NPIMap

Organization Active NPI

Maine Special Education Mental Health Collaborative

  • Developmentally Disabled Services Day Training Agency
  • New Gloucester, ME
National Provider Identifier
1235266602
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
394273 Issued in ME
Legal business name
MAINE SPECIAL EDUCATION MENTAL HEALTH COLLABORATIVE
Practice address
41 Pineland Dr Ste 200
New Gloucester, ME 04260-5111
Phone
(207) 688-2253
Fax
(207) 688-4561
NPI assigned
Feb 27, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Lauri Marchewka, L.C.S.W.
Title
Executive Director
Phone
(207) 688-2253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 394273 ME Primary

Addresses

Primary practice location

41 Pineland Dr Ste 200
New Gloucester, ME 04260-5111

Mailing address

41 Pineland Dr Ste 200
New Gloucester, ME 04260-5111
Phone (207) 688-2253

National Provider Directory

National Provider Directory
Tax ID family
Maine Special Education Mental Health Col2 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.

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": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235266602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 PINELAND DR STE 200",
            "city": "NEW GLOUCESTER",
            "state": "ME",
            "postal_code": "042605111",
            "telephone_number": "207-688-2253",
            "fax_number": "207-688-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 PINELAND DR STE 200",
            "city": "NEW GLOUCESTER",
            "state": "ME",
            "postal_code": "042605111",
            "telephone_number": "207-688-2253",
            "fax_number": "207-688-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE SPECIAL EDUCATION MENTAL HEALTH COLLABORATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARCHEWKA",
        "authorized_official_first_name": "LAURI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-688-2253",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "ME",
            "license": "394273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Gloucester, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.