Children's Odyssey

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

CHILDREN'S ODYSSEY

Practice address

110 Davis Farm Rd
Portland, ME 04103-1604

Phone

(207) 878-8868

Fax

(207) 878-8810

NPI assigned

Apr 27, 2009

Last updated

Apr 27, 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. Laura Glover

Title

Director

Phone

(207) 878-8868

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1730323361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6038",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041056038",
            "telephone_number": "207-878-8868",
            "fax_number": "207-878-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 DAVIS FARM RD",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031604",
            "telephone_number": "207-878-8868",
            "fax_number": "207-878-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S ODYSSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-27",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "207-878-8868",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124890000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethany Chernosky
• Sebastian Chero, DO
• Madeleine Elizabeth Chew, DO
• Maddalena Grace Chiappetta
• Jerusha Madaline Chicoine, MS, CCC-SLP
• Barbara Chilmonczyk, M.D.
• Stefanie J Chin, CRNA
• Stephanie Elena Chin, FNP-BC, APRN-CNP
• Phyllis Chinlund, LCSW
• Blandina Chitalah

• Local Education Agency (LEA) in Portland, ME
• Providers in Portland, ME by specialty
• Local Education Agency (LEA) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.