MR. MICHAEL W. BAHRENBURG (NPI# 1730502675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730502675 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL W. BAHRENBURG |
| Credential | CASAC |
| Practice Address |
71 Homecrest Court Oceanside NY 11572 |
| Practice Telephone | 5167666283 |
| Practice Fax Number | 5167663705 |
| Mailing Telephone | 5167666283 |
| Mailing Fax Number | 5167663705 |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2014-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
21507 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | OFFICE OF ALCOHOL AND SUBSTANCE ABUSE SERVICES | 21507 | 01 |
| Street Address |
71 HOMECREST COURT |
| City | OCEANSIDE |
| State | NY |
| Zip Code | 11572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152868 | True North Dialysis Center LLC | Clinic/Center | 3005 Long Beach Rd, Oceanside, NY 11572 | 2020-07-30 |
| 1508493560 | Mercedes Andreina Cardenas Pena | Student in an Organized Health Care Education/Training Program | 196 South Nassau, Oceanside, NY 11572 | 2020-03-26 |
| 1275170219 | Prohealth Dental Pllc | Dentist | 2870 Long Beach Road, Oceanside, NY 11572 | 2019-12-10 |
| 1982252409 | Fe Jaurigue | Nurse Practitioner | 2391 Washington Ave, Oceanside, NY 11572 | 2019-08-28 |
| 1689160749 | Emil A Tocci, Dc, PC | Chiropractor | 3091 Lawson Blvd, Oceanside, NY 11572 | 2018-07-02 |
| 1336652726 | Jennifer L Rodgers | Nurse Practitioner | 435 Kinsley Ct, Oceanside, NY 11572 | 2017-11-08 |
| 1205387859 | Joanne Hudkins | Nurse Practitioner | 3353 5th St, Oceanside, NY 11572 | 2016-10-19 |
| 1346693595 | Michelle Coletta-guadagno | Case Manager/Care Coordinator | 400 Oceanside Pkwy, Oceanside, NY 11572 | 2016-07-22 |
| 1831543271 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3705 Hampton Rd, Oceanside, NY 11572 | 2016-04-22 |
| 1598170474 | Amy Daleo | Licensed Practical Nurse | 299 Waukena Ave, Oceanside, NY 11572 | 2014-06-30 |
| Find all providers in zip 11572 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253571 | Roxanne Rene Coito | Counselor | 1919 Apple St # D, Oceanside, CA 92054-4425 | 2020-10-20 |
| 1215540711 | Daniella Vera Felipe | Counselor | 1919 Apple St Ste D, Oceanside, CA 92054-4425 | 2020-08-25 |
| 1861005498 | Hunter Pahl Galicia | Counselor | 701 Mission Ave Ste 310, Oceanside, CA 92054-2833 | 2020-08-24 |
| 1548879737 | Shiloh Trujillo | Counselor | 3923 Waring Rd Ste 258, Oceanside, CA 92056-4457 | 2020-07-23 |
| 1750913216 | Jared Pomerenke | Counselor | 3923 Warning Rd., Suite D, Oceanside, CA 92056 | 2020-02-12 |
| 1972134260 | Keith Angelin | Counselor | 900 N Cleveland St Spc 98, Oceanside, CA 92054-2179 | 2020-01-27 |
| 1093290686 | Katrina Nathan | Counselor | 295 Tierra Blanca Ave, Oceanside, CA 92058-6899 | 2018-09-28 |
| 1376041707 | Julie Ann Alvarez | Counselor | 3921 Waring Rd Ste A, Oceanside, CA 92056-4456 | 2018-01-31 |
| 1164934592 | Mario D Mijares | Counselor | 1648 Avenida Andante, Oceanside, CA 92056-6908 | 2017-10-25 |
| 1366977217 | Keith Angelin | Counselor | 1510 S Coast Hwy, Oceanside, CA 92054-5355 | 2017-04-28 |
| Find all providers in OCEANSIDE | ||||
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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.