Constellations

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CONSTELLATIONS

Practice address

284 Main St
Suite 190
Wilton, ME 04294-3044

Phone

(207) 645-7010

Fax

(207) 645-7141

NPI assigned

Apr 29, 2011

Last updated

Aug 27, 2012By 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

Dr. Eric Rutberg, D. H. ED.

Title

Executive Director

Phone

(207) 645-7010

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1821389479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 MAIN ST",
            "address_2": "SUITE 190",
            "city": "WILTON",
            "state": "ME",
            "postal_code": "042943044",
            "telephone_number": "207-645-7010",
            "fax_number": "207-645-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 MAIN ST",
            "address_2": "SUITE 190",
            "city": "WILTON",
            "state": "ME",
            "postal_code": "042943044",
            "telephone_number": "207-645-7010",
            "fax_number": "207-645-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSTELLATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-29",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "RUTBERG",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-645-7010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. H. ED."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.