NPIMap

Organization Active NPI

Summit Achievement of Stow, Inc.

Doing business as Summit Achievement

  • Adolescent and Children Mental Health Clinic/Center
  • Stow, ME
National Provider Identifier
1801648803
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
SUMMIT ACHIEVEMENT OF STOW, INC.
Doing business as
Summit Achievement
Practice address
69 Deer Hill Rd
Stow, ME 04037-3100
Phone
(207) 697-2020
Fax
(207) 697-2021
NPI assigned
Apr 3, 2024
Last updated
Apr 3, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SUMMIT ACHIEVEMENT OF STOW, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Authorized official

Name
Nicholas ErnstNPI 1023353224
Title
Ceo
Phone
(207) 697-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary

Addresses

Primary practice location

69 Deer Hill Rd
Stow, ME 04037-3100

Mailing address

69 Deer Hill Rd
Stow, ME 04037-3100
Phone (207) 697-2020

Other names 1

  • Summit Achievement Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Summit Achievement of Stow2 organizations share this tax ID, including this one
Part of
Summit Achievement of Stow

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1801648803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 DEER HILL RD",
            "city": "STOW",
            "state": "ME",
            "postal_code": "040373100",
            "telephone_number": "207-697-2020",
            "fax_number": "207-697-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 DEER HILL RD",
            "city": "STOW",
            "state": "ME",
            "postal_code": "040373100",
            "telephone_number": "207-697-2020",
            "fax_number": "207-697-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT ACHIEVEMENT OF STOW, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT ACHIEVEMENT OF STOW, INC.",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "ERNST",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-697-2020"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Achievement",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stow, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.