Southern Maine Integrative Health Center, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOUTHERN MAINE INTEGRATIVE HEALTH CENTER, LLC

Practice address

69 York St
Suite 4
Kennebunk, ME 04043-7153

Phone

(207) 985-3079

NPI assigned

Oct 31, 2006

Organization subpart

No

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

Authorized official

Name

Patrick Mulcahy, D.O.

Title

Owner/Director

Phone

(207) 985-3079

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1962588913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 YORK ST STE 4",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040437186",
            "telephone_number": "207-985-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 YORK ST",
            "address_2": "SUITE 4",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040437153",
            "telephone_number": "207-985-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MAINE INTEGRATIVE HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "MULCAHY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "207-985-3079",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "ME2352",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Snow Moon Therapy Services LLC
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• Southern Maine Gastroenterology, LLC
• Southern Maine Gastroenterology, LLC
• Southern Maine Health Care
• Ashley St. Amand, L.AC.
• Thomas Henry St. Amand, LIC. AC.
• Scott Karl Stackhouse, PT
• Sarah Stanley, OTR/L
• David Michael Stein, D.O.

• Family Medicine Physician in Kennebunk, ME
• Providers in Kennebunk, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.