NPIMap

Organization Active NPI

Community Clinical Services, Inc

Doing business as CCS Behavioral at CMCC

  • Federally Qualified Health Center (FQHC)
  • Auburn, ME
National Provider Identifier
1295386316
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY CLINICAL SERVICES, INC
Doing business as
CCS Behavioral at CMCC
Practice address
1250 Turner St
Auburn, ME 04210-6436
Phone
(207) 755-3434
NPI assigned
Sep 20, 2019
Last updated
Oct 22, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY CLINICAL SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Authorized official

Name
Coleen L Elias
Title
Ceo/Cfo
Phone
(207) 513-3897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

1250 Turner St
Auburn, ME 04210-6436

Mailing address

PO Box 95000 LBX #7660
Philadelphia, PA 19195-0001

Other names 1

  • CCS Behavioral at CMCC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Clinical Services Inc23 organizations share this tax ID, including this one
Part of
Community Clinical Services Inc

Other organizations with this tax ID 22

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

View all 22

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1295386316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000 LBX #7660",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191950001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 TURNER ST",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042106436",
            "telephone_number": "207-755-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CLINICAL SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY CLINICAL SERVICES, INC",
        "enumeration_date": "2019-09-20",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "ELIAS",
        "authorized_official_first_name": "COLEEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO/CFO",
        "authorized_official_telephone_number": "207-513-3897"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCS Behavioral at CMCC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CCS Behavioral at CMCC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.