Active NPI
Brandon C Doughty
- Counselor
- Fort Fairfield, ME
National Provider Identifier
1649747601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 8 Wesleyan St
Fort Fairfield, ME 04742-2010 - Phone
- (207) 473-9285
- Fax
- (207) 473-9403
- NPI assigned
- Oct 29, 2018
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
8 Wesleyan St
Fort Fairfield, ME 04742-2010
Mailing address
PO Box 1018
Caribou, ME 04736-1018
Phone (207) 498-6431
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540771200000",
"number": "1649747601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1018",
"city": "CARIBOU",
"state": "ME",
"postal_code": "047361018",
"telephone_number": "207-498-6431",
"fax_number": "207-492-3181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 WESLEYAN ST",
"city": "FORT FAIRFIELD",
"state": "ME",
"postal_code": "047422010",
"telephone_number": "207-473-9285",
"fax_number": "207-473-9403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGHTY",
"first_name": "BRANDON",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-29",
"last_updated": "2018-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Fairfield, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.