Active NPI
Sharon Clough Hamlin
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Farmingdale, ME
National Provider Identifier
1265660781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- ALLS2960
- Practice address
- 268 Maine Ave
Farmingdale, ME 04344-4514 - Phone
- (207) 582-5192
- Fax
- (207) 582-5192
- NPI assigned
- Jun 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | ALLS2960 | ME | Primary |
Addresses
Primary practice location
268 Maine Ave
Farmingdale, ME 04344-4514
Mailing address
268 Maine Ave
Farmingdale, ME 04344
Phone (207) 582-5192
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203680000 | Other | ME | PROVIDER NUMBER |
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 |
|---|---|---|---|
| ALLS2960 | ME | MD | Intellectual and/or Developmental Disabilities Residential Treatment Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488153600000",
"number": "1265660781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "268 MAINE AVE",
"city": "FARMINGDALE",
"state": "ME",
"postal_code": "04344",
"telephone_number": "207-582-5192",
"fax_number": "207-582-5192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "268 MAINE AVE",
"city": "FARMINGDALE",
"state": "ME",
"postal_code": "043444514",
"telephone_number": "207-582-5192",
"fax_number": "207-582-5192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMLIN",
"first_name": "SHARON",
"middle_name": "CLOUGH",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-23",
"last_updated": "2017-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "ME",
"license": "ALLS2960",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NUMBER",
"identifier": "203680000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Farmingdale, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.