Active NPI
Wellness Center
- Adult Mental Health Clinic/Center
- Lewiston, ME
National Provider Identifier
1033637673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- MHA733306
- Legal business name
- WELLNESS CENTER
- Practice address
- 37 Park Street, Suite 305
Lewiston, ME 04240 - Phone
- (207) 755-9042
- Fax
- (207) 755-9041
- NPI assigned
- Sep 4, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hassan Mohamud Adan, B.SC, MHRT/C
- Title
- Presdident/Ceo
- Phone
- (207) 344-7526
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | MHA733306 | ME | Primary |
Addresses
Primary practice location
37 Park Street, Suite 305
Lewiston, ME 04240
Mailing address
37 Park Street, Suite 305
Lewiston, ME 04240
Phone (207) 755-9042
National Provider Directory
National Provider Directory- Tax ID family
- Wellness Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lewiston, ME
- NPI 1396263869
Locations
37 Park St
Ste 305
Lewiston, ME 04240
Phone (207) 755-9042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1033637673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 PARK STREET, SUITE 305",
"city": "LEWISTON",
"state": "ME",
"postal_code": "04240",
"telephone_number": "207-755-9042",
"fax_number": "207-755-9041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 PARK STREET, SUITE 305",
"city": "LEWISTON",
"state": "ME",
"postal_code": "04240",
"telephone_number": "207-755-9042",
"fax_number": "207-755-9041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-04",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "ADAN",
"authorized_official_first_name": "HASSAN",
"authorized_official_middle_name": "MOHAMUD",
"authorized_official_title_or_position": "PRESDIDENT/CEO",
"authorized_official_telephone_number": "207-344-7526",
"authorized_official_credential": "B.SC, MHRT/C"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "ME",
"license": "MHA733306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.