Organization Active NPI

Frontiers Wellness Services LLC

  • Community/Behavioral Health Agency
  • Portland, ME
National Provider Identifier
1861267411
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FRONTIERS WELLNESS SERVICES LLC
Practice address
991 Forest Ave
Portland, ME 04103-3391
Phone
(347) 720-0732
NPI assigned
Nov 22, 2023
Last updated
Nov 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Authorized official

Name
Assoumani Cadeau
Title
Chief Executive Officer
Phone
(347) 720-0732

Specialties & licenses 1

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

Addresses

Primary practice location

991 Forest Ave
Portland, ME 04103-3391

Mailing address

72 Oak St Apt 411
Portland, ME 04101-7503
Phone (347) 720-0732

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1861267411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 OAK ST APT 411",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041017503",
            "telephone_number": "347-720-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 FOREST AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033391",
            "telephone_number": "347-720-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIERS WELLNESS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "CADEAU",
        "authorized_official_first_name": "ASSOUMANI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "347-720-0732"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.