Elmhurst, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ELMHURST, INC

Practice address

400 Centre St
Bath, ME 04530-2007

Phone

(207) 443-9783

Fax

(207) 443-8887

NPI assigned

Oct 18, 2006

Last updated

May 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alex Kautzman

Title

Executive Director

Phone

(207) 443-9783

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1891876751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CENTRE ST",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045302007",
            "telephone_number": "207-443-9783",
            "fax_number": "207-443-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CENTRE ST",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045302007",
            "telephone_number": "207-443-9783",
            "fax_number": "207-443-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMHURST, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "KAUTZMAN",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-443-9783"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenn Dobransky, LMT, MA
• Michael Dougan
• Margaret Lynn Duhamel, MD
• David Howard Dumont, MD
• Cody L Eaton, PAC
• Amy K Etzweiler, MD
• Jennifer Connor Faherty, LCPC
• David A Faigin, PH.D.
• Family Focus
• Carol Jean Farrar, OD

• Community/Behavioral Health Agency in Bath, ME
• Providers in Bath, 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 May 17, 2016; 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.