CHILDREN'S CENTER: EARLY INTERVENTION AND FAMILY SUPPORT, INC.


Address: 1 Alden Ave, Augusta, ME 04330-6185
Phone: 2076263497

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
ME 103730000 05
ME 103730400 05
ME 103730200 05
ME 103730300 05
ME 103730100 05

Office Location

Street Address 1 ALDEN AVE
City AUGUSTA
State ME
Zip Code 04330-6185

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
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Competitor

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City AUGUSTA
Zip Code 04330

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Dataset Information

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.

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