Preble Street

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

PREBLE STREET

Practice address

5 Portland St
Portland, ME 04101-1991

Phone

(207) 775-0026

Fax

(207) 842-3614

NPI assigned

Oct 8, 2008

Organization subpart

Yes

Parent organization

PREBLE STREETAs reported in NPPES

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

Authorized official

Name

Mark Swann

Title

Executive Director

Phone

(207) 775-0026

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Adult Sites Other name

Tax ID family

Preble Street4 organizations share this tax ID, including this one

Part of

Preble Street

Other organizations with this tax ID 3

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

• Preble Street

  • Case Management Agency
  • Portland, ME
  • NPI 1205086527
  NPD tax ID
• Preble Street

  • Case Management Agency
  • Portland, ME
  • NPI 1578713897
  NPD tax ID
• Preble Street

  • Case Management Agency
  • Portland, ME
  • NPI 1629375621
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Preble Street

  • Case Management Agency
  • Portland, ME
  • NPI 1407206287
  NPPES parent name

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1871744839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 PORTLAND ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012921",
            "telephone_number": "207-775-0026",
            "fax_number": "207-842-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PORTLAND ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041011991",
            "telephone_number": "207-775-0026",
            "fax_number": "207-842-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREBLE STREET",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREBLE STREET",
        "enumeration_date": "2008-10-08",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "SWANN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-775-0026"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431576200",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Sites",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elaine Michelle Pratte, LMT, CPT
• Preble Street
• Preble Street
• Preble Street
• Preble Street
• Matthew Bruce Predick, CRNA
• Premier Path LLC
• Cassie Deann Prendergast, DNP, CRNA
• Glenn D Prentice, MD
• Rosemary L Prentice, NP

• Case Management Agency in Portland, ME
• Providers in Portland, ME by specialty
• Case Management Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.