The Jason Program

Primary specialty

SpecialistTaxonomy code 174400000X

License

012046 Issued in ME

Legal business name

THE JASON PROGRAM

Practice address

65 Washington Ave
Portland, ME 04101-2617

Phone

(207) 773-2947

Fax

(207) 773-3617

NPI assigned

Oct 31, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Diana H Hurd

Title

Practice Manager

Phone

(207) 773-2947

Specialties & licenses 1

Addresses

Tax ID family

The Jason Program2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Jason Program

  • Voluntary or Charitable Agency
  • Portland, ME
  • NPI 1366641045
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard D Tryon, LCSW

  • Mental Health Counselor
  • Kennebunkport, ME
  • NPI 1942318670
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1033398680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 WASHINGTON AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012617",
            "telephone_number": "207-773-2947",
            "fax_number": "207-773-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 WASHINGTON AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012617",
            "telephone_number": "207-773-2947",
            "fax_number": "207-773-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JASON PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "HURD",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "207-773-2947",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "ME",
            "license": "012046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Thayer, LCPC-C
• The Dental Loft
• The Godwin Care Services LLC (GCS)
• The Iris Network
• The Iris Network
• The Jason Program
• The Kekoa Collaborative LLC
• The Maine Surgical Care Group
• The Najah Agency
• The Opportunity Alliance

• Specialist in Portland, ME
• Providers in Portland, ME by specialty
• Specialist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.