Southern Maine Administrative Collaborative

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

SOUTHERN MAINE ADMINISTRATIVE COLLABORATIVE

Practice address

18 Maplewood Ave
Biddeford, ME 04005-2110

Phone

(207) 282-8280

Fax

(207) 284-7956

NPI assigned

Aug 8, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Jeremy A Ray

Title

Executive Director

Phone

(207) 282-8280

Specialties & licenses 2

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suzanne Botana, PH.D.

  • School Psychologist
  • Biddeford, ME
  • NPI 1295302818
  NPD (past)
• Lila Ohland

  • Speech-Language Pathologist
  • Biddeford, ME
  • NPI 1356031736
  NPD (past)

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1962981373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MAPLEWOOD AVE",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040052110",
            "telephone_number": "207-282-8280",
            "fax_number": "207-284-7956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MAPLEWOOD AVE",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040052110",
            "telephone_number": "207-282-8280",
            "fax_number": "207-284-7956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MAINE ADMINISTRATIVE COLLABORATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-282-8280",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Snyder
• Solace Residential Care LLC
• John W Solari, M.D.
• Kathleen Sommer, PHARMD, RPH
• Colin Sorber, PA
• Southern Maine Agency on Aging
• Southern Maine Agency on Aging
• Southern Maine Allergy Associates, PA
• Southern Maine Dental, P. a.
• Southern Maine Dentures and Implants, PLLC

• Early Intervention Provider Agency in Biddeford, ME
• Providers in Biddeford, ME by specialty
• Early Intervention Provider Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.