Donald Anderson Smith

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

ALLS 3065 Issued in ME

Practice address

284 Cambridge Rd
Harmony, ME 04942-0008

Phone

(207) 683-2016

NPI assigned

Feb 16, 2007

Last updated

Dec 18, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Main Stream Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Harmony, ME
  • NPI 1730314824

  Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD (past) Authorized official

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261094400000",
    "number": "1548304355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "HARMONY",
            "state": "ME",
            "postal_code": "049420008",
            "telephone_number": "207-683-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 CAMBRIDGE RD",
            "city": "HARMONY",
            "state": "ME",
            "postal_code": "049420008",
            "telephone_number": "207-683-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DONALD",
        "middle_name": "ANDERSON",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2009-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "ME",
            "license": "ALLS 3065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215920000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Main Stream Home
• Susan Beth Sanagorski-Phillips, M.S. CCC-SLP
• Pamela Jean Tower
• Town of Harmony (Harmony Regional Ambulance)
• Town of Harmony
• Meagan E Wiehn

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Harmony, ME
• Providers in Harmony, ME by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; 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.