JOHN L. GONNEVILLE (NPI# 1669815361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669815361 |
| Entity Type | Individual |
| Full Name | JOHN L. GONNEVILLE |
| Credential | BHP |
| Practice Address |
88 Fox St Suite 101 Madawaska ME 04756-1352 |
| Practice Telephone | 2077286341 |
| Practice Fax Number | 2077287762 |
| Mailing Telephone | 2077286341 |
| Mailing Fax Number | 2077287762 |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2013-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 010276859 | 05 |
| Street Address |
88 FOX ST SUITE 101 |
| City | MADAWASKA |
| State | ME |
| Zip Code | 04756-1352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538287180 | Melanie Plourde | Counselor | 88 Fox St, Suite 101, Madawaska, ME 04756-1352 | 2007-03-26 |
| 1609491794 | Bianca Solis Sikaffy | Counselor | 88 Fox St, Madawaska, ME 04756-1352 | 2020-06-15 |
| 1538524947 | Sabrina Zetterman | Counselor | 88 Fox St, Madawaska, ME 04756-1352 | 2015-12-30 |
| 1063891810 | Tina Ouellette | Counselor | 88 Fox St, Madawaska, ME 04756-1352 | 2015-05-27 |
| 1609269711 | Kayla Cl Michaud | Counselor | 88 Fox St, Madawaska, ME 04756 | 2015-03-13 |
| 1225468796 | Elizabeth Demott | Social Worker | 88 Fox St, Suite 201, Madawaska, ME 04756-1352 | 2013-11-20 |
| 1265879787 | Parise M. Voisine | Counselor | 88 Fox St, Suite # 101, Madawaska, ME 04756-1352 | 2013-05-23 |
| 1457794158 | Jonathan E. Madore | Counselor | 88 Fox St, Suite #101, Madawaska, ME 04756-1352 | 2013-04-11 |
| 1891030185 | Monique R. Labbe | Counselor | 88 Fox St, Suite # 101, Madawaska, ME 04756-1352 | 2012-11-28 |
| 1710222005 | Tracey L. Khoury | Counselor | 88 Fox St, Suite101, Madawaska, ME 04756-1352 | 2012-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023642758 | Ian David Lee | Student in an Organized Health Care Education/Training Program | 205 21st Avenue, Madawaska, ME 04756 | 2020-03-03 |
| 1194123893 | Robin Romann | Social Worker | 88 Fox St Ste 101, Madawaska, ME 04756 | 2014-12-11 |
| 1457507972 | Country Village Estates L.L.C. | Assisted Living Facility | 260 Dugal Drive, Madawaska, ME 04756 | 2008-08-15 |
| 1124120738 | Sarah Frances Borja Chua | Internal Medicine | 460 Main St Ste 104, Madawaska, ME 04756 | 2006-09-03 |
| 1225006778 | Steven Albert | Nurse Practitioner | 460 Main Street, Suite 104, Madawaska, ME 04756 | 2006-03-10 |
| 1265417430 | Northern Maine Medical Center | Durable Medical Equipment & Medical Supplies | 104 Main St, Madawaska, ME 04756 | 2005-12-10 |
| 1548785371 | Northern Maine Medical Center | Pharmacy | 104 Main St, Madawaska, ME 04756 | 2017-08-14 |
| 1396863791 | Lori A Martin | Social Worker | 272 Main Street Suite 103, Madawaska, ME 04756-0602 | 2007-03-26 |
| 1851664585 | Sonya Poiesz | Nurse Practitioner | 460 Main St Ste 201, Madawaska, ME 04756-1014 | 2012-02-10 |
| 1669829842 | Valerie V Cormier | Physical Therapy Assistant | 460 Main St, Suite 10, Madawaska, ME 04756-1014 | 2016-05-18 |
| Find all providers in zip 04756 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063891810 | Tina Ouellette | Counselor | 88 Fox St, Madawaska, ME 04756-1352 | 2015-05-27 |
| 1609269711 | Kayla Cl Michaud | Counselor | 88 Fox St, Madawaska, ME 04756 | 2015-03-13 |
| 1265879787 | Parise M. Voisine | Counselor | 88 Fox St, Suite # 101, Madawaska, ME 04756-1352 | 2013-05-23 |
| 1457794158 | Jonathan E. Madore | Counselor | 88 Fox St, Suite #101, Madawaska, ME 04756-1352 | 2013-04-11 |
| 1891030185 | Monique R. Labbe | Counselor | 88 Fox St, Suite # 101, Madawaska, ME 04756-1352 | 2012-11-28 |
| 1710222005 | Tracey L. Khoury | Counselor | 88 Fox St, Suite101, Madawaska, ME 04756-1352 | 2012-11-28 |
| 1699042820 | Carson A. Hartman | Counselor | 88 Fox St, Suite 101, Madawaska, ME 04756-1352 | 2011-11-16 |
| 1497066849 | Melissa A. Voisine | Counselor | 88 Fox St, Suite 101, Madawaska, ME 04756-1352 | 2010-06-30 |
| 1942521117 | Dennis P. Michaud | Counselor | 88 Fox St, Suite 101, Madawaska, ME 04756-1352 | 2010-06-22 |
| 1548429384 | Heather A Hartman | Counselor | 88 Fox St, Suite 101, Madawaska, ME 04756-1352 | 2008-06-06 |
| Find all providers in MADAWASKA | ||||
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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.