NPIMap

Organization Active NPI

Preble Street

  • Case Management Agency
  • Portland, ME
National Provider Identifier
1407206287
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
LC15222 Issued in ME
Legal business name
PREBLE STREET
Practice address
38 Preble St
Portland, ME 04101-4952
Phone
(207) 874-1100
NPI assigned
Jun 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Kathryn Young
Title
HR Supervisor
Phone
(207) 874-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X LC15222 ME Primary

Addresses

Primary practice location

38 Preble St
Portland, ME 04101-4952

Mailing address

38 Preble St
Portland, ME 04101-4952

National Provider Directory

National Provider Directory

Locations

38 Preble St
Portland, ME 04101
Phone (207) 874-1100

Ownership & related parties

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1407206287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 PREBLE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 PREBLE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014952",
            "telephone_number": "207-874-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREBLE STREET",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "HR SUPERVISOR",
        "authorized_official_telephone_number": "207-874-1100"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "ME",
            "license": "LC15222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.