SGR, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LC4504 Issued in ME

Legal business name

SGR, INC.

Practice address

69 Federal St
Portland, ME 04101-4260

Phone

(207) 774-6412

Fax

(207) 772-7702

NPI assigned

Mar 4, 2013

Organization subpart

No

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

Authorized official

Name

Stephen G Roy

Title

President

Phone

(207) 774-6412

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Andrew Nelson Berglund, LCSW

  • Clinical Social Worker
  • Portland, ME
  • NPI 1386747970
  NPD (past)
• Carolee Lindsey, LCSW, LADC

  • Clinical Social Worker
  • Yarmouth, ME
  • NPI 1114087327
  NPD (past)

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1497096317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 FEDERAL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014260",
            "telephone_number": "207-774-6412",
            "fax_number": "207-772-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 FEDERAL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014260",
            "telephone_number": "207-774-6412",
            "fax_number": "207-772-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SGR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-04",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-774-6412"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ME",
            "license": "LC4504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Services Aid Home Care LLC
• Seventy Five State Street
• Theresa Seward, MS, LCPC
• Bronwyn Elizabeth Sewell, NP
• Richard Devillers Seymour, ED. D
• Kassandra M Shackley
• Robyn Shafer, RDH
• Allison E. Shaffer
• Azhar Shah, DO
• Dhara Shah, LCPC, NCC

• Community/Behavioral Health Agency in Portland, ME
• Providers in Portland, ME by specialty
• Community/Behavioral Health Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.