Southern Maine Support Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SOUTHERN MAINE SUPPORT SERVICES LLC

Practice address

39 Mechanic St
Westbrook, ME 04092-2855

Phone

(207) 770-8148

NPI assigned

Dec 17, 2024

Last updated

Dec 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abdiaziz Mohamed

Title

Manager

Phone

(207) 615-3103

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1144037649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 MECHANIC ST",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040922855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 MECHANIC ST",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040922855",
            "telephone_number": "207-770-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MAINE SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "ABDIAZIZ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "207-615-3103"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smooth Home Care
• Joan Sud Soreff, LCSW
• Katherine Anne Sorokin, BCBA
• Southern Maine Recovery LLC
• Southern Maine Senior Support
• Lisa L Spear, OTR/L
• Spectrum Healthcare Partners, P.a (RAYUS Radiology Portland)
• Spectrum Staffing Solutions LLC (Spectrum Home Care)
• Amanda Spofford O'Connor, CADC
• Spring Harbor Hospital

• Mental Health Clinic/Center (Including Community Mental Health Center) in Westbrook, ME
• Providers in Westbrook, ME by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.