Mas Home Care of Name

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MC12138 Issued in ME

Legal business name

MAS HOME CARE OF NAME

Practice address

360 Harlow St
Bangor, ME 04401-4908

Phone

(207) 561-9533

Fax

(207) 561-9538

NPI assigned

Oct 25, 2011

Last updated

Oct 25, 2011By 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

Mr. Ken Johnson

Title

Vice-President

Phone

(603) 296-0953

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Erica A McDougal, LMSW-CC

  • Clinical Social Worker
  • Bangor, ME
  • NPI 1790019099
  NPD (past)
• Susan Jean Stuart, LCPC

  • Professional Counselor
  • Bangor, ME
  • NPI 1962782615
  NPD (past)
• Marisa Verrill, LCPC

  • Professional Counselor
  • Bangor, ME
  • NPI 1487922373
  NPD (past)
• Cynthia Whitcomb, LMSWCC

  • Clinical Social Worker
  • Bangor, ME
  • NPI 1558604603
  NPD (past)

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1558647461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 HARLOW ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014908",
            "telephone_number": "207-561-9533",
            "fax_number": "207-561-9538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 HARLOW ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014908",
            "telephone_number": "207-561-9533",
            "fax_number": "207-561-9538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAS HOME CARE OF NAME",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "16032960953",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ME",
            "license": "MC12138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Kenneth Martin, MD
• Sarah Martineau
• Susannah Elizabeth Martinez, MS, CCC-SLP
• Mikiko Demura Marzilli, MS LD
• Barbara A Marzolf, FNP
• Mas Medical Staffing Corporation (MAS Home Care of Maine)
• Mas Medical Staffing Corporation (MAS Home Care of Maine)
• Rebecca Belle Mason, DPT
• Abigail Elizabeth Masorti, PA-C
• Adrielle Grace Massey, MD

• Community/Behavioral Health Agency in Bangor, ME
• Providers in Bangor, ME by specialty
• Community/Behavioral Health Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.