Organization Active NPI

Turning Tide Inc.

  • Community/Behavioral Health Agency
  • Rockland, ME
National Provider Identifier
1174788236
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
478019 Issued in ME
Legal business name
TURNING TIDE INC.
Practice address
166 New County Road
Rockland, ME 04841
Phone
(207) 594-8433
NPI assigned
Jul 28, 2008
Last updated
Jun 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Authorized official

Name
Angel D.C. Fuller-McMahan
Title
President/Owner
Phone
(207) 594-8433

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 604311 ME
Community/Behavioral Health Agency 251S00000X 478019 ME Primary

Addresses

Primary practice location

166 New County Road
Rockland, ME 04841

Mailing address

PO Box 703
Rockland, ME 04841-0703
Phone (207) 594-8433

Other identifiers 1

IdentifierTypeStateIssuer
432828600MedicaidME

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1174788236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 703",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048410703",
            "telephone_number": "207-594-8433",
            "fax_number": "207-594-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 NEW COUNTY ROAD",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "04841",
            "telephone_number": "207-594-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TURNING TIDE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "FULLER-MCMAHAN",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "D.C.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "207-594-8433"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ME",
            "license": "604311",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ME",
            "license": "478019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432828600",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.