Organization Active NPI

Mindful Mealtimes

  • Feeding, Eating & Swallowing Occupational Therapist
  • Gorham, ME
National Provider Identifier
1265977623
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Feeding, Eating & Swallowing Occupational TherapistTaxonomy code 225XF0002X
License
MEOT2768 Issued in ME
Legal business name
MINDFUL MEALTIMES
Practice address
510 Main St
Gorham, ME 04038-1339
Phone
(207) 776-1182
NPI assigned
Dec 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Authorized official

Name
Michelle Segovias, OTR/L
Title
Owner
Phone
(207) 776-1182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Feeding, Eating & Swallowing Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XF0002X MEOT2768 ME Primary

Addresses

Primary practice location

510 Main St
Gorham, ME 04038-1339

Mailing address

510 Main St
Gorham, ME 04038-1339

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1265977623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 MAIN ST",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 MAIN ST",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381339",
            "telephone_number": "207-776-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL MEALTIMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "SEGOVIAS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-776-1182",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XF0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "ME",
            "license": "MEOT2768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gorham, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.

Verify at the official NPI Registry.