Organization Active NPI

Cornerstones of Maine Inc.

Doing business as Cornerstones of Maine

  • Mental Illness Community Based Residential Treatment Facility
  • Biddeford, ME
National Provider Identifier
1477068757
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
CORNERSTONES OF MAINE INC.
Doing business as
Cornerstones of Maine
Practice address
257 South St
Biddeford, ME 04005-2154
Phone
(800) 588-6898
NPI assigned
Dec 7, 2017
Last updated
Oct 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Jacob Gelles, PSY.D.NPI 1770643553
Title
Co-Ceo
Phone
(917) 225-0383

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

257 South St
Biddeford, ME 04005-2154

Mailing address

257 South St
Biddeford, ME 04005-2154
Phone (800) 588-6898

Other practice location 1

59 Pine St
Portland, ME 04102-4038
Phone (800) 588-6898

Other practice location 2

275 State St
Portland, ME 04101-2318
Phone (800) 588-6898

Other names 1

  • Cornerstones of Maine Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1477068757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 SOUTH ST",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040052154",
            "telephone_number": "800-588-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 SOUTH ST",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040052154",
            "telephone_number": "800-588-6898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59 Pine St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041024038",
            "country_code": "US",
            "telephone_number": "800-588-6898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 State St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041012318",
            "country_code": "US",
            "telephone_number": "800-588-6898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CORNERSTONES OF MAINE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "GELLES",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "CO-CEO",
        "authorized_official_telephone_number": "917-225-0383",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstones of Maine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Biddeford, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.