Organization Active NPI

Harbor Schools of Maine, Inc.

  • Community/Behavioral Health Agency
  • Rockport, ME
National Provider Identifier
1881758555
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
498860 Issued in ME
Legal business name
HARBOR SCHOOLS OF MAINE, INC.
Practice address
731 Commercial St.
Rockport, ME 04856
Phone
(207) 470-7090
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Authorized official

Name
Mr. Jack Mazzotti
Title
Ceo
Phone
(207) 470-7090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 498860 ME Primary

Addresses

Primary practice location

731 Commercial St.
Rockport, ME 04856

Mailing address

1295 Atlantic Hwy
North Port, ME 04849
Phone (207) 470-7090

Other identifiers 3

IdentifierTypeStateIssuer
432322501MedicaidME
432322500MedicaidME
433241000MedicaidME

Other names 1

  • Harbor Family Services Doing business as

National Provider Directory

National Provider Directory

Locations

1295 Atlantic Hwy
Northport, ME 04849
Phone (207) 322-3642

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1881758555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 ATLANTIC HWY",
            "city": "NORTH PORT",
            "state": "ME",
            "postal_code": "04849",
            "telephone_number": "207-470-7090",
            "fax_number": "888-918-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 COMMERCIAL ST.",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "04856",
            "telephone_number": "207-470-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR SCHOOLS OF MAINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "MAZZOTTI",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-470-7090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ME",
            "license": "498860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432322501",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432322500",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "433241000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockport, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.