Active NPI
St. Georges Childcare Center
- Developmental Disabilities Clinic/Center
- York Harbor, ME
National Provider Identifier
1467923540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- Legal business name
- ST. GEORGES CHILDCARE CENTER
- Practice address
- 407 York Street
York Harbor, ME 03909 - Phone
- (207) 606-0738
- NPI assigned
- Dec 16, 2018
- Last updated
- Dec 16, 2018
- 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
- Dr. Elisa Hegg, PH.D, BCBA
- Title
- Behavior Analyst
- Phone
- (617) 448-1053
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | NU | Primary |
Addresses
Primary practice location
407 York Street
York Harbor, ME 03909
Mailing address
407 York Street
York Harbor, ME 03909
Phone (207) 606-0738
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Behavior Analyst
- York, ME
- NPI 1619274297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1544918400000",
"number": "1467923540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 YORK STREET",
"city": "YORK HARBOR",
"state": "ME",
"postal_code": "03909",
"telephone_number": "207-606-0738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 YORK STREET",
"city": "YORK HARBOR",
"state": "ME",
"postal_code": "03909",
"telephone_number": "207-606-0738"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. GEORGES CHILDCARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-16",
"last_updated": "2018-12-16",
"status": "A",
"authorized_official_last_name": "HEGG",
"authorized_official_first_name": "ELISA",
"authorized_official_title_or_position": "BEHAVIOR ANALYST",
"authorized_official_telephone_number": "617-448-1053",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D, BCBA"
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in York Harbor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.