Organization Active NPI

Personal Onsite Development

  • Developmentally Disabled Services Day Training Agency
  • Auburn, ME
National Provider Identifier
1083889950
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
PERSONAL ONSITE DEVELOPMENT
Practice address
100 Manley Rd
Auburn, ME 04210-3653
Phone
(207) 753-3221
Fax
(207) 753-3222
NPI assigned
Apr 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Dianne L Cote
Title
Executive Director
Phone
(207) 753-3221

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

100 Manley Rd
Auburn, ME 04210-3653

Mailing address

PO Box 1507
Lewiston, ME 04241-1507
Phone (207) 753-3221

Other identifiers 1

IdentifierTypeStateIssuer
127210000MedicaidME

National Provider Directory

National Provider Directory

Locations

100 Manley Rd
Auburn, ME 04210
Phone (207) 753-3221

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1083889950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1507",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042411507",
            "telephone_number": "207-753-3221",
            "fax_number": "207-753-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MANLEY RD",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042103653",
            "telephone_number": "207-753-3221",
            "fax_number": "207-753-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL ONSITE DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "COTE",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-753-3221"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127210000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.