NPIMap

Organization Active NPI

Southern Maine Chidlren's Academy, LLC

  • Community/Behavioral Health Agency
  • Windham, ME
National Provider Identifier
1275978769
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SP860 Issued in ME
Legal business name
SOUTHERN MAINE CHIDLREN'S ACADEMY, LLC
Practice address
32 Tandberg TRL
Unit 7
Windham, ME 04062-6417
Phone
(207) 893-1599
NPI assigned
May 9, 2013
Last updated
Jun 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Jacqueline BillingtonNPI 1023123601
Title
Owner
Phone
(207) 893-2599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SP860 ME Primary

Addresses

Primary practice location

32 Tandberg TRL
Unit 7
Windham, ME 04062-6417

Mailing address

32 Tandberg TRL
Unit 7
Windham, ME 04062-6417
Phone (207) 893-1599

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1275978769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 TANDBERG TRL",
            "address_2": "UNIT 7",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040626417",
            "telephone_number": "207-893-1599",
            "fax_number": "207-893-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 TANDBERG TRL",
            "address_2": "UNIT 7",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040626417",
            "telephone_number": "207-893-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MAINE CHIDLREN'S ACADEMY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-09",
        "last_updated": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "BILLINGTON",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-893-2599"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ME",
            "license": "SP860",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 4, 2024; 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.