Active NPI
Child Development Services
- Early Intervention Provider Agency
- Augusta, ME
National Provider Identifier
1598058877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- ST2084
- Legal business name
- CHILD DEVELOPMENT SERVICES
- Practice address
- 146 State House Sta
Augusta, ME 04333-0146 - Phone
- (207) 624-6838
- NPI assigned
- May 19, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Liz Keach
- Title
- Director
- Phone
- (207) 877-2498
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | ST2084 | ME | Primary |
Addresses
Primary practice location
146 State House Sta
Augusta, ME 04333-0146
Mailing address
163 Silver St
Waterville, ME 04901-5813
National Provider Directory
National Provider Directory- Tax ID family
- Child Development Services
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Early Intervention Provider Agency
- Waterville, ME
- NPI 1720217003
-
- Occupational Therapist
- Waterville, ME
- NPI 1659515120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305763200000",
"number": "1598058877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 SILVER ST",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049015813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 STATE HOUSE STA",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043330146",
"telephone_number": "207-624-6838"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILD DEVELOPMENT SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-19",
"last_updated": "2011-05-19",
"status": "A",
"authorized_official_last_name": "KEACH",
"authorized_official_first_name": "LIZ",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "207-877-2498"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "ME",
"license": "ST2084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.