Active NPI
Community Recovery Maine LLC
- Adult Mental Health Clinic/Center
- South Thomaston, ME
National Provider Identifier
1437064029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.