Rsu 21

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

RSU 21

Practice address

87 Fletcher St
Kennebunk, ME 04043-6850

Phone

(207) 985-1100

NPI assigned

May 11, 2007

Organization subpart

No

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

Authorized official

Name

Susan Mulsow

Title

Director of Special Services

Phone

(207) 985-1100

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Rsu 212 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rsu # 21

  • Developmentally Disabled Services Day Training Agency
  • Kennebunk, ME
  • NPI 1770798175
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan A Richardson, O.T.R./L.

  • Occupational Therapist
  • Kennebunk, ME
  • NPI 1154637817
  NPD (past)

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1861607269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 FLETCHER ST",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436850",
            "telephone_number": "207-985-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 FLETCHER ST",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436850",
            "telephone_number": "207-985-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSU 21",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "MULSOW",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL SERVICES",
        "authorized_official_telephone_number": "207-985-1100"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104380000",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "434745200",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Tina Rocray Lachance, BSN, RN
• Christopher Rogers, D.O.
• Alicyn Faythe Romprey, LCSW
• Tracey Roy, MSPT
• Rsu # 21
• Clifford B Rubin, DO
• Liana Rubinoff, FNP-BC
• Madison Russell
• Helen F. Ryan, MD
• Meredith B Ryan, NP

• Local Education Agency (LEA) in Kennebunk, ME
• Providers in Kennebunk, ME by specialty
• Local Education Agency (LEA) in Maine

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