dr Rouses Point NY 12979-1514 |
| Practice Telephone | 5185930323 |
| Practice Fax Number | 5185666846 |
| Mailing Telephone | 5182973762 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
000300 | VT | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
074602-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053946137 | Tara Brennan | Occupational Therapist | 5231 Skillman Ave, Woodside, NY 11377-4178 | 2020-03-09 |
| 1184908626 | Tara Elizabeth Brennan | Psychologist | 19 W 34th St Ph Floor, New York, NY 10001-3006 | 2011-10-03 |
| 1841432473 | Tara Eileen Brennan | Otolaryngology | Unm Dept of Surgery Msc10 5610, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2009-03-27 |
| 1447807797 | Tara Brennan | Physical Therapist | 1500 Jackson St, Richmond, TX 77469-3250 | 2019-08-21 |
| 1073808309 | Tara Anne Brennan | Counselor | 340 Maple St, Marlborough, MA 01752-3200 | 2011-06-15 |
| 1861645608 | Tara Leigh Brennan | Psychologist | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2008-10-24 |
| Street Address |
43 DURKEE ST SUITE 400, VA MEDICAL CLINIC |
| City | PLATTSBURGH |
| State | NY |
| Zip Code | 12901-2942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639253172 | Amy Ann Larmon | Social Worker | 43 Durkee St, Suite 601, Plattsburgh, NY 12901-2942 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284721 | Get Movin Inc | Non-emergency Medical Transport (VAN) | 316 Cornelia St, 21a, Plattsburgh, NY 12901 | 2018-11-26 |
| 1528536141 | Inmaculada Ibanez-casas | Technician | Sibley Hall, 113 Rugar Street, Plattsburgh, NY 12901 | 2018-11-13 |
| 1760950372 | Martha R Wasserbauer | Dietetic Technician, Registered | Mountain View Pediatrics, 18 Feathers Drive, Plattsburgh, NY 12901 | 2018-11-13 |
| 1568958411 | Joel Cherian | Student in an Organized Health Care Education/Training Program | 159 Margaret St Ste 100, Plattsburgh, NY 12901 | 2018-07-03 |
| 1396284477 | Florence Reynaud | Acupuncturist | 135 S. Peru Street, Adirondack Integrative Wellness Center, Plattsburgh, NY 12901 | 2017-02-22 |
| 1124565783 | Mytchel Hector | Registered Nurse | 43 Hamilton Street Apt #202, Plattsburgh, NY 12901 | 2017-01-20 |
| 1780136697 | Michael Bruso | Psychologist | 5436 Peru St. Apt. 5, Plattsburgh, NY 12901 | 2016-10-26 |
| 1902357536 | Ashley Patricia Cota | Nurse Practitioner | 214 Cornelia St., Plattsburgh, NY 12901 | 2016-10-19 |
| 1255703310 | Kenneth Wayne Ackley | Licensed Practical Nurse | 16 Ampersand Drive, Plattsbugh, NY 12901 | 2015-10-28 |
| 1275949448 | Shanni Lee Hicks | Specialist | 63 Arnold Rd, Plattsburgh, NY 12901 | 2014-07-08 |
| Find all providers in zip 12901 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083957575 | Scott Broderick | Counselor | 118 Algonquin Pk, Plattsburgh, NY 12901 | 2013-04-03 |
| 1255443719 | Jessie Notch-leblanc | Counselor | 159 Margaret St Ste 250, Plattsburgh, NY 12901-1874 | 2006-08-31 |
| 1568481810 | Deborah Lee Johnson | Counselor | 16 Ampersand Dr, Plattsburgh, NY 12901-6500 | 2006-07-18 |
| 1164465902 | Clinton County | Counselor | 130 Arizona Ave Ste 1500, Plattsburgh, NY 12903-4908 | 2006-06-13 |
| 1003439001 | Katrina Lopez | Counselor | 80 Sharron Ave, Plattsburgh, NY 12901-4700 | 2020-05-26 |
| 1164051066 | James Perales | Counselor | 80 Sharron Ave, Plattsburgh, NY 12901-4700 | 2020-04-03 |
| 1538705678 | Carlee Agoney | Counselor | 80 Sharron Ave, Plattsburgh, NY 12901-4700 | 2019-11-25 |
| 1982249173 | Marlene Holmes | Counselor | 80 Sharron Ave, Plattsburgh, NY 12901-4700 | 2019-11-12 |
| 1407409592 | Chad Michael Rollings | Counselor | 80 Sharron Ave, Plattsburgh, NY 12901-4700 | 2019-07-18 |
| 1033778139 | Patrick Mccormick | Counselor | 80 Sharron Ave, Plattsburgh, NY 12901-4700 | 2019-06-12 |
| Find all providers in PLATTSBURGH | ||||
| City | PLATTSBURGH |
| Zip Code | 12901 |
Please comment or provide details below to improve the information on MS. TARA JEANNE BRENNAN.
| 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.