| Northeast Occupational Exchange, Inc | |
|
444 Stillwater Ave Ste 210 Bangor ME 04401-3500 | |
| (207) 942-3816 | |
| (207) 561-4725 |
| Full Name | Northeast Occupational Exchange, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 444 Stillwater Ave Ste 210, Bangor, Maine |
| Authorized Official Name and Position | Kate Flanders (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2079423816 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Occupational Exchange, Inc Po Box 1189 Bangor ME 04402-1189 Ph: (207) 942-3816 | Northeast Occupational Exchange, Inc 444 Stillwater Ave Ste 210 Bangor ME 04401-3500 Ph: (207) 942-3816 |
| NPI Number | 1427002138 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 08/23/2023 |
| Certification Date | 08/23/2023 |
| Medicare PECOS PAC ID | 5092709345 |
|---|---|
| Medicare Enrollment ID | O20040726000370 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427002138 | NPI | - | NPPES |
| 107950200 | Medicaid | ME | |
| 107950201 | Medicaid | ME | |
| 107950100 | Medicaid | ME |
| Provider Name | Cynthia L Schumacher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073547683 PECOS PAC ID: 4789678483 Enrollment ID: I20040414000859 |
| Provider Name | Laura G Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720029945 PECOS PAC ID: 2062456684 Enrollment ID: I20050615000134 |
| Provider Name | Jennifer M Tingley Prince |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275570400 PECOS PAC ID: 6800815705 Enrollment ID: I20051121000823 |
| Provider Name | Laura Durham Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598985392 PECOS PAC ID: 3678613460 Enrollment ID: I20091230000186 |
| Provider Name | Ruth S Emmett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447487475 PECOS PAC ID: 7315116423 Enrollment ID: I20110808000004 |
| Provider Name | Rachel J Rosenfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750656757 PECOS PAC ID: 4183887458 Enrollment ID: I20120524000023 |
| Provider Name | Kenneth B Liberty |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124371778 PECOS PAC ID: 8820240112 Enrollment ID: I20121213000188 |
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