Active NPI
Timothy James Sweeney Sr., CADC
- Addiction (Substance Use Disorder) Counselor
- Saco, ME
National Provider Identifier
1245864644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CAC4371
- Practice address
- 250 North St
Saco, ME 04072-1827 - Phone
- (207) 423-3161
- Fax
- (207) 241-8318
- NPI assigned
- Feb 25, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CAC4371 | ME | Primary |
Addresses
Primary practice location
250 North St
Saco, ME 04072-1827
Mailing address
250 North St
Saco, ME 04072-1827
Phone (207) 423-3161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CAC4371 | ME | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582588800000",
"number": "1245864644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 NORTH ST",
"city": "SACO",
"state": "ME",
"postal_code": "040721827",
"telephone_number": "207-423-3161",
"fax_number": "207-241-8318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 NORTH ST",
"city": "SACO",
"state": "ME",
"postal_code": "040721827",
"telephone_number": "207-423-3161",
"fax_number": "207-241-8318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEENEY",
"first_name": "TIMOTHY",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "CADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-25",
"last_updated": "2020-02-25",
"certification_date": "2020-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ME",
"license": "CAC4371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saco, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.