Great Bay Services

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

GREAT BAY SERVICES

Practice address

61 Washington St Ste 4
Sanford, ME 04073-3093

Phone

(207) 850-1053

Fax

(207) 850-1078

NPI assigned

Apr 20, 2009

Reactivated

Apr 28, 2023

Last updated

Jun 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Pamela Ann Lowy

Title

Executive Director

Phone

(603) 842-5344

Specialties & licenses 6

Addresses

Other identifiers 1

Tax ID family

Great Bay Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Great Bay Services

  • Developmental Disabilities Clinic/Center
  • Sanford, ME
  • NPI 1245626316
  NPD tax ID
• Great Bay Services

  • Developmental Disabilities Clinic/Center
  • Dover, NH
  • NPI 1427417104
  NPD tax ID

Locations

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1780827881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CATARACT AVE STE 1",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203908",
            "telephone_number": "603-842-5344",
            "fax_number": "603-343-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 WASHINGTON ST STE 4",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040733093",
            "telephone_number": "207-850-1053",
            "fax_number": "207-850-1078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Cataract Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038203908",
            "country_code": "US",
            "telephone_number": "603-842-5344 x2013",
            "fax_number": "603-343-4465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREAT BAY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "deactivation_date": "2020-06-10",
        "reactivation_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "LOWY",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "603-842-5344",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "ME",
            "license": "ALLS2515",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINECARE",
            "identifier": "138420000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roberta Gould, CNM
• Grace Street Services, LLC
• Dana F Graichen, M.D.
• Corinne Grant, D.O.
• Great Bay Services
• Greenwood Nursing Care Center, Inc
• Holly Marie Grovo, R.D.H B.S
• Marie A Guay, DO
• Jacqueline Guillemette, OTRL, CHT
• H. D. Goodall Hospital Inc.

• Developmental Disabilities Clinic/Center in Sanford, ME
• Providers in Sanford, ME by specialty
• Developmental Disabilities Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.