MAXINE MCDONALD (NPI# 1609831106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609831106 |
Entity Type | Individual |
Full Name | MAXINE MCDONALD |
Credential | LCSW-R, CASAC |
Practice Address |
2139 Evergreen Ln Ontario NY 14519-9705 |
Practice Telephone | 5853308891 |
Mailing Telephone | 5853308891 |
Enumeration Date | 2006-04-18 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
5134 | NY | Behavioral Health & Social Service Providers |
X | 1041C0700X |
Social Worker Specialization: Clinical |
R042699-1 | NY | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | PREFERRED CARE | 110547FK | 01 |
Street Address |
2139 EVERGREEN LN |
City | ONTARIO |
State | NY |
Zip Code | 14519-9705 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104396274 | Family Health Np Immediate Care, Pllc | Nurse Practitioner | 6280 Furnace Road, Ontario, NY 14519 | 2018-11-30 |
1194855940 | Elias Konstantinou | Dentist | 6277 Furnace Rd, Ontario, NY 14519 | 2007-03-07 |
1205923232 | Neal T. Smith & Jeannine L. Dolan, M.d.'s | Family Medicine | 5973 Walworth Road, Ontario, NY 14519 | 2006-10-10 |
1063955896 | Shannon Bassett | Registered Nurse | 1784 Ridge Rd., Ontario, NY 14519-0155 | 2016-11-28 |
1912333717 | Jessica Lynn Villa | Licensed Practical Nurse | 6094 Trillium Trl, Ontario, NY 14519-8614 | 2013-09-25 |
1821333006 | Tammy Currier | Licensed Practical Nurse | 6183 Lillypond Way, Ontario, NY 14519-8622 | 2012-11-29 |
1427380518 | Laura Anne Miller | Pharmacist | 6296 Ontario Center Rd, Ontario, NY 14519-8643 | 2010-02-01 |
1265957880 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6296 Ontario Center Rd, Ontario, NY 14519-8643 | 2017-08-04 |
1225381411 | Tammy L Steurrys | Licensed Practical Nurse | 6279 Knickerbocker Rd, Ontario, NY 14519-8804 | 2012-10-25 |
1508321126 | Kelley M Schneider | Licensed Practical Nurse | 165 Macintosh Rd, Ontario, NY 14519-8821 | 2019-02-07 |
Find all providers in zip 14519 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669990768 | Claudia Juarez Tapia | Counselor | 125 W F Street, Ontario, CA 91762 | 2017-09-08 |
1417489949 | Kristopher Reyes | Counselor | 125 W F St Unit 101, Ontario, CA 91762-3201 | 2017-04-03 |
1326399510 | Kevin V Chandler | Counselor | 1921 E Banyan St, Ontario, CA 91761-6405 | 2012-09-27 |
1376772673 | Elizabeth Diane Roberts | Counselor | 747 N. Euclid Ave, Ontario, CA 91762-2878 | 2009-07-08 |
1154576650 | Krystle Lasha Greely | Counselor | 1801 Excise Ave Ste 116, Ontario, CA 91761 | 2008-11-25 |
1962655456 | Quan L Hancock | Counselor | 125 W F St Ste 101, Ontario, CA 91762-3262 | 2008-10-28 |
1144432162 | Rena Cantu | Counselor | 316 East E Street, Ontario, CA 91764 | 2007-05-03 |
1184842122 | Rosemary Yates | Counselor | 125 West F St, Ontario, CA 91762 | 2007-04-23 |
1457486573 | Gilford C Hoel | Counselor | 30503 Opus Rd, Ontario, WI 54651-6537 | 2007-02-22 |
1871636233 | Norman Croom | Counselor | 1647 Holt Blvd, Ontario, CA 91761-2107 | 2007-02-15 |
Find all providers in ONTARIO |
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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.