Organization Active NPI

Community Recovery Maine LLC

  • Adult Mental Health Clinic/Center
  • South Thomaston, ME
National Provider Identifier
1437064029
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
COMMUNITY RECOVERY MAINE LLC
Practice address
97 Elm St
South Thomaston, ME 04858-3031
Phone
(207) 907-5052
NPI assigned
Aug 17, 2026
Last updated
Aug 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Sina Kangavari
Title
Founder and Ceo
Phone
(310) 866-6246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

97 Elm St
South Thomaston, ME 04858-3031

Mailing address

133 S Doheny Dr Apt 303
Los Angeles, CA 90048-2941
Phone (207) 317-7783

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1437064029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 S DOHENY DR APT 303",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900482941",
            "telephone_number": "207-317-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 ELM ST",
            "city": "SOUTH THOMASTON",
            "state": "ME",
            "postal_code": "048583031",
            "telephone_number": "207-907-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY RECOVERY MAINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "KANGAVARI",
        "authorized_official_first_name": "SINA",
        "authorized_official_title_or_position": "FOUNDER AND CEO",
        "authorized_official_telephone_number": "310-866-6246"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Thomaston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.