Active NPI
Left Bank Recovery Services
- Recovery Care Clinic/Center
- Lewiston, ME
National Provider Identifier
1285231753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recovery Care Clinic/Center
- Legal business name
- LEFT BANK RECOVERY SERVICES
- Practice address
- 37 Park St Ste 303
Lewiston, ME 04240-7195 - Phone
- (207) 777-1046
- Fax
- (207) 514-8016
- NPI assigned
- Oct 7, 2020
- Last updated
- Oct 7, 2020
- 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
- Courtney A Meehan
- Title
- Chief Administrative Officer
- Phone
- (207) 777-1046
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recovery Care Clinic/Center | 261QR0800X | NU | Primary |
Addresses
Primary practice location
37 Park St Ste 303
Lewiston, ME 04240-7195
Mailing address
37 Park St # 440
Lewiston, ME 04240-7195
Phone (207) 777-1046
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
37 Park St
#440
Lewiston, ME 04240
37 Park St
Ste 303
Lewiston, ME 04240
Phone (207) 777-1046
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Brunswick, ME
- NPI 1841963170
-
- Psychiatric/Mental Health Nurse Practitioner
- Auburn, ME
- NPI 1821637729
-
- Psychiatric/Mental Health Nurse Practitioner
- Lewiston, ME
- NPI 1124368717
-
- Addiction (Substance Use Disorder) Counselor
- Lewiston, ME
- NPI 1104235928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602028800000",
"number": "1285231753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 PARK ST # 440",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042407195",
"telephone_number": "207-777-1046",
"fax_number": "207-514-8016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 PARK ST STE 303",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042407195",
"telephone_number": "207-777-1046",
"fax_number": "207-514-8016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEFT BANK RECOVERY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-07",
"last_updated": "2020-10-07",
"certification_date": "2020-10-07",
"status": "A",
"authorized_official_last_name": "MEEHAN",
"authorized_official_first_name": "COURTNEY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "207-777-1046"
},
"taxonomies": [
{
"code": "261QR0800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Recovery Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.