NPIMap

Organization Active NPI

Kidspeace National Centers of New England Inc

  • Psychiatric Residential Treatment Facility
  • Ellsworth, ME
National Provider Identifier
1093839185
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
322081 Issued in ME
Legal business name
KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND INC
Practice address
16 Kids Peace Way
Ellsworth, ME 04605-3483
Phone
(207) 667-0909
Fax
(207) 667-6348
NPI assigned
Mar 16, 2007
Last updated
Oct 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Authorized official

Name
Michael Slack
Title
President and Ceo
Phone
(610) 799-8405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 322081 ME Primary

Addresses

Primary practice location

16 Kids Peace Way
Ellsworth, ME 04605-3483

Mailing address

4085 Independence Dr
Schnecksville, PA 18078-2574
Phone (610) 799-8343

Other practice location 1

16 Godfrey Dr
Orono, ME 04473-3610
Phone (207) 817-0387

Other practice location 2

199 State St
Millinocket, ME 04462-1545
Phone (610) 799-8951

Other identifiers 17

IdentifierTypeStateIssuer
1093839185-040MedicaidME
1093839185-001MedicaidME
1093839185-003MedicaidME
1093839185-034MedicaidME
1093839185-009MedicaidME
1093839185-019MedicaidME
1093839185-010MedicaidME
1093839185-021MedicaidME
1093839185-002MedicaidME
1093839185-020MedicaidME
1093839185-022MedicaidME
1093839185-032MedicaidME
1093839185-036MedicaidME
1093839185-039MedicaidME
123430200MedicaidME
1093839185-038MedicaidME
1093839185-018MedicaidME

National Provider Directory

National Provider Directory
Tax ID family
Kidspeace National Centers of New England Inc46 organizations share this tax ID, including this one

Other organizations with this tax ID 45

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

View all 45

Locations

601 Stillwater Ave
Ste 3
Old Town, ME 04468
Phone (207) 817-0387

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1093839185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4085 INDEPENDENCE DR",
            "city": "SCHNECKSVILLE",
            "state": "PA",
            "postal_code": "180782574",
            "telephone_number": "610-799-8343",
            "fax_number": "610-799-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 KIDS PEACE WAY",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046053483",
            "telephone_number": "207-667-0909",
            "fax_number": "207-667-6348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Godfrey Dr",
            "address_purpose": "LOCATION",
            "city": "Orono",
            "state": "ME",
            "postal_code": "044733610",
            "country_code": "US",
            "telephone_number": "207-817-0387",
            "fax_number": "207-817-0683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "199 State St",
            "address_purpose": "LOCATION",
            "city": "Millinocket",
            "state": "ME",
            "postal_code": "044621545",
            "country_code": "US",
            "telephone_number": "610-799-8951",
            "fax_number": "207-723-6811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "SLACK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "610-799-8405"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "ME",
            "license": "322081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093839185-040",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093839185-001",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093839185-003",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093839185-034",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093839185-009",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093839185-019",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093839185-010",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093839185-021",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093839185-002",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093839185-020",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093839185-022",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093839185-032",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093839185-036",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093839185-039",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123430200",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093839185-038",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093839185-018",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellsworth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; 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.