Active NPI
Aspire365 Maine
- Addiction Medicine (Preventive Medicine) Physician
- Kittery, ME
National Provider Identifier
1942920533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Preventive Medicine) Physician
- Legal business name
- ASPIRE365 MAINE
- Practice address
- 26 Island Ave
Kittery, ME 03904-1614 - Phone
- (385) 352-9696
- NPI assigned
- Sep 1, 2022
- Last updated
- Oct 14, 2024
- Organization subpart
- Yes
- Parent organization
- ASPIRE365
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Zachary Jenson
- Title
- Ceo
- Phone
- (385) 352-9696
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | |||
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | |||
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | Primary | ||
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X |
Addresses
Primary practice location
26 Island Ave
Kittery, ME 03904-1614
Mailing address
9350 S 150 E Ste 320
Sandy, UT 84070-2707
Phone (385) 352-9696
National Provider Directory
National Provider Directory- Part of
- Aspire365
Locations
765 E 9000 S
Ste A2B
Sandy, UT 84094
Phone (801) 556-1977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728864000000",
"number": "1942920533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9350 S 150 E STE 320",
"city": "SANDY",
"state": "UT",
"postal_code": "840702707",
"telephone_number": "385-352-9696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 ISLAND AVE",
"city": "KITTERY",
"state": "ME",
"postal_code": "039041614",
"telephone_number": "385-352-9696"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASPIRE365 MAINE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ASPIRE365",
"enumeration_date": "2022-09-01",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A",
"authorized_official_last_name": "JENSON",
"authorized_official_first_name": "ZACHARY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "385-352-9696",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083A0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084A0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kittery, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.