Wellspring, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

LC5334 Issued in ME

Legal business name

WELLSPRING, INC.

Practice address

98 Cumberland St
Bangor, ME 04401-5234

Phone

(207) 947-1600

NPI assigned

Dec 26, 2014

Last updated

Dec 26, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Patricia Kimball, LADC, CCS

Title

Executive Director

Phone

(207) 941-1612

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Leslie Linscott, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Lewiston, ME
  • NPI 1427473081
  NPD (past)

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

{
    "created_epoch": "1419552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419552000000",
    "number": "1508254699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 HAMMOND ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 CUMBERLAND ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015234",
            "telephone_number": "207-947-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-26",
        "last_updated": "2014-12-26",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-941-1612",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LADC, CCS"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "ME",
            "license": "LC5334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth T Weiss, M. D.
• Sally Rose Weiss, MD
• David M Weitman, M.D., PH.D.
• Keiver T Welch, PA
• Wellspring, Inc. (Wellspring)
• Wellspring, Inc.
• Henry M Welna, LADC
• Susan Wengrzynek, LMSW-CC
• Erika N Wentworth, PMHNP
• Gail B Werrbach, PH.D.

• Substance Abuse Rehabilitation Facility in Bangor, ME
• Providers in Bangor, ME by specialty
• Substance Abuse Rehabilitation Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2014; 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.