NPIMap

Organization Active NPI

Charlotte White Center

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Dexter, ME
National Provider Identifier
1588737985
Registry record updated Nov 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
CHARLOTTE WHITE CENTER
Practice address
487 Garland Rd
Dexter, ME 04930-2652
Phone
(207) 564-2464
Fax
(207) 564-2404
NPI assigned
Nov 16, 2006
Last updated
Nov 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2008

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

Authorized official

Name
Mr. Richard M Brown
Title
Ceo
Phone
(207) 564-2464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

487 Garland Rd
Dexter, ME 04930-2652

Mailing address

572 Bangor Rd
Dover Foxcroft, ME 04426-3373
Phone (207) 564-2464

Other identifiers 1

IdentifierTypeStateIssuer
164840100MedicaidME

Other names 1

  • Expanding Horizons Other name

National Provider Directory

National Provider Directory
Tax ID family
Charlotte White Center10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1588737985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 BANGOR RD",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044263373",
            "telephone_number": "207-564-2464",
            "fax_number": "207-564-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487 GARLAND RD",
            "city": "DEXTER",
            "state": "ME",
            "postal_code": "049302652",
            "telephone_number": "207-564-2464",
            "fax_number": "207-564-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE WHITE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-564-2464",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164840100",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Expanding Horizons",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dexter, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.