McKayla Diane Soucy, CRMA, DSP, CNA

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Practice address

168 Main St
Van Buren, ME 04785-1238

Phone

(207) 868-4226

NPI assigned

Jan 10, 2020

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 10, 2020.

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1982244570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 MAIN ST",
            "city": "VAN BUREN",
            "state": "ME",
            "postal_code": "047851238",
            "telephone_number": "207-868-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 MAIN ST",
            "city": "VAN BUREN",
            "state": "ME",
            "postal_code": "047851238",
            "telephone_number": "207-868-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUCY",
        "first_name": "MCKAYLA",
        "middle_name": "DIANE",
        "credential": "CRMA, DSP, CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pines Health Services
• Charles M. Plourde, O.D.
• Rhonda Parent
• Rite Aid of Maine Inc
• Sheryl a. Parent
• Soucy'S Foster Home
• St Remie'S Foster Home
• St. John Valley Foster Home
• Tammy'S Foster Home
• Town of Van Buren

• All providers in Van Buren, ME
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.