NPIMap

Organization Active NPI

Maine General Community Care

  • Counseling Psychologist
  • Waterville, ME
National Provider Identifier
1780785337
Registry record updated Sep 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
230503 Issued in ME
Legal business name
MAINE GENERAL COMMUNITY CARE
Practice address
8 Highwood St
Waterville, ME 04901-5740
Phone
(207) 861-3488
Fax
(207) 861-3470
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2017

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

Authorized official

Name
Angela Victory
Title
Director of Revenue Cycle
Phone
(207) 861-3488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X 230503 ME Primary

Addresses

Primary practice location

8 Highwood St
Waterville, ME 04901-5740

Mailing address

8 Highwood St
Waterville, ME 04901-5740
Phone (207) 861-3488

Other names 1

  • HealthReach OP Psychiatry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Health Reach Network10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506470400000",
    "number": "1780785337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HIGHWOOD ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015740",
            "telephone_number": "207-861-3488",
            "fax_number": "207-861-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HIGHWOOD ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015740",
            "telephone_number": "207-861-3488",
            "fax_number": "207-861-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE GENERAL COMMUNITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2017-09-27",
        "status": "A",
        "authorized_official_last_name": "VICTORY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "207-861-3488"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "ME",
            "license": "230503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthReach OP Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterville, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2017; 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.