Novis Vita LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

NOVIS VITA LLC

Practice address

47 Maple St
Saco, ME 04072-3131

Phone

(207) 577-9756

NPI assigned

May 19, 2023

Organization subpart

No

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

Authorized official

Name

Doriane Gusa Kaneza

Title

Member

Phone

(207) 577-9756

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Mfuranzima, R.N., B.S.N.

  • Adult Psychiatric/Mental Health Registered Nurse
  • Tucson, AZ
  • NPI 1457004954
  NPD

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1639860570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 MAPLE ST",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040723131",
            "telephone_number": "207-577-9756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 MAPLE ST",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040723131",
            "telephone_number": "207-577-9756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVIS VITA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "GUSA KANEZA",
        "authorized_official_first_name": "DORIANE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "207-577-9756"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan L Nickerson, M. ED, LCPC-CC
• Tina Lynne Nightingale, LCPCCC
• Noble Care LLC
• Caitlin M Nolting, LMSW-CC
• Autumn Nostrom
• Laura Leigh Noyes, LMFT-C
• Paige Marie Noyes, FNP-BC
• Deo Ntiyankundiye
• Tracie O'Keefe, MT
• Colleen Marie O'Shea

• Mental Health Clinic/Center (Including Community Mental Health Center) in Saco, ME
• Providers in Saco, ME by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.