Magellan Health Services

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

LC 4924 Issued in ME

Legal business name

MAGELLAN HEALTH SERVICES

Practice address

201 Main St
Westbrook, ME 04092-4761

Phone

(207) 854-5416

Fax

(207) 854-5498

NPI assigned

Jun 14, 2007

Last updated

Aug 22, 2020By 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

Mr. Kevin Michael Parker, CAS,ACSW,LCSWNPI 1790063048

Title

District Eap Consultant

Phone

(207) 854-5416

Specialties & licenses 2

Addresses

Tax ID family

Magellan Behavioral Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Magellan Behavioral Health

  • Clinical Social Worker
  • White Plains, NY
  • NPI 1275737579
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin M Parker, LCSW

  • Clinical Social Worker
  • Westbrook, ME
  • NPI 1790063048
  NPD (past) Authorized official

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780888420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MAIN ST",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924761",
            "telephone_number": "207-854-5416",
            "fax_number": "207-854-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MAIN ST",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924761",
            "telephone_number": "207-854-5416",
            "fax_number": "207-854-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGELLAN HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DISTRICT EAP CONSULTANT",
        "authorized_official_telephone_number": "207-854-5416",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CAS,ACSW,LCSW"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "ME",
            "license": "LC 4924",
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "ME",
            "license": "LC4924",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lupine Counseling Services, LLC
• Christina Laurel Lutz, MSW, LMSW-CC, LADC
• Marissa Lillian Lynch, MS, LD, RD
• Shawn Macdonald
• Sirish Maddali, MD
• Amanda Elizabeth Magnoli, ANP-BC
• Main Street Dental
• Maine Center for Cancer Medicine
• Maine Center for Cancer Medicine & Blood Disorders, P.a. (New England Cancer Specialists)
• Maine Center for Cancer Medicine & Blood Disorders, P.a.

• Preferred Provider Organization in Westbrook, ME
• Providers in Westbrook, ME by specialty
• Preferred Provider Organization in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.