Organization Active NPI

Woodfords Family Services

  • Community/Behavioral Health Agency
  • Westbrook, ME
National Provider Identifier
1740340132
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
494640 Issued in ME
Legal business name
WOODFORDS FAMILY SERVICES
Practice address
15 Saunders Way Ste 700
Westbrook, ME 04092-4834
Phone
(207) 878-9663
Fax
(207) 878-9663
NPI assigned
Dec 8, 2006
Last updated
Nov 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Judith Thibodeau
Title
Revenue Manager
Phone
(207) 878-9663

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X
Community/Behavioral Health Agency 251S00000X 494640 ME Primary

Addresses

Primary practice location

15 Saunders Way Ste 700
Westbrook, ME 04092-4834

Mailing address

15 Saunders Way Ste 900
Westbrook, ME 04092-4836
Phone (207) 878-9663

Other identifiers 10

IdentifierTypeStateIssuer
104090100MedicaidME
104090302MedicaidME
104090401MedicaidME
104090200MedicaidME
104090400MedicaidME
104090201MedicaidME
104090000MedicaidME
104090303MedicaidME
104090102MedicaidME
431775100MedicaidME

National Provider Directory

National Provider Directory
Tax ID family
Woodfords Family Services13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2 Seton Center Dr
Waterville, ME 04901
Phone (207) 859-8778

15 Saunders Way
Ste 720
Westbrook, ME 04092
Phone (207) 523-5126

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1740340132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SAUNDERS WAY STE 900",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924836",
            "telephone_number": "207-878-9663",
            "fax_number": "207-878-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SAUNDERS WAY STE 700",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924834",
            "telephone_number": "207-878-9663",
            "fax_number": "207-878-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODFORDS FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "THIBODEAU",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "REVENUE MANAGER",
        "authorized_official_telephone_number": "207-878-9663"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ME",
            "license": "494640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104090100",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104090302",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104090401",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104090200",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104090400",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104090201",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104090000",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104090303",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104090102",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431775100",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbrook, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.