Borden Cottage Treatment Facility, LLC

Primary specialty

Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X

Legal business name

BORDEN COTTAGE TREATMENT FACILITY, LLC

Practice address

235 Bay View St
Camden, ME 04843-2251

Phone

(207) 236-3595

NPI assigned

Jun 14, 2023

Last updated

Jun 14, 2023By 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

Tom Rodman

Title

Chief Executive Officer

Phone

(207) 236-3595

Specialties & licenses 4

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1619651213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 799",
            "city": "CAMDEN",
            "state": "ME",
            "postal_code": "048430799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 BAY VIEW ST",
            "city": "CAMDEN",
            "state": "ME",
            "postal_code": "048432251",
            "telephone_number": "207-236-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORDEN COTTAGE TREATMENT FACILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "RODMAN",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "207-236-3595"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Elizabeth Blanchard, COTAL
• Blue Harbor Medical
• Elizabeth A. Boetsch, PHD
• Elizabeth J Boogusch, M.D.
• Jenna Borchanian
• Brock Camden LLC (Bella Point Camden Assisted Living)
• Brock Health Inc
• Derek Brotherton, PTA
• Jonathan Philip Burns, D.C.
• Camden Area District Nursing Association

• Addiction Medicine (Preventive Medicine) Physician in Camden, ME
• Providers in Camden, ME by specialty
• Addiction Medicine (Preventive Medicine) Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.