Organization Active NPI

Frannie Peabody Center

  • Case Management Agency
  • Portland, ME
National Provider Identifier
1992935662
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
19860461ND Issued in ME
Legal business name
FRANNIE PEABODY CENTER
Practice address
335 Valley St
Portland, ME 04102-3010
Phone
(207) 774-6877
Fax
(207) 879-0761
NPI assigned
Jul 16, 2009
Last updated
Jul 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Authorized official

Name
Patricia J Capouch, LCSW
Title
Executive Director
Phone
(207) 774-6877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 19860461ND ME Primary

Addresses

Primary practice location

335 Valley St
Portland, ME 04102-3010

Mailing address

335 Valley St
Portland, ME 04102-3010
Phone (207) 774-6877

Other identifiers 1

IdentifierTypeStateIssuer
116750000MedicaidME

National Provider Directory

National Provider Directory

Locations

30 Danforth St
Ste 309
Portland, ME 04101

30 Danforth St
Ste 311
Portland, ME 04101
Phone (207) 619-3356

335 Valley St
Portland, ME 04102
Phone (207) 774-6877

NPI Registry JSON

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1992935662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 VALLEY ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023010",
            "telephone_number": "207-774-6877",
            "fax_number": "207-897-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 VALLEY ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023010",
            "telephone_number": "207-774-6877",
            "fax_number": "207-879-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANNIE PEABODY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "CAPOUCH",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-774-6877",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "ME",
            "license": "19860461ND",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116750000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.