SEAN SPRAGUE (NPI# 1912484510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912484510 |
| Entity Type | Individual |
| Full Name | SEAN SPRAGUE |
| Credential | B.A PSYCH |
| Practice Address |
118 Monahan Ave Dunmore PA 18512-1700 |
| Mailing Address |
19 Turner St Plymouth PA 18651-2012 |
| Practice Telephone | 5703445327 |
| Mailing Telephone | 5703325803 |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
118 MONAHAN AVE |
| City | DUNMORE |
| State | PA |
| Zip Code | 18512-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912253139 | Jonathon David Wasp | Counselor | 118 Monahan Ave, Dunmore, PA 18512-1700 | 2012-07-25 |
| 1568072130 | Ashley Alexandra Michaels | Counselor | 118 Monahan Ave, Dunmore, PA 18512-1700 | 2020-08-07 |
| 1548807860 | Monica Hamilton | Social Worker | 118 Monahan Ave, Dunmore, PA 18512-1700 | 2019-12-05 |
| 1821635145 | Megan Pitino | Social Worker | 118 Monahan Ave, Dunmore, PA 18512-1700 | 2019-12-05 |
| 1962049296 | Marsinlen Hope Blackwell | Counselor | 118 Monahan Ave, Dunmore, PA 18512-1700 | 2019-12-05 |
| 1558849968 | Lauren Hubert | Counselor | 118 Monahan Ave, Dunmore, PA 18512-1700 | 2018-07-30 |
| 1558848150 | Candace Lynne Riedel | Counselor | 118 Monahan Ave, Dunmore, PA 18512-1700 | 2018-07-26 |
| 1134606742 | Susan Marie Kenthack | Counselor | 118 Monahan Ave, Dunmore, PA 18512-1700 | 2018-07-26 |
| 1205366556 | Glenn Michael Knott | Counselor | 118 Monahan Ave, Dunmore, PA 18512-1700 | 2017-06-19 |
| 1659806321 | Lisa Beppler | Social Worker | 118 Monahan Ave, Dunmore, PA 18512-1700 | 2017-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730715822 | Suzette Jones | Nurse Practitioner | Mid-state Occupational Health Services, Inc., 1000 Meade Street, Dunmore, PA 18512 | 2020-03-20 |
| 1588175814 | Young Men's Christian Association of Greater Scranton | Health Educator | 706 North Blakely Street, Dunmore, PA 18512 | 2017-10-13 |
| 1033633763 | Kaitlyn Elizabeth Sledzinski | Occupational Therapist | 1000 Mill St., Dunmore, PA 18512 | 2017-08-03 |
| 1417366170 | Kristen Marie Miller | Social Worker | 502 North Blakely Street, Dunmore, PA 18512 | 2014-08-07 |
| 1689923799 | John Charles White | Social Worker | 502 Blakely St., Dunmore, PA 18512 | 2012-09-05 |
| 1043465594 | Anthony Harry Funaro | Radiology | 201 S. Blakely Street, Pmb - 197, Dunmore, PA 18512 | 2008-11-25 |
| 1932387602 | Maureen Judith Rebar | Social Worker | 32 Emerald Dr, Throop, PA 18512 | 2008-02-05 |
| 1316006398 | Frank Richard Padula | Dentist | 320 W Drinker St, Dunmore, PA 18512 | 2006-12-06 |
| 1366516163 | Peter W Shorten | Chiropractor | 115 W Drinker St, Dunmore, PA 18512 | 2006-11-20 |
| 1164592853 | Patricia Sweeney | Nurse Practitioner | 1208 O'neil Highway, Dunmore, PA 18512 | 2006-11-09 |
| Find all providers in zip 18512 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
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| 1194275644 | Zumar Dubose | Psychologist | 7832 Temple Rd, Philadelphia, PA 19150-2110 | 2016-10-08 |
| 1619326089 | Bucks County Psychological | Psychologist | 10 S Clinton St Ste 207, Doylestown, PA 18901-4220 | 2016-06-07 |
| 1659773802 | Rashid Williams | Psychologist | 1000 3rd Ave, New Brighton, PA 15066-2012 | 2014-09-18 |
| 1134562325 | Santilli Psychological and Wellness Services, LLC | Psychologist | 3535 Route 130, Suite 2, Lower Level, Irwin, PA 15642-2143 | 2013-04-08 |
| 1962758052 | Jeremy Philip Frank | Psychologist | 3900 City Ave Ste D108, Presidential City Apartments, Madison Bldg., Phila, PA 19131-2926 | 2012-07-26 |
| 1871891994 | Marc Laud Feldman | Psychologist | 111 Forrest Ave Fl 2, Narberth, PA 19072-2252 | 2011-03-14 |
| 1588808398 | Amy Parkinson Seader | Psychologist | 1708 Madeira Ave, Jenkintown, PA 19046-2211 | 2009-04-23 |
| 1922279975 | Martha B Boston | Psychologist | 1350 Edgmont Ave, Suite 2575, Chester, PA 19013-3962 | 2008-03-18 |
| Find all providers with the same taxonomy | ||||
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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.