Caryn Alice Boutaugh
Individual provider Active NPI Community/Behavioral Health Agency · Hallowell, ME
NPI 1669042602 · NPPES record last updated Jul 1, 2021
Key facts
- NPI
- 1669042602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Practice address
- 276 Whitten Rd
Hallowell, ME 04347-3057 - Phone
- (207) 621-6760
- NPI assigned
- Jul 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
276 Whitten Rd
Hallowell, ME 04347-3057
Mailing address
276 Whitten Rd
Hallowell, ME 04347-3057
Phone (207) 621-6760
Other providers in Hallowell, ME
- Janelle M Bechard
- Robert Louis Belanger
- Brittany Bellmore
- Thomas Jeffrey Benn
- Anne Borkowski
- Judy Alice Brooks
- Katherine A Brough
- Mary Alyce Burkhart
- Julie Burnham
- Caresync LLC
All providers in Hallowell, ME · Community/Behavioral Health Agency in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.