Organization Active NPI

Goldenrod Behavioral Health Services LLC

  • Community/Behavioral Health Agency
  • Waterville, ME
National Provider Identifier
1851287940
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GOLDENROD BEHAVIORAL HEALTH SERVICES LLC
Practice address
15 Ash St Apt 1
Waterville, ME 04901-5505
Phone
(207) 509-0171
NPI assigned
Jun 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Authorized official

Name
Miranda Raymond
Title
Founder/Ceo
Phone
(207) 509-0171

Specialties & licenses 1

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

Addresses

Primary practice location

15 Ash St Apt 1
Waterville, ME 04901-5505

Mailing address

15 Ash St Apt 1
Waterville, ME 04901-5505
Phone (207) 509-0171

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1851287940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ASH ST APT 1",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015505",
            "telephone_number": "207-509-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ASH ST APT 1",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015505",
            "telephone_number": "207-509-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDENROD BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "RAYMOND",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "207-509-0171"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.