Aspire365 Maine
Organization Active NPI Addiction Medicine (Preventive Medicine) Physician · Kittery, ME
NPI 1942920533 · NPPES record last updated Oct 14, 2024
Key facts
- NPI
- 1942920533
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction Medicine (Preventive Medicine) Physician 2083A0300X
- Legal business name
- ASPIRE365 MAINE
- Practice address
- 26 Island Ave
Kittery, ME 03904-1614 - Phone
- (385) 352-9696
- NPI assigned
- Sep 1, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- ASPIRE365
Authorized official
- Name
- Mr. Zachary Jenson
- Title
- Ceo
- Phone
- (385) 352-9696
National Provider Directory
- Part of
- Aspire365
Specialties & licenses
| 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 | Yes | ||
| 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
Other providers in Kittery, ME
- Philip R. Anderson
- Appledore Medical Group, Inc.
- Emily P Appleton
- Frederick Charles Armbruster
- Renee L. Armstrong-Hay
- James Assad
- Terri Lynn Aubin
- Authentic Point Mental Health LLC
- George Awad
- Andrew Azevedo
All providers in Kittery, ME · Addiction Medicine (Preventive Medicine) Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.