Easter Seals Maine, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EASTER SEALS MAINE, INC

Practice address

14 Atlantic PL
South Portland, ME 04106-2316

Phone

(207) 560-2894

Fax

(207) 773-1139

NPI assigned

Nov 14, 2006

Last updated

Nov 20, 2019By 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

Elin Treanor

Title

Cfo

Phone

(603) 621-3462

Specialties & licenses 1

Addresses

Other identifiers 7

Tax ID family

Easter Seals Maine Inc2 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.

• Easter Seals Maine, Inc

  • Early Intervention Provider Agency
  • Manchester, NH
  • NPI 1306155643
  NPD tax ID

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574208000000",
    "number": "1922170901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 AUBURN ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031034803",
            "telephone_number": "603-623-8863",
            "fax_number": "603-622-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 ATLANTIC PL",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062316",
            "telephone_number": "207-560-2894",
            "fax_number": "207-773-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS MAINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2019-11-20",
        "status": "A",
        "authorized_official_last_name": "TREANOR",
        "authorized_official_first_name": "ELIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "603-621-3462"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0921635002",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTHCAR",
            "identifier": "AA16930",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191720100",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191720200",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191720000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1341145",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191720001",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Dunphe, LCSW
• Fawn Rae Dunphy, D.C.
• Caitlyn Beth Durant, RN, BSN
• Mackenzie Ireland Dwyer, PA-C
• Bruce Ashley Dyer, L.A.D.C.
• Jillian K Easttey, LCSW
• Gabrielle Eberly
• Echo Imaging Solutions LLC
• Jerrold C. Edelberg, PH.D.
• William Saunders Edgar, ATC

• Clinical Social Worker in South Portland, ME
• Providers in South Portland, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.