Timothy Michael McBrady, LPN, LADC, CCS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LC1323 Issued in ME

Practice address

2300 Congress St
Portland, ME 04102-1908

Phone

(207) 221-2292

Fax

(207) 221-2297

NPI assigned

May 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Physicians PC

  • Methadone Clinic
  • Portland, ME
  • NPI 1316242209
  NPD (past)
• Danzig Counseling Services

  • Addiction (Substance Use Disorder) Counselor
  • Windham, ME
  • NPI 1710191507
  NPD (past)
• Merrimack River Medical Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Portland, ME
  • NPI 1912233826
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292284800000",
    "number": "1346454923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 ROOSEVELT TRL",
            "address_2": "STE 14",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040625652",
            "telephone_number": "207-893-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041021908",
            "telephone_number": "207-221-2292",
            "fax_number": "207-221-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRADY",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "credential": "LPN, LADC, CCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2010-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC1323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251760099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Patrick McAuley, M.B.B.S
• Amy Lynn McAuliffe, NP, RN
• Jay D McBain, PA
• Angela McBane, RN
• Amy D McBee, M.D.
• Jenna Rose McCaffrey
• Kimberly Ann McCall, CRNA
• Kendra Michelle McCallister, CADC, MHRT/C, CRMA
• Tracy McCallum, LMT
• Anthony McCann, M.D.

• Addiction (Substance Use Disorder) Counselor in Portland, ME
• Providers in Portland, ME by specialty
• Addiction (Substance Use Disorder) Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.