Mend Health of Maine

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CR2387 Issued in ME

Legal business name

MEND HEALTH OF MAINE

Practice address

560 US Route 1
Scarborough, ME 04074-9743

Phone

(207) 289-6005

NPI assigned

Jan 11, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Victor St John, D.C.NPI 1215260757

Title

President

Phone

(207) 289-6005

Specialties & licenses 1

Addresses

Other names 1

• Physically Sound Performance Care Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victor St John, D.C.

  • Chiropractor
  • Scarborough, ME
  • NPI 1215260757
  NPD Authorized official
• Tracey S St John, D.C.

  • Chiropractor
  • Scarborough, ME
  • NPI 1083930358
  NPD (past)

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1750628699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1161",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040701161",
            "telephone_number": "207-289-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 US ROUTE 1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749743",
            "telephone_number": "207-289-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEND HEALTH OF MAINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-11",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "ST JOHN",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-289-6005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR2387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physically Sound Performance Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Malek Mediouni, PHARMD
• Anuj Mediratta, M.D.
• Sophia Anne Mediratta, AGPCNP
• Shea Melnick, SLP
• Mary Margaret Menard, LADC
• Brendan David Mercier
• Garret Scott Mercier, LCSW
• Mermaid Transportation
• David Merrill, MD
• Sara Hatheway Merrill, MPT

• Chiropractor in Scarborough, ME
• Providers in Scarborough, ME by specialty
• Chiropractor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.