The Riverside Community Center, Inc

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

266141 Issued in ME

Legal business name

THE RIVERSIDE COMMUNITY CENTER, INC

Practice address

43 Fleming St
Lincoln, ME 04457-1451

Phone

(207) 794-6280

NPI assigned

Mar 14, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Donna G. Cowan, M.ED./CADC

Title

Administrator

Phone

(207) 794-2150

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Riverside Community Center2 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.

• Riverside Community Center

  • Community/Behavioral Health Agency
  • Lincoln, ME
  • NPI 1245547280
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cathy L Boynton, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Lincoln, ME
  • NPI 1346579158
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1225006380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 FLEMING ST",
            "city": "LINCOLN",
            "state": "ME",
            "postal_code": "044571451",
            "telephone_number": "207-794-2150",
            "fax_number": "207-794-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 FLEMING ST",
            "city": "LINCOLN",
            "state": "ME",
            "postal_code": "044571451",
            "telephone_number": "207-794-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RIVERSIDE COMMUNITY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "207-794-2150",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED./CADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "266141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125240000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Jayne Stevens, MS OTR/L
• Garrett Stiles, PHARMD
• Gordon Powell Street, PHD
• Beatrice Mary Szantyr, M.D.
• The Charlie Mike Project
• Heidi Theriault, RN
• Harrold Joseph Thibodeau Jr., DMD
• Garnette Thompson
• Togus Vamc
• Total Renal Care Inc

• Addiction (Substance Use Disorder) Counselor in Lincoln, ME
• Providers in Lincoln, ME by specialty
• Addiction (Substance Use Disorder) Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.