Organization Active NPI

Teen and Young Parent Program of Knox County, Inc.

  • Early Intervention Provider Agency
  • Rockland, ME
National Provider Identifier
1760618235
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
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

Updated by the provider on Jun 10, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
432848100OtherMEMAINECARE PROVIDER ID

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.