SUSAN WILEY


Address: 125 Presumpscot St, Portland, ME 04103-5225
Phone: 2078711000

SUSAN WILEY (NPI# 1760921969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760921969
Entity Type Individual
Full Name SUSAN WILEY
Practice Address 125 Presumpscot St
Portland
ME 04103-5225
Mailing Address 1080 Broadway Apt 4
South Portland
ME 04106-5720
Practice Telephone 2078711000
Mailing Telephone 2078992761
Enumeration Date 2017-02-21
Last Update Date 2017-02-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
XL4841 ME Behavioral Health & Social Service Providers

Other Providers SUSAN WILEY

NPI Name Taxonomy Address Enumeration
1447689666 Susan Wiley Specialist 14015 62nd Ave Nw, Gig Harbor, WA 98332-8607 2013-11-07
1982837720 Susan G Wiley Case Manager/Care Coordinator 1200 Highway 60, Socorro, NM 87801-3914 2009-08-27
1477725950 Susan Robinson Wiley Optometrist 6832 Old Dominion Dr, Mc Lean, VA 22101-3887 2008-03-25
1841231594 Susan E Wiley Pediatrics 3333 Burnet Ave, Ml 4002, Cincinnati, OH 45229-3026 2006-06-10
1902852296 Susan D Wiley Psychiatry & Neurology 1259 S Cedar Crest Blvd Ste 230, Allentown, PA 18103 2006-05-26

Office Location

Street Address 125 PRESUMPSCOT ST
City PORTLAND
State ME
Zip Code 04103-5225

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902848542 Amy Delano Specialist 125 Presumpscot St, Suite 3, Portland, ME 04103-5225 2006-06-11
1295341600 Christine Michelle White Acupuncturist 125 Presumpscot St, Portland, ME 04103-5225 2020-09-21
1790302545 Andrew James Bove Social Worker 125 Presumpscot St, Portland, ME 04103-5225 2020-06-27
1427612928 Stacy Leet Social Worker 125 Presumpscot St, Portland, ME 04103-5225 2019-04-30
1902304918 Ashley Mercier Occupational Therapist 125 Presumpscot St, Portland, ME 04103-5225 2018-01-24
1720444219 Elizabeth Rankin Social Worker 125 Presumpscot St, Portland, ME 04103-5225 2016-01-13
1962868869 Brian Sherman Occupational Therapist 125 Presumpscot St, Portland, ME 04103-5225 2016-01-07
1114399227 Ethan Lawrence Hirsch Occupational Therapist 125 Presumpscot St, Portland, ME 04103-5225 2015-10-28
1275902637 Lauren Pelzer Occupational Therapist 125 Presumpscot St, Portland, ME 04103-5225 2015-09-16
1992183842 Katie Sankare Social Worker 125 Presumpscot St, Portland, ME 04103-5225 2015-05-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790302677 Hope for All Community Services LLC Community/Behavioral Health 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 2020-06-26
1982251435 Hope Home Healthcare, LLC Home Health 68 Bishop St Unit 3 #2, Portland, ME 04103 2019-08-20
1992367023 Care for Everyone In Home Supportive Care 68 Bishop Street, Unit 1, Room 5, Portland, ME 04103 2019-06-28
1093373458 Emanuel Nistrian Student in an Organized Health Care Education/Training Program Une, 716 Stevens Ave., Portland, ME 04103 2019-05-31
1023676483 Robert Montague Student in an Organized Health Care Education/Training Program University of New England, 716 Stevens Ave, Portland, ME 04103 2019-05-31
1154838027 Kimberly Therriault Behavior Technician 527 Ocean Ave Ste 19, Portland, ME 04103 2018-01-02
1285147918 Teresa Maalouf Community Health Worker 23 Cambridge St., Portland, ME 04103 2017-11-16
1578082244 Darcelle Kay Stillman Occupational Therapist 90 Dorothy St, Portland, ME 04103 2017-09-14
1821524943 Engility Enterprises LLC Case Management 1 Coast Lane, Portland, ME 04103 2017-05-10
1720524283 Hannah Rose Kazilionis Counselor 257 Deering Ave # 204, Portland, ME 04103 2017-01-09
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063013373 Ruth Tessema Counselor 2120 Ne 166th Dr, Portland, OR 97230-5558 2020-11-03
1629675582 Michelle Robydek Counselor 103 Rindle Bluff Dr, Portland, MI 48875-9435 2020-10-05
1326656240 Donald Marks Counselor 7901 Se Powell Blvd Ste B251, Portland, OR 97206-2314 2020-07-16
1922624782 Marc Francis Otto Counselor 215 Ne 60th Ave, Portland, OR 97213-3721 2020-06-17
1013532183 Monica Grace Vanek Counselor 4248 Ne Skidmore St, Portland, OR 97218-1753 2020-06-14
1427670355 Leonore Elisabeth Licht-miller Counselor 1455 Sw Stephenson St, Portland, OR 97219-8222 2020-05-14
1821624834 Kara Pierce Counselor 5640 Ne 7th Ave, Portland, OR 97211-3249 2020-03-21
1932746302 Lynne Coon Counseling, LLC Counselor 1340 Sw Bertha Blvd Ste 202, Portland, OR 97219-2096 2019-12-04
1912554809 Genevieve Pritchard Counselor 4150 N Williams Ave Apt 409, Portland, OR 97217-2970 2019-08-24
1407312465 Jor-el Zajatz Counselor 12 Se 14th Ave Ste 105, Portland, OR 97214-1404 2019-02-14
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Competitor

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City PORTLAND
Zip Code 04103

Improve Information

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Dataset Information

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.

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