Organization Active NPI

Health Affiliates Maine

  • Community/Behavioral Health Agency
  • Auburn, ME
National Provider Identifier
1295053429
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LC12785 Issued in ME
Legal business name
HEALTH AFFILIATES MAINE
Practice address
306 Rodman Rd
Auburn, ME 04210-3830
Phone
(207) 333-3278
NPI assigned
May 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Ms. Andrea Conley, LCSW
Title
Executive Director
Phone
(207) 333-3278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LC12785 ME Primary

Addresses

Primary practice location

306 Rodman Rd
Auburn, ME 04210-3830

Mailing address

PO Box 1150
Auburn, ME 04211-1150
Phone (207) 333-3278

Other identifiers 1

IdentifierTypeStateIssuer
433173099MedicaidME

National Provider Directory

National Provider Directory
Tax ID family
Health Affiliates Maine LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

306 Rodman Rd
Auburn, ME 04210
Phone (207) 333-3278

158 Court St
Auburn, ME 04210

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1295053429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1150",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042111150",
            "telephone_number": "207-333-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 RODMAN RD",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042103830",
            "telephone_number": "207-333-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH AFFILIATES MAINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "CONLEY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-333-3278",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ME",
            "license": "LC12785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "433173099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.