MICHELLE LEAH MIDDLEKAUFF (NPI# 1861058356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861058356 |
| Entity Type | Individual |
| Full Name | MICHELLE LEAH MIDDLEKAUFF |
| Practice Address |
40 Coyote Moon Trail Bangor CA 95914 |
| Practice Telephone | 5306790701 |
| Practice Fax Number | 5306790705 |
| Mailing Telephone | 5306790701 |
| Mailing Fax Number | 5306790705 |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
5863 | CA | Behavioral Health & Social Service Providers |
| Street Address |
40 COYOTE MOON TRAIL |
| City | BANGOR |
| State | CA |
| Zip Code | 95914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760942965 | Elijah House S.l.e | Substance Abuse Rehabilitation Facility | 40 Coyote Moon Trail, Bangor, CA 95914 | 2019-03-22 |
| 1669008876 | New Start Recovery Solutions | Substance Abuse Rehabilitation Facility | 40 Coyote Moon Trail, Bangor, CA 95914 | 2020-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346497799 | Case Management Transportation | Non-emergency Medical Transport (VAN) | 5768 La Porte Road, Bangor, CA 95914 | 2008-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1760096564 | Colby Thomas Toth | Specialist/Technologist | 83 Palmer Rd, Bangor, PA 18013-9204 | 2020-08-31 |
| 1861002750 | Alyssa Paige Oliver | Counselor | 689 Odlin Rd, Bangor, ME 04401-6709 | 2020-08-05 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1073139465 | Jaclyn Kimberly Foraker | Nurse Practitioner | 885 Union St Ste 215, Bangor, ME 04401-3092 | 2020-06-22 |
| 1124644950 | Robert Thibeault Brookings | Dentist | 39 Grove Street, Bangor, ME 04401-5309 | 2020-06-17 |
| 1548884323 | A&m Home Care Corp | Technician | 84 Hammond St Ste 441, Bangor, ME 04401-4915 | 2020-06-08 |
| 1083237051 | Twin Doves I LLC | Community Based Residential Treatment Facility, Mental Illness | 48617 36th Ave., Bangor, MI 49013 | 2020-05-25 |
| 1619590247 | Meghan Chenausky | Nurse Practitioner | Pchcenter, 1012 Union Street, Bangor, ME 04401-3060 | 2020-05-18 |
| 1528680261 | Adam Ketchum | Technician | 56 Smith St Apt 2, Bangor, ME 04401-4715 | 2020-05-16 |
| Find all providers in BANGOR | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861002750 | Alyssa Paige Oliver | Counselor | 689 Odlin Rd, Bangor, ME 04401-6709 | 2020-08-05 |
| 1699310169 | Jessica Coleman | Counselor | 40 Summer St Ste 4, Bangor, ME 04401-7144 | 2019-11-08 |
| 1124663695 | Ericka Tidmore Travers | Counselor | 40 Summer St Unit 4, Bangor, ME 04401-7144 | 2019-11-08 |
| 1194368159 | Olena Kenney | Counselor | 689 Odlin Rd Ste 1, Bangor, ME 04401-6709 | 2019-10-23 |
| 1437719721 | Christina Dawn Levesque | Counselor | 319 State Street, Bangor, ME 04401-0440 | 2019-06-18 |
| 1023516275 | Michelle Crate | Counselor | 27 State St Ste 51, Bangor, ME 04401-5113 | 2018-01-23 |
| 1619346400 | Angela Mcquate | Counselor | 304 Hancock St Ste 2h, Bangor, ME 04401-6573 | 2015-09-22 |
| 1760703870 | Sarah J Falvey | Counselor | 98 Cumberland St, Bangor, ME 04401-5234 | 2010-06-14 |
| 1043404544 | Harry Eli Barron | Counselor | 74 Dowd Rd, Bangor, ME 04401-6700 | 2007-08-29 |
| 1962575787 | Laura Levenson | Counselor | 73 Pine Street, Bangor, ME 04401 | 2006-11-17 |
| Find all providers in BANGOR | ||||
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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.