Organization Active NPI

Amicus

  • Developmentally Disabled Services Day Training Agency
  • Bangor, ME
National Provider Identifier
1942595343
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
AMICUS
Practice address
96 13TH St
Suite 2
Bangor, ME 04401-4538
Phone
(207) 941-2892
Fax
(207) 941-2888
NPI assigned
Jun 14, 2011
Last updated
Jun 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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

Authorized official

Name
Ms. Heidi R Godsoe
Title
Executive Director
Phone
(207) 941-2892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

96 13TH St
Suite 2
Bangor, ME 04401-4538

Mailing address

96 13TH St
Suite 2
Bangor, ME 04401-4538
Phone (207) 941-2892

Other identifiers 1

IdentifierTypeStateIssuer
431573400MedicaidME

Other names 1

  • Community Skills Other name

National Provider Directory

National Provider Directory
Tax ID family
Amicus2 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.

NPI Registry JSON

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308009600000",
    "number": "1942595343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 13TH ST",
            "address_2": "SUITE 2",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014538",
            "telephone_number": "207-941-2892",
            "fax_number": "207-941-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 13TH ST",
            "address_2": "SUITE 2",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014538",
            "telephone_number": "207-941-2892",
            "fax_number": "207-941-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMICUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A",
        "authorized_official_last_name": "GODSOE",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-941-2892",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431573400",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Skills",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.