EBONY GRAHAM (NPI# 1750844635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750844635 |
| Entity Type | Individual |
| Full Name | EBONY GRAHAM |
| Credential | MA |
| Practice Address |
190 Westbrook Rd Essex CT 06426-1518 |
| Mailing Address |
255 Hempstead St New London CT 06320-6204 |
| Practice Telephone | 8607670147 |
| Practice Fax Number | 8607670148 |
| Mailing Telephone | 8604432896 |
| Mailing Fax Number | 8604425909 |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2019-04-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336629518 | Ebony Montezz Graham | Nurse Practitioner | 15812 E Indiana Ave Ste 101, Spokane Valley, WA 99216-1875 | 2018-08-17 |
| Street Address |
190 WESTBROOK RD |
| City | ESSEX |
| State | CT |
| Zip Code | 06426-1518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487647103 | Peter Edward Pool | Dentist | 190 Westbrook Rd, Essex, CT 06426-1518 | 2005-08-28 |
| 1639701667 | Nicole Blanchet | Counselor | 190 Westbrook Rd, Essex, CT 06426-1518 | 2020-02-07 |
| 1073144101 | Lindsey Patricia Massicotte | Social Worker | 190 Westbrook Rd, Essex, CT 06426-1518 | 2020-01-28 |
| 1033767025 | Vincenzo Marafito | Social Worker | 190 Westbrook Rd, Essex, CT 06426-1518 | 2019-09-03 |
| 1316502586 | Erin Vincent | Social Worker | 190 Westbrook Rd, Essex, CT 06426-1518 | 2019-05-03 |
| 1083182778 | Alyssa Ackerson | Social Worker | 190 Westbrook Rd, Essex, CT 06426-1518 | 2018-11-12 |
| 1962977652 | Theresa M Ramponi | Nurse Practitioner | 190 Westbrook Rd, Essex, CT 06426-1518 | 2018-10-09 |
| 1689185761 | Katrina Coyle | Marriage & Family Therapist | 190 Westbrook Rd, Essex, CT 06426-1518 | 2017-10-17 |
| 1558892943 | Caitlin Nuhn | Counselor | 190 Westbrook Rd, Essex, CT 06426-1518 | 2017-03-27 |
| 1255874764 | Michele Marsh | Counselor | 190 Westbrook Rd, Essex, CT 06426-1518 | 2016-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123867 | Art Therapy & Creative Counseling | Counselor | 80 Plains Rd Unit 1, Essex, CT 06426 | 2017-06-05 |
| 1487085593 | Catherine Mary Demers | Nurse Practitioner | 10 Wildwood Medical Center, Essex, CT 06426 | 2013-11-29 |
| 1346515723 | Anne Peterson | Counselor | 80 Plains Rd, Essex, CT 06426 | 2012-03-19 |
| 1477851731 | Diana Leigh Amara | Counselor | 80 Plains Road, Essex, CT 06426 | 2011-03-09 |
| 1609034438 | Marybeth Pytlik Ellison | Pediatrics | Sunflower Developmental Pediatrics, 11 Wildwood Medical Center, Essex, CT 06426 | 2008-05-29 |
| 1780749747 | Dana Lyn Martin | Counselor | 190 Westbrook Road, Essex Child Guidance Clinic, Essex, CT 06426 | 2006-12-27 |
| 1881768836 | Jason Christopher Andrade | Counselor | 190 Westbrock Rd, Essex, CT 06426 | 2006-11-20 |
| 1386735546 | Robert D Dwyer | Urology | 6 Wildwood Medical Center, Essex, CT 06426 | 2006-09-27 |
| 1154421071 | Sharon D Mallon | Psychologist | 251 Westbrook Rd, Essex, CT 06426 | 2006-09-22 |
| 1043319510 | Brian David Fay | Social Worker | 251 Westbrook Road, Essex, CT 06426 | 2006-09-21 |
| Find all providers in zip 06426 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669024659 | Samantha Steinmacher | Counselor | 8 Novelty Ln Ste 3, Essex, CT 06426-1168 | 2019-07-10 |
| 1881123867 | Art Therapy & Creative Counseling | Counselor | 80 Plains Rd Unit 1, Essex, CT 06426 | 2017-06-05 |
| 1063861029 | Kimberleigh Vaughan | Counselor | 1600 Riverwood Rd, Essex, MD 21221-2916 | 2016-06-09 |
| 1841694163 | Debora Floyd | Counselor | 912 Sun Circle Way, Essex, MD 21221-5946 | 2014-10-15 |
| 1851738835 | Emmanuella Owobu | Counselor | 131 1/2 Back River Neck Rd, Essex, MD 21221-3923 | 2013-05-30 |
| 1477851731 | Diana Leigh Amara | Counselor | 80 Plains Road, Essex, CT 06426 | 2011-03-09 |
| 1346336955 | April Dawn Manganiello | Counselor | 33 Conomo Point Rd, Essex, MA 01929-1040 | 2006-10-04 |
| 1760049548 | Charonne Covington | Counselor | 18 Arbor Dr, Essex, MD 21221-2619 | 2019-05-28 |
| 1154896710 | Art Therapy & Creative Counseling LLC | Counselor | 80 Plains Rd Unit 1, Essex, CT 06426-0642 | 2018-10-10 |
| 1831671874 | Heather Bushey | Counselor | 80 Plains Rd Unit 1, Essex, CT 06426 | 2018-09-06 |
| Find all providers in ESSEX | ||||
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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.