Active NPI
Teen and Young Parent Program of Knox County, Inc.
- Early Intervention Provider Agency
- Rockland, ME
National Provider Identifier
1760618235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 432848100
- Legal business name
- TEEN AND YOUNG PARENT PROGRAM OF KNOX COUNTY, INC.
- Practice address
- 231B Park St
Rockland, ME 04841-2127 - Phone
- (207) 594-1980
- Fax
- (207) 594-7682
- NPI assigned
- Jun 10, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sandra Lowe
- Title
- President of the Board of Directors
- Phone
- (207) 594-1980
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 432848100 | Primary |
Addresses
Primary practice location
231B Park St
Rockland, ME 04841-2127
Mailing address
PO Box 805
Rockland, ME 04841-0805
Phone (207) 594-1980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432848100 | Other | ME | MAINECARE PROVIDER ID |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1244592000000",
"number": "1760618235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 805",
"city": "ROCKLAND",
"state": "ME",
"postal_code": "048410805",
"telephone_number": "207-594-1980",
"fax_number": "207-594-7682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231B PARK ST",
"city": "ROCKLAND",
"state": "ME",
"postal_code": "048412127",
"telephone_number": "207-594-1980",
"fax_number": "207-594-7682"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEEN AND YOUNG PARENT PROGRAM OF KNOX COUNTY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-10",
"last_updated": "2009-06-10",
"status": "A",
"authorized_official_last_name": "LOWE",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "PRESIDENT OF THE BOARD OF DIRECTORS",
"authorized_official_telephone_number": "207-594-1980",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": "432848100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAINECARE PROVIDER ID",
"identifier": "432848100",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.