Maine Opioid Dependency Program

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

MAINE OPIOID DEPENDENCY PROGRAM

Practice address

114 Stroudwater St
Westbrook, ME 04092-4037

Phone

(207) 405-1474

Fax

(207) 283-9357

NPI assigned

May 7, 2024

Last updated

May 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christine Blake Smith, DONPI 1760531180

Title

Owner

Phone

(207) 405-1474

Specialties & licenses 1

Addresses

Locations

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.

• Christine Blake Smith, DO

  • Addiction Medicine (Family Medicine) Physician
  • Westbrook, ME
  • NPI 1760531180
  NPD Authorized official

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1225886039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 ROYALL POINT RD",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040965762",
            "telephone_number": "207-229-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 STROUDWATER ST",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924037",
            "telephone_number": "207-405-1474",
            "fax_number": "207-283-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE OPIOID DEPENDENCY PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-405-1474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maine Center for Cancer Medicine & Blood Disorders, P.a.
• Maine Centers for Healthcare (Maine Center for Endoscopy)
• Maine Centers for Healthcare PA
• Maine Community Homecare
• Maine Medical Partners (Maine Medical Partners Westbrook Family Medicine)
• Maine Paradise Homecare, Inc
• Maine Senior Safe Care LLC
• Mainehealth (MaineHealth Pharmacy Specialty and Home Delivery Westbrook)
• Mainehealth (MaineHealth Pharmacy Specialty and Home Delivery Westbrook)
• Mainehealth (MaineHealth Behavioral Health at Spring Harbor)

• Addiction Medicine (Family Medicine) Physician in Westbrook, ME
• Providers in Westbrook, ME by specialty
• Addiction Medicine (Family Medicine) Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.