Organization Active NPI

Child Development Services Androscoggin

  • Specialist
  • Lewiston, ME
National Provider Identifier
1407056658
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CHILD DEVELOPMENT SERVICES ANDROSCOGGIN
Practice address
1567 Lisbon St
Lewiston, ME 04240-3545
Phone
(207) 795-4022
Fax
(207) 795-4082
NPI assigned
Jul 24, 2007
Last updated
Jul 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Alfreda Fournier
Title
Director
Phone
(207) 795-4022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

1567 Lisbon St
Lewiston, ME 04240-3545

Mailing address

1567 Lisbon St
Lewiston, ME 04240-3545
Phone (207) 795-4022

National Provider Directory

National Provider Directory

Locations

1567 Lisbon St
Lewiston, ME 04240
Phone (207) 795-4022

Practitioners & affiliated clinicians

Practitioners 12

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": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1407056658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1567 LISBON ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042403545",
            "telephone_number": "207-795-4022",
            "fax_number": "207-795-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1567 LISBON ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042403545",
            "telephone_number": "207-795-4022",
            "fax_number": "207-795-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD DEVELOPMENT SERVICES ANDROSCOGGIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "FOURNIER",
        "authorized_official_first_name": "ALFREDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "207-795-4022"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.