Active NPI
Crossroads for Women, Inc.
- Substance Abuse Rehabilitation Facility
- Windham, ME
National Provider Identifier
1265760185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 220981
- Legal business name
- CROSSROADS FOR WOMEN, INC.
- Practice address
- 114 Main St
Windham, ME 04062-4226 - Phone
- (207) 892-2192
- Fax
- (207) 892-2146
- NPI assigned
- Dec 4, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Polly Haight Frawley
- Title
- Chief of Operations
- Phone
- (207) 773-9931
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 220981 | ME | Primary |
Addresses
Primary practice location
114 Main St
Windham, ME 04062-4226
Mailing address
71 US Route 1
Suite E
Scarborough, ME 04074-7173
Phone (207) 773-9931
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124450100 | Medicaid | ME | |
| 124450103 | Medicaid | ME | |
| 124450101 | Medicaid | ME | |
| 124450102 | Medicaid | ME |
National Provider Directory
National Provider Directory- Tax ID family
- Crossroads for Women
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Addiction (Substance Use Disorder) Counselor
- Scarborough, ME
- NPI 1326030701
-
- Mental Health Counselor
- Scarborough, ME
- NPI 1740272129
Locations
575 Forest Ave
Portland, ME 04101
Phone 2077721187 ext. 302
114 Main St
Windham, ME 04062
Phone 2078922192 ext. 208
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/a349a661-1153-4053-a40b-30cb284c6ffc/
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471305600000",
"number": "1265760185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 US ROUTE 1",
"address_2": "SUITE E",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040747173",
"telephone_number": "207-773-9931",
"fax_number": "207-879-5576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 MAIN ST",
"city": "WINDHAM",
"state": "ME",
"postal_code": "040624226",
"telephone_number": "207-892-2192",
"fax_number": "207-892-2146"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROSSROADS FOR WOMEN, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-04",
"last_updated": "2016-08-16",
"status": "A",
"authorized_official_last_name": "FRAWLEY",
"authorized_official_first_name": "POLLY",
"authorized_official_middle_name": "HAIGHT",
"authorized_official_title_or_position": "CHIEF OF OPERATIONS",
"authorized_official_telephone_number": "207-773-9931"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "ME",
"license": "220981",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124450100",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124450103",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124450101",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124450102",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Windham, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.