Mohammed Beshir

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

XL4419 Issued in ME

Legal business name

MOHAMMED BESHIR

Practice address

20 Van Vliet Dr
Gorham, ME 04038-1200

Phone

(207) 317-7316

NPI assigned

Oct 31, 2014

Last updated

Oct 31, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mohammed Abdalla Beshir, MASTER COUNSELING

Title

Condition Clinical Prof. Counselor

Phone

(207) 317-7316

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414713600000",
    "number": "1992100093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 VAN VLIET ROAD",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381200",
            "telephone_number": "207-317-7316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 VAN VLIET DR",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381200",
            "telephone_number": "207-317-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMED BESHIR",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-31",
        "last_updated": "2014-10-31",
        "status": "A",
        "authorized_official_last_name": "BESHIR",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "ABDALLA",
        "authorized_official_title_or_position": "CONDITION CLINICAL PROF. COUNSELOR",
        "authorized_official_telephone_number": "207-317-7316",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MASTER  COUNSELING"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ME",
            "license": "XL4419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Gorham, ME
• Providers in Gorham, ME by specialty
• Community/Behavioral Health Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.