Active NPI
Timothy L Cormier, CADC
- Specialist
- Mexico, ME
National Provider Identifier
1609216415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- CAC5072
- Practice address
- 89 Main St
Mexico, ME 04257-1440 - Phone
- (207) 364-1717
- Fax
- (207) 364-1718
- NPI assigned
- Jun 26, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | CAC5072 | ME | Primary |
Addresses
Primary practice location
89 Main St
Mexico, ME 04257-1440
Mailing address
235 Main St
Norway, ME 04268-5943
Phone (207) 739-2644
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CAC5072 | ME | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Common Ground Counseling, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Counselor
- Norway, ME
- NPI 1942259049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372377600000",
"number": "1609216415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 MAIN ST",
"city": "NORWAY",
"state": "ME",
"postal_code": "042685943",
"telephone_number": "207-739-2644",
"fax_number": "207-739-2467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 MAIN ST",
"city": "MEXICO",
"state": "ME",
"postal_code": "042571440",
"telephone_number": "207-364-1717",
"fax_number": "207-364-1718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORMIER",
"first_name": "TIMOTHY",
"middle_name": "L",
"credential": "CADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-26",
"last_updated": "2013-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "ME",
"license": "CAC5072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mexico, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.