NPIMap

Organization Active NPI

Portland West Inc.

  • Case Management Agency
  • Portland, ME
National Provider Identifier
1619183696
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PORTLAND WEST INC.
Practice address
181 Brackett St
Portland, ME 04102-3857
Phone
(207) 775-0105
Fax
(207) 780-1701
NPI assigned
May 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tom L Pearson, MSSA
Title
Director of Programs
Phone
(207) 775-0105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

181 Brackett St
Portland, ME 04102-3857

Mailing address

181 Brackett St
Portland, ME 04102-3857
Phone (207) 775-0105

National Provider Directory

National Provider Directory
Tax ID family
Learningworks4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619183696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 BRACKETT ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023857",
            "telephone_number": "207-775-0105",
            "fax_number": "207-780-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 BRACKETT ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023857",
            "telephone_number": "207-775-0105",
            "fax_number": "207-780-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND WEST INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF PROGRAMS",
        "authorized_official_telephone_number": "207-775-0105",
        "authorized_official_credential": "MSSA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.