Organization Active NPI

Husson College

  • Occupational Therapist
  • Bangor, ME
National Provider Identifier
1497955017
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT400 Issued in ME
Legal business name
HUSSON COLLEGE
Practice address
34 Summer St Ste 2a
Bangor, ME 04401-6446
Phone
(207) 992-9270
Fax
(207) 992-9273
NPI assigned
Jul 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Mr. Craig Hadley, CPA
Title
Chief Financial Officer
Phone
(207) 973-1953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT400 ME Primary

Addresses

Primary practice location

34 Summer St Ste 2a
Bangor, ME 04401-6446

Mailing address

34 Summer St Ste 2a
Bangor, ME 04401-6446
Phone (207) 992-9270

Other identifiers 1

IdentifierTypeStateIssuer
103340000MedicaidME

National Provider Directory

National Provider Directory

Locations

34 Summer St
Ste 2A
Bangor, ME 04401
Phone (207) 992-9270

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1185062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1497955017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 SUMMER ST STE 2A",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016446",
            "telephone_number": "207-992-9270",
            "fax_number": "207-992-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 SUMMER ST STE 2A",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016446",
            "telephone_number": "207-992-9270",
            "fax_number": "207-992-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUSSON COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-22",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "HADLEY",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "207-973-1953",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103340000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.