Active NPI
Broadleaf Behavioral Health PC
- Addiction Medicine (Psychiatry & Neurology) Physician
- Arundel, ME
National Provider Identifier
1689755530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) Physician
- License
- ME1558
- Legal business name
- BROADLEAF BEHAVIORAL HEALTH PC
- Practice address
- 9 Old Sawmill LN
Arundel, ME 04046-8164 - Phone
- (207) 985-8998
- Fax
- (207) 985-1281
- NPI assigned
- Oct 18, 2006
- Last updated
- Apr 13, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David P Jones, DO
- Title
- Sole Proprietor
- Phone
- (207) 985-8998
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | ME1558 | ME | Primary |
Addresses
Primary practice location
9 Old Sawmill LN
Arundel, ME 04046-8164
Mailing address
PO Box 810
Westbrook, ME 04098-0810
Phone (800) 595-0033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 431879600 | Medicaid | ME |
National Provider Directory
National Provider Directory- Tax ID family
- Broadleaf Behavioral Health PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatry Physician
- Scarborough, ME
- NPI 1184925323
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Arundel, ME
- NPI 1679671879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271116800000",
"number": "1689755530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 810",
"city": "WESTBROOK",
"state": "ME",
"postal_code": "040980810",
"telephone_number": "800-595-0033",
"fax_number": "207-839-3190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 OLD SAWMILL LN",
"city": "ARUNDEL",
"state": "ME",
"postal_code": "040468164",
"telephone_number": "207-985-8998",
"fax_number": "207-985-1281"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROADLEAF BEHAVIORAL HEALTH PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2010-04-13",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "207-985-8998",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "ME",
"license": "ME1558",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "431879600",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arundel, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.