Northeast Occupational Exchange, Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

License

230301 Issued in ME

Legal business name

NORTHEAST OCCUPATIONAL EXCHANGE, INC

Practice address

444 Stillwater Ave Ste 210
Bangor, ME 04401-3500

Phone

(207) 942-3816

Fax

(207) 561-4725

NPI assigned

May 19, 2006

Last updated

Aug 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kate FlandersNPI 1346542206

Title

Executive Director

Phone

(207) 942-3816

Specialties & licenses 7

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 69

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.

• Laura Durham Anderson, LCSW

  • Clinical Social Worker
  • Orono, ME
  • NPI 1598985392
  Medicare reassignment Care Compare group NPD
• Ruth Sickel Emmett, LCSW

  • Clinical Social Worker
  • Bangor, ME
  • NPI 1447487475
  Medicare reassignment Care Compare group NPD
• Laura G Stevens, LCSW

  • Social Worker
  • Newport, ME
  • NPI 1720029945
  Medicare reassignment Care Compare group NPD
• Kenneth B Liberty, PH.D.

  • Clinical Psychologist
  • Lincoln, ME
  • NPI 1124371778
  Medicare reassignment Care Compare group
• Cindy Schumacher, LCSW

  • Clinical Social Worker
  • Waterville, ME
  • NPI 1073547683
  Medicare reassignment NPD
• Kate M Flanders, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Bangor, ME
  • NPI 1346542206
  NPD (past) Authorized official
• Molly M Eldredge, LCPC

  • Professional Counselor
  • Madison, ME
  • NPI 1881882025
  NPD
• Napoleon Andriopulos, LCPC

  • Professional Counselor
  • Bangor, ME
  • NPI 1477507614
  NPD (past)
• Stephanie N Bernier, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Bangor, ME
  • NPI 1720380678
  NPD (past)
• James W Berry, M.D.

  • Family Medicine Physician
  • Bangor, ME
  • NPI 1013957141
  NPD (past)
• Tina K Beverly, LMSW-CC

  • Social Worker
  • Newport, ME
  • NPI 1659726172
  NPD (past)
• Billiejo L Bowden, LCSW

  • Social Worker
  • Hudson, ME
  • NPI 1487608188
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1427002138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044021189",
            "telephone_number": "207-942-3816",
            "fax_number": "207-561-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 STILLWATER AVE STE 210",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013500",
            "telephone_number": "207-942-3816",
            "fax_number": "207-561-4725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "442 Moosehead Trl",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "ME",
            "postal_code": "049534004",
            "country_code": "US",
            "telephone_number": "207-368-2072",
            "fax_number": "207-561-4725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Main St",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "ME",
            "postal_code": "044571253",
            "country_code": "US",
            "telephone_number": "207-794-9073",
            "fax_number": "207-561-4725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHEAST OCCUPATIONAL EXCHANGE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "FLANDERS",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-942-3816"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "238746",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "230301",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "ME",
            "license": "230301",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "ME",
            "license": "230301",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "ME",
            "license": "230301",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "ME",
            "license": "230301",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "230301",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107950200",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107950201",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107950100",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Bangor, ME
• Providers in Bangor, ME by specialty
• Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.