Organization Active NPI

Broadleaf Behavioral Health PC

  • Psychiatry Physician
  • Scarborough, ME
National Provider Identifier
1184925323
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BROADLEAF BEHAVIORAL HEALTH PC
Practice address
51 US Route 1 Ste R-1
Scarborough, ME 04074-7158
Phone
(207) 985-8998
Fax
(207) 985-1281
NPI assigned
Nov 4, 2010
Last updated
Jun 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Authorized official

Name
Dr. David Paul Jones, DONPI 1679671879
Title
Psychiatrist and President of BBH
Phone
(207) 985-8998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

51 US Route 1 Ste R-1
Scarborough, ME 04074-7158

Mailing address

51 US Route 1 Ste R-1
Scarborough, ME 04074-7158
Phone (207) 985-8998

National Provider Directory

National Provider Directory
Tax ID family
Broadleaf Behavioral Health PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

51 US Route 1
Scarborough, ME 04074
Phone (207) 600-1174

51 US Route 1
Ste R1
Scarborough, ME 04074
Phone (207) 985-8998

Practitioners & affiliated clinicians

Practitioners 1

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": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1184925323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 US ROUTE 1 STE R-1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747158",
            "telephone_number": "207-985-8998",
            "fax_number": "207-985-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 US ROUTE 1 STE R-1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747158",
            "telephone_number": "207-985-8998",
            "fax_number": "207-985-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADLEAF BEHAVIORAL HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PSYCHIATRIST AND PRESIDENT OF BBH",
        "authorized_official_telephone_number": "207-985-8998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.

Verify at the official NPI Registry.