NPIMap

Organization Active NPI

Msad45

  • Developmentally Disabled Services Day Training Agency
  • Washburn, ME
National Provider Identifier
1104039908
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
MSAD45
Practice address
33 School St
Washburn, ME 04786-3233
Phone
(207) 455-8301
Fax
(207) 455-8217
NPI assigned
May 8, 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
Mrs. Brooke Clenchy, SUPERINTENDENT
Title
Superintendent of Schools
Phone
(207) 455-8301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

33 School St
Washburn, ME 04786-3233

Mailing address

33 School St
Washburn, ME 04786-3233
Phone (207) 455-8301

National Provider Directory

National Provider Directory
Tax ID family
Msad453 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104039908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 SCHOOL ST",
            "city": "WASHBURN",
            "state": "ME",
            "postal_code": "047863233",
            "telephone_number": "207-455-8301",
            "fax_number": "207-455-8217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 SCHOOL ST",
            "city": "WASHBURN",
            "state": "ME",
            "postal_code": "047863233",
            "telephone_number": "207-455-8301",
            "fax_number": "207-455-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSAD45",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLENCHY",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "SUPERINTENDENT OF SCHOOLS",
        "authorized_official_telephone_number": "207-455-8301",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SUPERINTENDENT"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washburn, 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.