NPIMap

Organization Active NPI

Msad1

  • Developmentally Disabled Services Day Training Agency
  • Presque Isle, ME
National Provider Identifier
1275744740
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
MSAD1
Practice address
79 Blake St
Suite #1
Presque Isle, ME 04769-2474
Phone
(207) 764-3036
Fax
(207) 768-3445
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kathy Lee Waugh
Title
Administrative Assistant
Phone
(207) 764-3036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

79 Blake St
Suite #1
Presque Isle, ME 04769-2474

Mailing address

79 Blake St
Suite #1
Presque Isle, ME 04769-2474
Phone (207) 764-3036

National Provider Directory

National Provider Directory
Tax ID family
Maine School Admin District 12 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

  • Msad01
    • Local Education Agency (LEA)
    • Presque Isle, ME
    • NPI 1639383409
    NPD tax ID

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275744740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 BLAKE ST",
            "address_2": "SUITE #1",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692474",
            "telephone_number": "207-764-3036",
            "fax_number": "207-768-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 BLAKE ST",
            "address_2": "SUITE #1",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692474",
            "telephone_number": "207-764-3036",
            "fax_number": "207-768-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSAD1",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAUGH",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "207-764-3036"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Presque Isle, ME

Sources for this page

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

Verify at the official NPI Registry.