Crayon Country Preschool

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

License

416192 Issued in ME

Legal business name

CRAYON COUNTRY PRESCHOOL

Practice address

455 E Jay Rd
Jay, ME 04239-4607

Phone

(207) 897-4555

NPI assigned

Dec 8, 2009

Last updated

Dec 8, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Christine Fournier, BA ECSE

Title

Owner/Developmental Therapist

Phone

(207) 897-4555

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1710216510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E JAY RD",
            "city": "JAY",
            "state": "ME",
            "postal_code": "042394607",
            "telephone_number": "207-897-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E JAY RD",
            "city": "JAY",
            "state": "ME",
            "postal_code": "042394607",
            "telephone_number": "207-897-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAYON COUNTRY PRESCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "FOURNIER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER/DEVELOPMENTAL THERAPIST",
        "authorized_official_telephone_number": "207-897-4555",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA ECSE"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "ME",
            "license": "416192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213610000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamra Anita Albright
• Ella Coffren, D.C.
• Laura Connor, S.L.P.
• Nicole M Couture, M.S., BCBA
• Roger Edmond Duguay, PHARMD
• Lynne Ferrari, S.L.P.
• Kayli Flint, M.S., CF-SLP
• Tiffany Gilbert, OTR/L
• Hannaford Bros Co LLC (Hannaford Food and Drug)

• Developmental Therapist in Jay, ME
• Providers in Jay, ME by specialty
• Developmental Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.