Center for Sacred Living

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LC6487 Issued in ME

Legal business name

CENTER FOR SACRED LIVING

Practice address

69 Angell Ave
Apt 1
South Portland, ME 04106-5002

Phone

(207) 221-0727

NPI assigned

Jun 19, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Debra Greten-Ganberg, LCSWNPI 1285861252

Title

Director of Clinical Services

Phone

(207) 221-0727

Specialties & licenses 2

Addresses

Practitioners 2

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

• Debra Greten-Ganberg, LCSW

  • Clinical Social Worker
  • Falmouth, ME
  • NPI 1285861252
  NPD (past) Authorized official
• Sheldon R Ganberg, PH.D., L.AC.

  • Acupuncturist
  • South Portland, ME
  • NPI 1609003672
  NPD (past)

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245369600000",
    "number": "1104053867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 ANGELL AVE",
            "address_2": "APT 1",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041065002",
            "telephone_number": "207-221-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 ANGELL AVE",
            "address_2": "APT 1",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041065002",
            "telephone_number": "207-221-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR SACRED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-19",
        "last_updated": "2009-06-19",
        "status": "A",
        "authorized_official_last_name": "GRETEN-GANBERG",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "207-221-0727",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "ME",
            "license": "AC1",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ME",
            "license": "LC6487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Elizabeth Castonguay
• Todd Castonguay, PT
• Stephanie Lee Cater, LCPC
• Christopher M Cathcart
• Center for Behavioral Health Me, Inc.
• Centerwell Certified Healthcare Corp.
• Central Maine Partners in Health, LLC
• David J Chalmers, M.D.
• Riley James Chamberlain
• Leah Chamberlin

• All providers in South Portland, ME
• Community/Behavioral Health Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; 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.