MS. KELLY KATHERINE BUMILLER (NPI# 1609336544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609336544 |
| Entity Type | Individual |
| Full Name | MS. KELLY KATHERINE BUMILLER |
| Credential | LCPC |
| Practice Address |
6 Cumberland St Brunswick ME 04011-1904 |
| Practice Telephone | 2077989281 |
| Mailing Telephone | 2077989281 |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CC5235 | ME | Behavioral Health & Social Service Providers |
| Street Address |
6 CUMBERLAND ST |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011-1904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053391367 | Anita Laurette Goller | Psychologist | 6 Cumberland St, Brunswick, ME 04011-1904 | 2006-01-20 |
| 1578956074 | Moreen Halmo | Psychologist | 6 Cumberland St, Brunswick, ME 04011-1904 | 2015-03-09 |
| 1063843431 | Charles Sifton | Acupuncturist | 6 Cumberland St, Brunswick, ME 04011-1904 | 2013-12-10 |
| 1467739433 | Amy B. Sellers | Social Worker | 6 Cumberland St, Brunswick, ME 04011-1904 | 2011-11-04 |
| 1386724391 | Whitney Houghton | Psychiatry & Neurology | 6 Cumberland St, Brunswick, ME 04011 | 2006-10-16 |
| 1326000696 | Deborah Rae Como-kepler | Counselor | 6 Cumberland St, Brunswick, ME 04011-1904 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| Find all providers in zip 04011 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611890 | Elizabeth Hanley | Counselor | 6 Federal St Ofc G, Brunswick, ME 04011-1508 | 2020-02-18 |
| 1477070142 | Miranda Jo Villard | Counselor | 1839 Pearl Rd Ste 101, Brunswick, OH 44212-3256 | 2017-08-24 |
| 1730530320 | Guy Peffer | Counselor | 100 Cayman Ct, Brunswick, GA 31525-4526 | 2016-06-25 |
| 1477941201 | Virginia Leigh Shannon | Counselor | 119 Mckeen St, Brunswick, ME 04011-2909 | 2015-01-01 |
| 1861896771 | Elizabeth M Munsey | Counselor | 6 Pond Dr, Brunswick, ME 04011-9469 | 2014-10-21 |
| 1174876668 | Sandra J. Qualey | Counselor | 70 Hennessey Ave, Brunswick, ME 04011-2837 | 2012-10-21 |
| 1952692212 | Debra Vias | Counselor | 45 E F St, Brunswick, MD 21716-1449 | 2011-04-21 |
| 1790081230 | Jane A. Whetstine | Counselor | 103 Harpswell Rd, Brunswick, ME 04011-7842 | 2011-02-01 |
| 1144525098 | Angela Annett Bennett | Counselor | 716 Fancy Bluff Rd, Brunswick, GA 31523-6321 | 2011-01-24 |
| 1538475207 | James M Talbott | Counselor | 76 Pleasant St, Brunswick, ME 04011-2203 | 2010-08-19 |
| Find all providers in BRUNSWICK | ||||
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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.