Great Bay Services

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

GREAT BAY SERVICES

Practice address

23 Cataract Ave # 1
Dover, NH 03820-3908

Phone

(603) 842-5344

Fax

(603) 343-4465

NPI assigned

Feb 23, 2016

Organization subpart

No

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

Authorized official

Name

Pamela Ann Lowy

Title

Executive Director

Phone

(617) 435-4365

Specialties & licenses 2

Addresses

Other identifiers 3

Tax ID family

Great Bay Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Great Bay Services

  • Developmental Disabilities Clinic/Center
  • Sanford, ME
  • NPI 1245626316
  NPD tax ID
• Great Bay Services

  • Developmental Disabilities Clinic/Center
  • Sanford, ME
  • NPI 1780827881
  NPD tax ID

Locations

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1427417104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CATARACT AVE # 1",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203908",
            "telephone_number": "603-842-5344",
            "fax_number": "603-343-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CATARACT AVE # 1",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203908",
            "telephone_number": "603-842-5344",
            "fax_number": "603-343-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT BAY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "LOWY",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "617-435-4365"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952796864",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245626316",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780827881",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taryn Grant
• David Michael Gray, M.D.
• Rebecca Gray, APRN
• Katelyn Graziani, PT, DPT
• Great Bay Neurosurgical Associates, P.a.
• Great Outdoors Pediatric Dentistry
• Great Smiles, PLLC
• Greater Seacoast Community Health
• Hannah Greer
• Peter A Grieve, RPH

• Developmental Disabilities Clinic/Center in Dover, NH
• Providers in Dover, NH by specialty
• Developmental Disabilities Clinic/Center in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.