Special Children'S Friends, Inc.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

476365 Issued in ME

Legal business name

SPECIAL CHILDREN'S FRIENDS, INC.

Practice address

78 Union St
Ellsworth, ME 04605-1551

Phone

(207) 667-2430

Fax

(207) 667-1175

NPI assigned

Dec 17, 2008

Organization subpart

No

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

Authorized official

Name

Jacqueline Dodge

Title

Executive Director

Phone

(207) 667-2430

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1497991715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 UNION ST",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051551",
            "telephone_number": "207-667-2430",
            "fax_number": "207-667-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 UNION ST",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051551",
            "telephone_number": "207-667-2430",
            "fax_number": "207-667-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL CHILDREN'S FRIENDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "DODGE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-667-2430"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "ME",
            "license": "476365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109640100",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109640000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Petr Smejkal, MD
• Smile Design Ellsworth, PC
• Brandon R Smith, DPT
• Erin Smith
• Sally Linda Smith, LCSW
• Jessica Spevak, CCC-SLP
• Kriste Bouvier Sprague, PH.D
• Jessie Selah Stewart, LMSWCC
• Jennifer Ann Strickland, FNP-C
• Susan L. Sudak, DPT

• Early Intervention Provider Agency in Ellsworth, ME
• Providers in Ellsworth, ME by specialty
• Early Intervention Provider Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.