Woodside Residential, Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

ALLS 3081 Issued in ME

Legal business name

WOODSIDE RESIDENTIAL, INC

Practice address

54 Barrows Dr
Topsham, ME 04086-1324

Phone

(207) 725-9330

Fax

(207) 725-9330

NPI assigned

Oct 6, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Linda Collins, DSP

Title

Administrator

Phone

(207) 737-2443

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254787200000",
    "number": "1730414921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 ALEXANDER REED RD",
            "city": "RICHMOND",
            "state": "ME",
            "postal_code": "043573411",
            "telephone_number": "207-737-2443",
            "fax_number": "207-737-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 BARROWS DR",
            "city": "TOPSHAM",
            "state": "ME",
            "postal_code": "040861324",
            "telephone_number": "207-725-9330",
            "fax_number": "207-725-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODSIDE RESIDENTIAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2009-10-06",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "207-737-2443",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DSP"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "ME",
            "license": "ALLS 3081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia D White
• Sarah White
• Frederick J Wigand, DDS
• Ashley Marie William
• Gregory Woods
• Ronald Young, PHYCOLOGIST
• Yanling Yue, DMD
• John Adam Zapp III, MD
• Sarah Scott Zell, LCPC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Topsham, ME
• Providers in Topsham, ME by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.