Next Step Domestic Violence Project

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

XL-4560 Issued in ME

Legal business name

NEXT STEP DOMESTIC VIOLENCE PROJECT

Practice address

733 Bangor Rd
Ellsworth, ME 04605-3580

Phone

(207) 667-0176

Fax

(207) 667-8033

NPI assigned

Aug 1, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Dorathy Martell

Title

Executive Director

Phone

(207) 667-0176

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Pamela Jean Gagnon Da Silva, MS, LCPC

  • Mental Health Counselor
  • Ellsworth, ME
  • NPI 1821515339
  NPD (past)

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501545600000",
    "number": "1073037099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1466",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051466",
            "telephone_number": "207-667-0176",
            "fax_number": "207-667-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 BANGOR RD",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046053580",
            "telephone_number": "207-667-0176",
            "fax_number": "207-667-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXT STEP DOMESTIC VIOLENCE PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2017-08-01",
        "status": "A",
        "authorized_official_last_name": "MARTELL",
        "authorized_official_first_name": "DORATHY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-667-0176",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "ME",
            "license": "XL-4560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCPC-C LICENSE NUMBER",
            "identifier": "XL-4560",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walter N Muth, M.D.
• Marc Mytar, PHD
• Cheryl M Nelson, LCPC LMHC
• Bob G. Nesiba, D.C.
• New Albertson'S Inc #7557/490
• Nicholas S. Vachon, D.P.M., P.a.
• Ewell Nichols Jr., CRNA
• Stephen H Nightingale, M.D.
• Michael Noparstak, D.O.
• North Country Associates, Inc

• Mental Health Clinic/Center (Including Community Mental Health Center) in Ellsworth, ME
• Providers in Ellsworth, ME by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; 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.