Casco Bay Medical PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

015026 Issued in ME

Legal business name

CASCO BAY MEDICAL PLLC

Practice address

371 Fore St
201
Portland, ME 04101-5112

Phone

(207) 772-3221

Fax

(207) 221-1152

NPI assigned

Apr 19, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy Ashley Spiegel, M.D.

Title

Medical Director

Phone

(207) 772-3221

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1669739389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 FORE ST",
            "address_2": "201",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041015112",
            "telephone_number": "207-772-3221",
            "fax_number": "207-221-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 FORE ST",
            "address_2": "201",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041015112",
            "telephone_number": "207-772-3221",
            "fax_number": "207-221-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCO BAY MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "SPIEGEL",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "207-772-3221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "ME",
            "license": "015026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Chase Casale, CRNA
• Casco Bay Community Support Services
• Casco Bay Eye Care LLC
• Casco Bay Eyecare LLC
• Casco Bay Gastroenterology LLC
• Casco Bay Recovery
• Casco Bay Rehabilitation, PA
• Casco Bay Substance Abuse Resource Center
• Casco Bay Surgery, PA
• Casco Medical Group

• Adult Mental Health Clinic/Center in Portland, ME
• Providers in Portland, ME by specialty
• Adult Mental Health Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.