Organization Active NPI

Merrymeeting Behavioral Health Associates

  • Community/Behavioral Health Agency
  • Brunswick, ME
National Provider Identifier
1063542074
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
417157 Issued in ME
Legal business name
MERRYMEETING BEHAVIORAL HEALTH ASSOCIATES
Practice address
14 Maine St # 9
Suite 306a
Brunswick, ME 04011-2026
Phone
(207) 721-0214
Fax
(207) 721-0215
NPI assigned
Mar 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James M Talbott, LCSWNPI 1538475207
Title
Executive Director
Phone
(207) 721-0214

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 417157 ME Primary

Addresses

Primary practice location

14 Maine St # 9
Suite 306a
Brunswick, ME 04011-2026

Mailing address

14 Maine St # 9
Suite 306a
Brunswick, ME 04011-2026
Phone (207) 721-0214

National Provider Directory

National Provider Directory

Locations

14 Maine St
Ste 306A
Brunswick, ME 04011
Phone (207) 721-0214

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063542074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MAINE ST # 9",
            "address_2": "SUITE 306A",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112026",
            "telephone_number": "207-721-0214",
            "fax_number": "207-721-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MAINE ST # 9",
            "address_2": "SUITE 306A",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112026",
            "telephone_number": "207-721-0214",
            "fax_number": "207-721-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRYMEETING BEHAVIORAL HEALTH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TALBOTT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-721-0214",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ME",
            "license": "417157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.