MS. MARY JOSEPHINE DRISCOLL (NPI# 1891997805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891997805 |
| Entity Type | Individual |
| Full Name | MS. MARY JOSEPHINE DRISCOLL |
| Credential | BA |
| Practice Address |
3550 Se Woodward St Portland OR 97202-1552 |
| Practice Telephone | 5038137747 |
| Mailing Telephone | 5038137747 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871103291 | Mary Driscoll | Nurse Practitioner | 800 Austin St Ste 207, Evanston, IL 60202-3442 | 2020-08-01 |
| 1538123880 | Mary S Driscoll | Psychologist | 1701 Ne 42nd Ave, Suite 102, Ocala, FL 34470-5018 | 2006-04-13 |
| 1275131898 | Mary Lynn Driscoll | Pharmacist | 2600 Hwy 138, Stoughton, WI 53589 | 2020-10-15 |
| 1346618006 | Mary Driscoll | Occupational Therapist | 2 Coolidge St, Hudson, MA 01749-1321 | 2015-09-10 |
| 1942520986 | Mary A Driscoll | Psychologist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2010-06-01 |
| 1073633145 | Mary Driscoll | Marriage & Family Therapist | 14277 Road 28, Madera, CA 93638-5715 | 2007-03-30 |
| 1083658215 | Mary Teresa Driscoll | Nurse Anesthetist, Certified Registered | 1201 Broad Rock Blvd, Richmond, VA 23249 | 2006-06-16 |
| Street Address |
3550 SE WOODWARD ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97202-1552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295899649 | Jamie Vandergon | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2006-12-20 |
| 1235426404 | Colleen Michelle Conklin | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2011-07-07 |
| 1669766689 | Seth C Cordell | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2011-06-07 |
| 1366735326 | Megan Ann Andersen | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2011-05-24 |
| 1134410046 | Cindy L Petersen | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2011-04-26 |
| 1265723191 | Christopher Laurence Anderson | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2011-04-26 |
| 1588962732 | Ivana Micanovic | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2011-03-11 |
| 1457659781 | Christopher Pate | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2011-03-10 |
| 1518265933 | Jay N Cacka | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2011-03-09 |
| 1740582295 | Jennifer Joy Loop | Counselor | 3550 Se Woodward St, Portland, OR 97202-1552 | 2010-12-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143442 | Carewell LLC | Counselor | Portland River Park Center, 205 Se Spokane St Suite 358, Portland, OR 97202 | 2020-01-24 |
| 1588226765 | Melissa Lynn Hartley | Counselor | 1235 Se Division St. Suite 103, Portland, OR 97202 | 2019-07-08 |
| 1275192999 | Kimberly Rae Kilgore | Counselor | 5509 Se 22nd St #3a, Portland, OR 97202 | 2019-06-06 |
| 1639736069 | Kyra Steinhauer | Social Worker | 3145 Se Powell Blvd, Portland, OR 97202 | 2019-05-21 |
| 1134644321 | Bridgette Hennigsen | Social Worker | 3810 Se 11th Ave, Portland, OR 97202 | 2017-08-08 |
| 1558895789 | Lenore Cangeloso | Acupuncturist | 1235 Se Division Street, Suie 117, Portland, OR 97202 | 2017-04-14 |
| 1376099093 | Anna Christine Leclerc | Contractor | 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 | 2016-09-01 |
| 1144684663 | Catholic Charities | Case Management | 2740 Se Powell Blvd., Portland, OR 97202 | 2016-04-11 |
| 1881082097 | Zoomcare Dental, P.C. | Dentist | 3130 Se Division Street, Building 2, Portland, OR 97202 | 2014-12-23 |
| 1124424700 | Jessica Nash | Counselor | 6411 Se 17th Ave, Portland, OR 97202 | 2014-11-10 |
| Find all providers in zip 97202 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710586821 | Plum Consulting LLC | Community/Behavioral Health | 1161 Nw Overton St Apt 1501, Portland, OR 97209-2549 | 2020-10-20 |
| 1790302677 | Hope for All Community Services LLC | Community/Behavioral Health | 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 | 2020-06-26 |
| 1184247850 | Altoris Behavior Support LLC | Community/Behavioral Health | 3880 Se 8th Ave Ste 105, Portland, OR 97202-3772 | 2020-05-28 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1578102216 | Act Nw | Community/Behavioral Health | 909 Nw 24th Ave, Portland, OR 97210-3009 | 2019-12-28 |
| 1194284349 | Oriel Offit, Clinical Psychologist, LLC | Community/Behavioral Health | 222 Saint John St Ste 227, Portland, ME 04102-3058 | 2019-03-18 |
| 1396210977 | Ask Counseling LLC | Community/Behavioral Health | 8885 Sw Canyon Rd Ste 108, Portland, OR 97225-3431 | 2018-10-10 |
| 1790260313 | Bernard J. Gordon Md Pa LLC | Community/Behavioral Health | 145 Newbury St Fl 1, Portland, ME 04101-4261 | 2018-09-28 |
| 1497235576 | Saturn Supports LLC | Community/Behavioral Health | 3228 Sw Beaverton Hillsdale Hwy Apt 23, Portland, OR 97239-1193 | 2018-08-17 |
| 1770063067 | Nami Multnomah | Community/Behavioral Health | 524 Ne 52nd Ave, Portland, OR 97213-3047 | 2018-08-16 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on MS. MARY JOSEPHINE DRISCOLL.
| 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.