Organization Active NPI

Greenbush School Department

Doing business as Helen S. Dunn School

  • Adolescent and Children Mental Health Clinic/Center
  • Greenbush, ME
National Provider Identifier
1811227101
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
GREENBUSH SCHOOL DEPARTMENT
Doing business as
Helen S. Dunn School
Practice address
129 Military Rd
Greenbush, ME 04418-3137
Phone
(207) 826-2000
Fax
(207) 826-2001
NPI assigned
Jan 8, 2010
Last updated
Jan 8, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
TOWN OF GREENBUSHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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

Authorized official

Name
Jerry White
Title
Superintendent
Phone
(207) 732-3112

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X ME
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X ME
Adolescent and Children Mental Health Clinic/Center 261QM0855X ME Primary
Rehabilitation Clinic/Center 261QR0400X ME

Addresses

Primary practice location

129 Military Rd
Greenbush, ME 04418-3137

Mailing address

129 Military Rd
Greenbush, ME 04418-3137
Phone (207) 826-2000

Other identifiers 1

IdentifierTypeStateIssuer
136620000MedicaidME

Other names 1

  • Helen S. Dunn School Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
20D2234026Greenbush Public Schools/Helen S Dunn School129 Military Road, Greenbush, ME 04418Certificate of waiverAug 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Town of Greenbush2 organizations share this tax ID, including this one
Part of
Town of Greenbush

Other organizations with this tax ID 1

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

Locations

129 Military Rd
Greenbush, ME 04418
Phone (207) 826-2000

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": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1811227101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 MILITARY RD",
            "city": "GREENBUSH",
            "state": "ME",
            "postal_code": "044183137",
            "telephone_number": "207-826-2000",
            "fax_number": "207-826-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 MILITARY RD",
            "city": "GREENBUSH",
            "state": "ME",
            "postal_code": "044183137",
            "telephone_number": "207-826-2000",
            "fax_number": "207-826-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBUSH SCHOOL DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOWN OF GREENBUSH",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "207-732-3112"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "ME",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "ME",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "ME",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "ME",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136620000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Helen S. Dunn School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenbush, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.