DR. MICHELLE KANGA (NPI# 1790219921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790219921 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE KANGA |
| Credential | PH.D. |
| Practice Address |
14 Maine St Suite 309 Brunswick ME 04011-2049 |
| Practice Telephone | 2076074022 |
| Practice Fax Number | 2076074048 |
| Mailing Telephone | 2076074022 |
| Mailing Fax Number | 2076074048 |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2017-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1517 | ME | Behavioral Health & Social Service Providers |
| Street Address |
14 MAINE ST SUITE 309 |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011-2049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013916410 | Nancy Egan | Dermatology | 14 Maine St, Suite 201, Brunswick, ME 04011-2026 | 2005-07-18 |
| 1053967778 | Fiona Rachel Neale | Nurse Practitioner | 14 Maine St, Brunswick, ME 04011-2049 | 2019-08-19 |
| 1063860229 | Julie L. Quimby, Phd | Clinic/Center | 14 Maine St, Suite 216b, Brunswick, ME 04011-2049 | 2016-05-28 |
| 1144692880 | Maine Geropsychology, LLC | Clinic/Center | 14 Maine St, Suite 111-c, Brunswick, ME 04011-2049 | 2015-10-21 |
| 1245622919 | Sarah Kopke | Physician Assistant | 14 Maine St, Brunswick, ME 04011-2049 | 2015-03-04 |
| 1891133500 | Providence Service Corporation of Maine | Community/Behavioral Health | 14 Maine St, Suite 202, Box 50, Brunswick, ME 04011-2049 | 2013-06-05 |
| 1295076800 | Alejandro A. Enriquez Zamalloa | Pharmacist | 14 Maine St, Suite 208, Brunswick, ME 04011-2049 | 2013-03-06 |
| 1952647901 | Midcoast Integrative Healthcare | Neuromusculoskeletal Medicine & OMM | 14 Maine St, Suite 205, Box 14, Brunswick, ME 04011-2049 | 2012-12-19 |
| 1013252162 | Nancy Ives | Social Worker | 14 Maine St, Suite 301, Brunswick, ME 04011-2049 | 2012-11-30 |
| 1467706580 | Jennifer Rebecca Freundlich | Counselor | 14 Maine St, Suite 212, Fort Andross Mill, Brunswick, ME 04011-2049 | 2012-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| Find all providers in zip 04011 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952942559 | Andrea J Medaris | Psychologist | 153 Park Row Ste 302, Brunswick, ME 04011-2053 | 2019-10-04 |
| 1548770332 | Amanda Seirup | Psychologist | 16 Lincoln St Ste C, Brunswick, ME 04011-1900 | 2017-10-05 |
| 1346601218 | Susanna Preziosi | Psychologist | 14 Maine St Ste 309, Brunswick, ME 04011-2033 | 2016-03-18 |
| 1083914881 | South Georgia Psychological Services PC | Psychologist | 104 Dunkirk Ln, Brunswick, GA 31523-6379 | 2010-10-26 |
| 1124296231 | Discovering Choices, Inc. | Psychologist | 51 Harpswell Rd, Suite 103, Brunswick, ME 04011-2549 | 2008-02-12 |
| 1629125273 | George Steffian | Psychologist | Fasotragrulant, Detachment Brunswick, 1801 Burbank Ave, Brunswick, ME 04011 | 2007-01-05 |
| 1760577092 | William R Johnson | Psychologist | 1421 Lee Street, Brunswick, GA 31520 | 2006-10-03 |
| 1316972797 | David C Bellows | Psychologist | 240 Maine St, Brunswick, ME 04011-3365 | 2006-07-12 |
| 1053391367 | Anita Laurette Goller | Psychologist | 6 Cumberland St, Brunswick, ME 04011-1904 | 2006-01-20 |
| 1700320397 | Erin Sheets | Psychologist | 14 Maine St Ste 309, Brunswick, ME 04011-2052 | 2016-12-15 |
| Find all providers in BRUNSWICK | ||||
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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.