St John Valley Associates, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ST JOHN VALLEY ASSOCIATES, INC.

Practice address

291 Newberry Dr
Suite 105
Madawaska, ME 04756-1219

Phone

(207) 718-7197

Fax

(207) 728-7550

NPI assigned

Sep 24, 2009

Last updated

Sep 24, 2009By 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

Ms. Megan Gendreau

Title

Executive Director

Phone

(207) 728-7197

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1851625834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 NEWBERRY DR",
            "address_2": "SUITE 105",
            "city": "MADAWASKA",
            "state": "ME",
            "postal_code": "047561219",
            "telephone_number": "207-718-7197",
            "fax_number": "207-728-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 NEWBERRY DR",
            "address_2": "SUITE 105",
            "city": "MADAWASKA",
            "state": "ME",
            "postal_code": "047561219",
            "telephone_number": "207-718-7197",
            "fax_number": "207-728-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHN VALLEY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "GENDREAU",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-728-7197",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rebecca Moffitt Smith, MS, RD, LD
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• Melissa Stoliker, PMHNP
• Melana Lynn Tardiff, RN-BSN
• Camiesha Terry
• Glen Thibodeau, LMT

• Community/Behavioral Health Agency in Madawaska, ME
• Providers in Madawaska, ME by specialty
• Community/Behavioral Health Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.