Community Correctional Alternatives, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

414950 Issued in ME

Legal business name

COMMUNITY CORRECTIONAL ALTERNATIVES, INC.

Practice address

15 College Ave
Waterville, ME 04901-6104

Phone

(207) 872-4500

Fax

(207) 872-2441

NPI assigned

Oct 26, 2006

Organization subpart

No

Name

Dr. William S. Tanner, PH.D.

Title

President

Phone

(207) 872-4500

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Wallace Bookheim, PA

  • Physician Assistant
  • Madison, ME
  • NPI 1588820559
  NPD (past)
• James Fine, M.D

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Staten Island, NY
  • NPI 1821079237
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 21, 2018.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1376628537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 COLLEGE AVE",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016104",
            "telephone_number": "207-872-4500",
            "fax_number": "207-872-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 COLLEGE AVE",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016104",
            "telephone_number": "207-872-4500",
            "fax_number": "207-872-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CORRECTIONAL ALTERNATIVES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-872-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "ME",
            "license": "414950",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ME",
            "license": "414950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170230000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary E Collar, RN
• Vaughn M Collett, MD
• Louise Roy Collins, PTA
• Henry F Colt, MD
• David Comeau, D.M.D.
• Josephine Conte, DO
• Continuum Dental Education Inc
• Convenientmd - FFS UC LLC
• Convenientmd LLC
• Genny Cook

• All providers in Waterville, ME
• Community/Behavioral Health Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.