CHILDREN'S CENTER: EARLY INTERVENTION AND FAMILY SUPPORT, INC. (NPI# 1174763411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174763411 |
Entity Type | Organization |
Organization Name | CHILDREN'S CENTER: EARLY INTERVENTION AND FAMILY SUPPORT, INC. |
Practice Address |
1 Alden Ave Augusta ME 04330-6185 |
Practice Telephone | 2076263497 |
Practice Fax Number | 2076216211 |
Mailing Telephone | 2076263497 |
Mailing Fax Number | 2076216211 |
Enumeration Date | 2009-02-26 |
Last Update Date | 2009-02-26 |
Authorized Official Name | MR. JONATHAN H. LEACH (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 2076263497 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | 103730000 | 05 | |
ME | 103730400 | 05 | |
ME | 103730200 | 05 | |
ME | 103730300 | 05 | |
ME | 103730100 | 05 |
Street Address |
1 ALDEN AVE |
City | AUGUSTA |
State | ME |
Zip Code | 04330-6185 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124185913 | Nicole Morissette Benoit | Speech-Language Pathologist | 1 Alden Ave, Augusta, ME 04330-6185 | 2007-01-02 |
1124509104 | Amber Stubbs | Social Worker | 1 Alden Ave, Augusta, ME 04330-6185 | 2018-08-27 |
1699224600 | Jessica Kundrata | Social Worker | 1 Alden Ave, Augusta, ME 04330-6185 | 2016-10-03 |
1528437688 | Victoria Blackington | Occupational Therapist | 1 Alden Ave, Augusta, ME 04330-6185 | 2015-09-18 |
1336564368 | Jeffrey Johnson | Social Worker | 1 Alden Ave, Augusta, ME 04330-6185 | 2014-02-27 |
1992080311 | Taylor Witham | Occupational Therapist | 1 Alden Ave, Augusta, ME 04330 | 2011-10-17 |
1699071738 | Mary K Wade | Occupational Therapist | 1 Alden Ave, Augusta, ME 04330-6185 | 2011-02-08 |
1053642215 | Amanda Marie Callahan | Specialist/Technologist | 1 Alden Ave, Augusta, ME 04330-6185 | 2010-01-27 |
1295064202 | Rhiannon Vigue | Speech-Language Pathologist | 1 Alden Ave, Augusta, ME 04330-6185 | 2009-12-22 |
1972782746 | Gail Leslie Daigle | Specialist | 1 Alden Ave, Augusta, ME 04330-6185 | 2007-10-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770181877 | Renewal Family Center, LLC | Community/Behavioral Health | 10 Learners Drive, Augusta, ME 04330 | 2020-10-12 |
1134748759 | Chelsea Simone Koch | Registered Nurse | 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 | 2020-04-14 |
1790238442 | Nicole Lacrosse | Behavioral Analyst | 53 Hayden Rd, Augusta, ME 04330 | 2016-07-29 |
1093176844 | Richard J. Larrabee | Counselor | 312 Townhouse Road, Chelsea, ME 04330 | 2016-03-08 |
1376910984 | Sarah C. A. Tatlock | Social Worker | 41 Anthony Ave, Augusta, ME 04330 | 2015-08-31 |
1457728180 | Va Maine Health | General Acute Care Hospital | 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 | 2015-08-28 |
1043696842 | Megan Arsenault | Pharmacist | 403 Water Street, Augusta, ME 04330 | 2015-08-04 |
1205219987 | Trevor Holbert | Audiologist | 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 | 2015-06-30 |
1659787836 | Hannah M. Pullen | Occupational Therapy Assistant | 12 Shuman Ave Ste 16, Augusta, ME 04330 | 2014-07-08 |
1831469899 | Tanya Bernadette Quarterman | Specialist | 153 Hospital St Ste 13, Augusta, ME 04330 | 2012-01-09 |
Find all providers in zip 04330 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
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1164056859 | Bimal R Shah Md PC | Specialist | 820 Saint Sebastian Way Ste 2a, Augusta, GA 30901-2636 | 2020-03-03 |
1407319676 | Tavories Ivey Sr. | Specialist | 4409 Silverton Rd, Augusta, GA 30909-9122 | 2019-04-12 |
1346708849 | Debra Imani Simms | Specialist | 519 Pleasant Home Rd Ste A1, Augusta, GA 30907-0545 | 2019-03-04 |
1821522715 | Amber Mccray | Specialist | 270 Bobby Jones Expy Ste 158, Augusta, GA 30907-3086 | 2017-04-18 |
1508231978 | Robert Jason Mitchell | Specialist | 950 15th St Rm 3c164, Augusta, GA 30901-2608 | 2015-12-10 |
1548654411 | Donecia Perrin-sullivan | Specialist | 524 Shartom Dr, Augusta, GA 30907-4751 | 2015-03-27 |
1396133153 | Veronica Ann Mccarthy | Specialist | 66 Hilltop Ln, Augusta, MI 49012-9502 | 2015-01-02 |
1225379738 | Dawn K Johnson | Specialist | 901 Bridge Creek Ln, Augusta, WI 54722-2603 | 2013-03-07 |
1962748210 | Helen Bryngelson | Specialist | 3581 Stevens Way, Augusta, GA 30907-9560 | 2012-12-13 |
1831469899 | Tanya Bernadette Quarterman | Specialist | 153 Hospital St Ste 13, Augusta, ME 04330 | 2012-01-09 |
Find all providers in AUGUSTA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.