Active NPI
Scott J Davidson
- Community/Behavioral Health Agency
- Brunswick, ME
National Provider Identifier
1144853433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SCOTT J DAVIDSON
- Practice address
- 9 Everett St
Brunswick, ME 04011-2403 - Phone
- (207) 751-5429
- NPI assigned
- Feb 15, 2020
- Organization subpart
- Yes
- Parent organization
- SCOTT J DAVIDSON
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott Davidson
- Title
- Owner
- Phone
- (207) 751-5429
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
9 Everett St
Brunswick, ME 04011-2403
Mailing address
PO Box 871
Brunswick, ME 04011-0871
Phone (207) 751-5429
Other practice location 1
169 South Rd
Readfield, ME 04355-3340
Phone (207) 751-5429
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135350000 | Medicaid | ME |
National Provider Directory
National Provider Directory- Part of
- Scott J Davidson
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Brunswick, ME
- NPI 1457386823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581724800000",
"number": "1144853433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 871",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040110871",
"telephone_number": "207-751-5429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 EVERETT ST",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112403",
"telephone_number": "207-751-5429"
}
],
"practiceLocations": [
{
"address_1": "169 South Rd",
"address_purpose": "LOCATION",
"city": "Readfield",
"state": "ME",
"postal_code": "043553340",
"country_code": "US",
"telephone_number": "207-751-5429",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SCOTT J DAVIDSON",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SCOTT J DAVIDSON",
"enumeration_date": "2020-02-15",
"last_updated": "2020-02-15",
"certification_date": "2020-02-15",
"status": "A",
"authorized_official_last_name": "DAVIDSON",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "207-751-5429"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "135350000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brunswick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.