Active NPI
Addiction Resource Center
- Psychiatric Hospital Unit
- Brunswick, ME
National Provider Identifier
1528213352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- Legal business name
- ADDICTION RESOURCE CENTER
- Practice address
- 66 Baribeau Dr
Brunswick, ME 04011-3230 - Phone
- (207) 373-6971
- Fax
- (207) 373-6959
- NPI assigned
- Nov 20, 2008
- Last updated
- Nov 20, 2008
- Organization subpart
- Yes
- Parent organization
- MID COAST HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelly Gleason
- Title
- Administrative Assistant
- Phone
- (207) 373-6971
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | Primary |
Addresses
Primary practice location
66 Baribeau Dr
Brunswick, ME 04011-3230
Mailing address
66 Baribeau Drive
Brunswick, ME 04011
Phone (207) 373-6971
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102140100 | Medicaid | ME |
National Provider Directory
National Provider Directory- Part of
- Midcoast Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1227139200000",
"number": "1528213352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 BARIBEAU DRIVE",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "04011",
"telephone_number": "207-373-6971",
"fax_number": "207-373-6959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 BARIBEAU DR",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040113230",
"telephone_number": "207-373-6971",
"fax_number": "207-373-6959"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADDICTION RESOURCE CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MID COAST HOSPITAL",
"enumeration_date": "2008-11-20",
"last_updated": "2008-11-20",
"status": "A",
"authorized_official_last_name": "GLEASON",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
"authorized_official_telephone_number": "207-373-6971"
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102140100",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.