Organization Active NPI

Fiddlehead School

  • Behavior Technician
  • Gray, ME
National Provider Identifier
1639610215
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Legal business name
FIDDLEHEAD SCHOOL
Practice address
25 Shaker Rd
Gray, ME 04039-9435
Phone
(207) 657-2244
Fax
(207) 657-2288
NPI assigned
Mar 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Authorized official

Name
Jacinda Cotton-Castro
Title
Executive Director
Phone
(207) 657-2244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X Primary

Addresses

Primary practice location

25 Shaker Rd
Gray, ME 04039-9435

Mailing address

25 Shaker Rd
Gray, ME 04039-9435
Phone (207) 657-2244

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
20D2198998Fiddlehead School of Arts and Science25 Shaker Road, Gray, ME 04039Certificate of waiverNov 4, 2026

National Provider Directory

National Provider Directory

Locations

25 Shaker Rd
Gray, ME 04039
Phone (207) 657-2244

NPI Registry JSON

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1639610215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SHAKER RD",
            "city": "GRAY",
            "state": "ME",
            "postal_code": "040399435",
            "telephone_number": "207-657-2244",
            "fax_number": "207-657-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SHAKER RD",
            "city": "GRAY",
            "state": "ME",
            "postal_code": "040399435",
            "telephone_number": "207-657-2244",
            "fax_number": "207-657-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDDLEHEAD SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "COTTON-CASTRO",
        "authorized_official_first_name": "JACINDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-657-2244"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gray, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.