NPIMap

Organization Active NPI

City of South Portland

  • Developmentally Disabled Services Day Training Agency
  • South Portland, ME
National Provider Identifier
1790994176
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
CITY OF SOUTH PORTLAND
Practice address
130 Wescott Rd
South Portland, ME 04106-3420
Phone
(207) 871-0555
Fax
(207) 871-0559
NPI assigned
May 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Wendy H Houlihan
Title
Superintendent
Phone
(207) 871-0555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X ME Primary

Addresses

Primary practice location

130 Wescott Rd
South Portland, ME 04106-3420

Mailing address

130 Wescott Rd
South Portland, ME 04106-3420
Phone (207) 871-0555

Other names 1

  • South Portland School Department Other name

National Provider Directory

National Provider Directory
Tax ID family
City of South Portland3 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.

Locations

37 Highland Ave
South Portland, ME 04106

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790994176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 WESCOTT RD",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063420",
            "telephone_number": "207-871-0555",
            "fax_number": "207-871-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 WESCOTT RD",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063420",
            "telephone_number": "207-871-0555",
            "fax_number": "207-871-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SOUTH PORTLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOULIHAN",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "207-871-0555",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Portland School Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Portland, ME

Sources for this page

  • 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.