Kayla Capponi, CADC
Individual provider Active NPI Specialist · Norway, ME
NPI 1396150025 · NPPES record last updated Jun 20, 2014
Key facts
- NPI
- 1396150025
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- CAC5689 (ME)
- Practice address
- 235 Main St
Norway, ME 04268-5943 - Phone
- (207) 739-2644
- Fax
- (207) 739-2467
- NPI assigned
- Jun 20, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CAC5689 | ME | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Common Ground Counseling, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | CAC5689 | ME | Yes |
Addresses
Primary practice location
235 Main St
Norway, ME 04268-5943
Mailing address
235 Main St
Norway, ME 04268-5943
Phone (207) 739-2644
Other providers in Norway, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.