Pcal, LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

3668 Issued in ME

Legal business name

PCAL, LLC

Practice address

68 Devonshire St
Portland, ME 04103-4431

Phone

(207) 772-2893

NPI assigned

Nov 6, 2009

Organization subpart

No

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

Authorized official

Name

Wanda Pelkey, CPA

Title

Cfo

Phone

(207) 874-2700

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Pcal LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pcal, LLC

  • Assisted Living Facility
  • Portland, ME
  • NPI 1669708988
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jillian Joy Dur, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Portland, ME
  • NPI 1942647862
  NPD (past)
• Hannah Victoria Ward, MD

  • Internal Medicine Physician
  • Portland, ME
  • NPI 1932692803
  NPD (past)

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1477880870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 DEVONSHIRE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041034431",
            "telephone_number": "207-772-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 DEVONSHIRE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041034431",
            "telephone_number": "207-772-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "PELKEY",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "207-874-2700",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "ME",
            "license": "3668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "434851001",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Paxton
• Lindsay Payeur
• Amanda Payne, FNP
• John Wesley Payne II, D.D.S.
• Catharine Delaporte Payson, MSW
• Pcal, LLC
• Catherine Peabody
• Alexandra Yaniva Peacock Cathcart, D.M.D.
• Steven Peacock, RPH
• Andrew Curtis Peake, LMSW-CC

• Alzheimer Center (Dementia Center) in Portland, ME
• Providers in Portland, ME by specialty
• Alzheimer Center (Dementia Center) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.