Park Street Group Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

100360000 Issued in ME

Legal business name

PARK STREET GROUP INC

Practice address

58 Park St
Suite 202
Rockland, ME 04841

Phone

(207) 594-4985

Fax

(207) 594-4974

NPI assigned

Mar 8, 2006

Organization subpart

No

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

Authorized official

Name

Paula M Houst

Title

President

Phone

(207) 594-4985

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1134196124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 PARK ST",
            "address_2": "SUITE 202",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "04841",
            "telephone_number": "207-594-4985",
            "fax_number": "207-594-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 PARK ST",
            "address_2": "SUITE 202",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "04841",
            "telephone_number": "207-594-4985",
            "fax_number": "207-594-4974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK STREET GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "HOUST",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-594-4985"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "ME",
            "license": "100360000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Open Door Wellness LLC,
• Mary-Ellen Ostherr, MA LADC CCS
• Barbara Sperling Owen, LCSW
• Myriah Palow
• Deborah Paradis
• Jessica Jean Partlow, DO
• Arvind Patel, M.D.
• Mary M Patten, LCPC
• Christopher Peck, CTRS, LRT
• Patricia B Peek, LSW

• Specialist in Rockland, ME
• Providers in Rockland, ME by specialty
• Specialist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.