NPIMap

Organization Active NPI

Oceanside Community Services

  • Community/Behavioral Health Agency
  • Biddeford, ME
National Provider Identifier
1821324815
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
595034 Issued in ME
Legal business name
OCEANSIDE COMMUNITY SERVICES
Practice address
22 W Cole Rd Ste 103
Biddeford, ME 04005
Phone
(207) 571-9923
Fax
(207) 571-9927
NPI assigned
Oct 26, 2009
Last updated
Oct 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Authorized official

Name
Mr. Julie Michelle Herrick, LCSWNPI 1376711200
Title
Executive Director
Phone
(207) 571-9923

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 595034 ME Primary

Addresses

Primary practice location

22 W Cole Rd Ste 103
Biddeford, ME 04005

Mailing address

22 W Cole Rd Ste 103
Biddeford, ME 04005-9431

Other practice location 1

209 Main St Ste 302&303
Saco, ME 04072-1566
Phone (207) 934-0460

Other identifiers 1

IdentifierTypeStateIssuer
435033200MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100819000671 ME Part B Supplier - Clinic/Group Practice 6406980903 Receives reassigned benefits from 9 practitioners
Practice locations: Biddeford, ME

National Provider Directory

National Provider Directory
Tax ID family
Oceanside Community 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.

Locations

22 W Cole Rd
Ste 103
Biddeford, ME 04005
Phone (207) 571-9923

209 Main St
Ste 302303
Saco, ME 04072
Phone (207) 571-9923

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1821324815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 W COLE RD STE 103",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W COLE RD STE 103",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "04005",
            "telephone_number": "207-571-9923",
            "fax_number": "207-571-9927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Main St Ste 302&303",
            "address_purpose": "LOCATION",
            "city": "Saco",
            "state": "ME",
            "postal_code": "040721566",
            "country_code": "US",
            "telephone_number": "207-934-0460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OCEANSIDE COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-26",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "HERRICK",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-571-9923",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ME",
            "license": "595034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "435033200",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Biddeford, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.