BREANNA CAVANAUGH (NPI# 1831615186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831615186 |
| Entity Type | Individual |
| Full Name | BREANNA CAVANAUGH |
| Credential | MSW |
| Practice Address |
1500 Broadway St Buffalo NY 14212-1845 |
| Practice Telephone | 7164222002 |
| Mailing Telephone | 7164222002 |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2017-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
1500 BROADWAY ST |
| City | BUFFALO |
| State | NY |
| Zip Code | 14212-1845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023112042 | Beverly Ann Hornung | Nurse Practitioner | 1500 Broadway St, Buffalo, NY 14212-1845 | 2006-09-11 |
| 1376162149 | Allison Ernst | Social Worker | 1500 Broadway St, Buffalo, NY 14212-1862 | 2020-04-13 |
| 1740826148 | Beverly Dubie | Licensed Practical Nurse | 1500 Broadway St, Buffalo, NY 14212-1862 | 2019-11-20 |
| 1568013167 | Sara Wessels | Social Worker | 1500 Broadway St, Buffalo, NY 14212-1862 | 2019-09-25 |
| 1346899986 | Jamie N Kopcho | Counselor | 1500 Broadway St, Buffalo, NY 14212-1862 | 2019-09-06 |
| 1568011294 | Joshua Young | Counselor | 1500 Broadway St, Buffalo, NY 14212-1862 | 2019-09-05 |
| 1023666377 | Shaquita Marie Wilson | Social Worker | 1500 Broadway St, Buffalo, NY 14212-1862 | 2019-08-29 |
| 1881247948 | Rachael Young | Social Worker | 1500 Broadway St, Buffalo, NY 14212-1862 | 2019-07-18 |
| 1932760428 | Kathryn Helen Dubois | Counselor | 1500 Broadway St, Buffalo, NY 14212-1862 | 2019-06-25 |
| 1700446473 | Hannah Elisabeth Spalding | Counselor | 1500 Broadway St, Buffalo, NY 14212-1862 | 2019-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508349283 | Lj Transportation Service | Taxi | 123 Sobieski St, Buffalo, NY 14212 | 2018-09-10 |
| 1598157463 | Safiya Haamid | Registered Nurse | 135 Loepere St, Buffalo, NY 14212 | 2015-03-02 |
| 1124345426 | Matthew Michael Peunil Jr. | Pharmacist | 975 Broadway, Buffalo, NY 14212 | 2010-04-26 |
| 1265404982 | Christopher Schaeffer | Internal Medicine | 1021 Broadway St, Buffalo, NY 14212 | 2006-02-06 |
| 1639697279 | Sara Kathleen Lis | Counselor | 1131 Broadway St, Buffalo, NY 14212 | 2017-09-05 |
| 1770022212 | Jeremy Michael Tomaino | Counselor | 1131 Broadway Ave, Buffalo, NY 14212 | 2017-02-16 |
| 1689033441 | Latajana Hall | Counselor | 1131 Broadway Ave, Buffalo, NY 14212 | 2016-02-22 |
| 1336549831 | James Maska | Physical Therapist | 1021 Broadway St, Buffalo, NY 14212 | 2014-09-03 |
| 1871934398 | Mark John Harrigan | Registered Nurse | 1384 Broadway, Buffalo, NY 14212 | 2013-07-12 |
| 1740542299 | Xika Zhao | Registered Nurse | 1500 Broadway, Buffalo, NY 14212 | 2012-06-11 |
| Find all providers in zip 14212 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740888916 | Katie Glynn | Counselor | 254 Franklin St Fl 2, Buffalo, NY 14202-1932 | 2020-10-11 |
| 1376141655 | Deborah Elaine Ricci | Counselor | 43o Niagara Sq, Buffalo, NY 14202 | 2020-10-09 |
| 1184233603 | Dominique Dawn Barker | Counselor | 255 Delaware Ave Fl 4, Buffalo, NY 14202-2016 | 2020-07-30 |
| 1831716208 | Meagan Licata | Counselor | Bestself Behavioral Health, 255 Delaware Ave Ste 300, Buffalo, NY 14202 | 2020-07-01 |
| 1225668270 | Edward Todd Harris IIi | Counselor | 224 Oakridge Ave, Buffalo, NY 14217-1165 | 2020-01-17 |
| 1508404401 | Gabrielle Korman | Counselor | 70 Jewett Parkway, Buffalo, NY 14214 | 2019-12-11 |
| 1609430990 | Kerry E Quinn | Counselor | 430 Niagara St Lowr, Buffalo, NY 14201-1886 | 2019-04-23 |
| 1740748680 | Demire Coffin-williams | Counselor | 89 Butler Ave Uppr, Buffalo, NY 14208-1517 | 2019-03-11 |
| 1730646514 | Jaclyn Marie Burnett | Counselor | 3108 Main St Apt 4, Buffalo, NY 14214-1362 | 2019-02-27 |
| 1669949749 | Mohammed Hamideh | Counselor | 1150 Hertel Ave, Buffalo, NY 14216-2704 | 2018-10-27 |
| Find all providers in BUFFALO | ||||
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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.