NPIMap

Organization Active NPI

Learningworks (Formerly Portland West)

  • Community/Behavioral Health Agency
  • Portland, ME
National Provider Identifier
1154595684
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
566270 Issued in ME
Legal business name
LEARNINGWORKS (FORMERLY PORTLAND WEST)
Practice address
181 Brackett St.
Portland, ME 04102
Phone
(207) 775-0105
Fax
(207) 775-1392
NPI assigned
Apr 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Authorized official

Name
Robert E. Dodge
Title
Chief Financial Officer
Phone
(207) 775-0105

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 566270 ME
Community/Behavioral Health Agency 251S00000X 566270 ME Primary

Addresses

Primary practice location

181 Brackett St.
Portland, ME 04102

Mailing address

181 Brackett St.
Portland, ME 04102
Phone (207) 775-0105

Other identifiers 3

IdentifierTypeStateIssuer
135530099MedicaidME
432302099MedicaidME
432506499MedicaidME

Other names 1

  • Portland West Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Learningworks4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

181 Brackett St
Portland, ME 04102
Phone (207) 775-0105

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1154595684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 BRACKETT ST.",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04102",
            "telephone_number": "207-775-0105",
            "fax_number": "207-775-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 BRACKETT ST.",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04102",
            "telephone_number": "207-775-0105",
            "fax_number": "207-775-1392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEARNINGWORKS (FORMERLY PORTLAND WEST)",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "DODGE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "207-775-0105"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "ME",
            "license": "566270",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ME",
            "license": "566270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135530099",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432302099",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432506499",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portland West",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.