Providence Service Corporation of Maine

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LC4580 Issued in ME

Legal business name

PROVIDENCE SERVICE CORPORATION OF MAINE

Practice address

14 Maine St
Suite 202, Box 50
Brunswick, ME 04011-2049

Phone

(207) 373-0620

Fax

(207) 373-0628

NPI assigned

Jun 5, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Kate Hayward, LCSW

Title

Director of Integrated Counseling

Phone

(207) 373-0620

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1891133500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MAINE ST",
            "address_2": "SUITE 202, BOX 50",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112049",
            "telephone_number": "207-373-0620",
            "fax_number": "207-373-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MAINE ST",
            "address_2": "SUITE 202, BOX 50",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112049",
            "telephone_number": "207-373-0620",
            "fax_number": "207-373-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE SERVICE CORPORATION OF MAINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "HAYWARD",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "DIRECTOR OF INTEGRATED COUNSELING",
        "authorized_official_telephone_number": "207-373-0620",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ME",
            "license": "LC4580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Physical Therapy-Midcoast, LLC
• Hallie E Prince, NP
• Jean M Principe, PHD
• Proctology Associates of Maine PA (coastal Health and wellness)
• Providence Service Corporation of Maine
• Psychiatrie.Me PLLC
• Psychology Specialists of Maine
• Psychwellness, LLC
• Mitchell Pulver, M.D.
• Rachel Putnam, PA

• Community/Behavioral Health Agency in Brunswick, ME
• Providers in Brunswick, 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 Jun 5, 2013; 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.