NPIMap

Organization Active NPI

Kidspeace New England

  • Community/Behavioral Health Agency
  • Bangor, ME
National Provider Identifier
1245628478
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
XL4436 Issued in ME
Legal business name
KIDSPEACE NEW ENGLAND
Practice address
444 Stillwater Ave
Suite 204
Bangor, ME 04401-3521
Phone
(207) 941-1414
Fax
(207) 947-6278
NPI assigned
Dec 22, 2014
Last updated
Dec 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Authorized official

Name
Ms. Suzanne Lynn King, LCPC-C
Title
Clinician
Phone
(207) 941-1414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X XL4436 ME Primary

Addresses

Primary practice location

444 Stillwater Ave
Suite 204
Bangor, ME 04401-3521

Mailing address

444 Stillwater Ave
Suite 204
Bangor, ME 04401-3521
Phone (207) 941-1414

National Provider Directory

National Provider Directory
Tax ID family
Kidspeace New England46 organizations share this tax ID, including this one

Other organizations with this tax ID 45

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

View all 45

Locations

444 Stillwater Ave
Ste 204
Bangor, ME 04401
Phone (207) 299-1414

NPI Registry JSON

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1245628478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 STILLWATER AVE",
            "address_2": "SUITE 204",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013521",
            "telephone_number": "207-941-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 STILLWATER AVE",
            "address_2": "SUITE 204",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013521",
            "telephone_number": "207-941-1414",
            "fax_number": "207-947-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSPEACE NEW ENGLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "207-941-1414",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC-C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ME",
            "license": "XL4436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.