ISLAND INSTITUTE FOR TRAUMA RECOVERY LLC


Address: 180 Main St, Biddeford, ME 04005
Phone: 2075713008

ISLAND INSTITUTE FOR TRAUMA RECOVERY LLC (NPI# 1174853717) 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) 1174853717
Entity Type Organization
Organization Name ISLAND INSTITUTE FOR TRAUMA RECOVERY LLC
Practice Address 180 Main St
Biddeford
ME 04005
Mailing Address 180 Main St
Biddeford
ME 04005-2410
Practice Telephone 2075713008
Practice Fax Number 2075713263
Mailing Telephone 2075713008
Mailing Fax Number 2075713263
Enumeration Date 2010-01-04
Last Update Date 2019-04-26
Authorized Official Name MR. RUDOLPH ALBERT SKOWRONSKI (PARTNER)
Authorized Official Telephone 2075713008
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Provider Secondary Practice Location

Address Telephone Number Fax Number
110 Main St, Suite 1200, Saco, ME 040723509 2075713008 2075713263

Office Location

Street Address 180 MAIN ST
City BIDDEFORD
State ME
Zip Code 04005

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619521440 Carrie Kahl Social Worker 180 Main St, Biddeford, ME 04005-2410 2019-07-30
1427602283 Meaghan L. Martin Social Worker 180 Main St, Biddeford, ME 04005-2410 2019-07-30
1083267124 Allison Strausberg Social Worker 180 Main St, Biddeford, ME 04005-2410 2019-07-18
1851874812 Nicole O'brien Social Worker 180 Main St, Biddeford, ME 04005-2410 2018-09-14
1992157127 Sean Chase Counselor 180 Main St, Biddeford, ME 04005-2410 2016-07-12
1306296090 Jeana Coggins Counselor 180 Main St, Biddeford, ME 04005-2410 2016-06-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235600479 Hilary Mitchell-clark Massage Therapist 311 Alfred St. Massage Craft, Biddeford, ME 04005 2018-12-16
1598266793 Galicia Fryzlewicz Physical Medicine & Rehabilitation 11 Hills Beach Road, Biddeford, ME 04005 2018-02-22
1487175550 Emily Abbie Burns Dentist 125-126 Shops Way, Biddeford, ME 04005 2017-06-29
1811365513 Sarah D. Shepherd, D.o.llc Clinic/Center 27 Wadlin Road, Biddeford, ME 04005 2015-09-11
1598012213 Shayne Mcmahon Foley Physician Assistant 1 Medial Center Drive, Biddeford, ME 04005 2012-08-13
1174807374 Justin Clark Cialfi Counselor 6d Wellspring Road, Biddeford, ME 04005 2011-10-06
1689981763 Ann Burton Physical Therapist 4 Autumn Ln, Biddeford, ME 04005 2010-09-09
1164733978 Christopher Patrick Blomberg Internal Medicine 9 Healthcare Dr Ste 105, Biddeford, ME 04005 2010-06-25
1821324815 Oceanside Community Services Community/Behavioral Health 22 W Cole Rd Ste 103, Biddeford, ME 04005 2009-10-26
1386979383 New Communities, Inc. Assisted Living Facility 2 Dartmouth Street, Biddeford, ME 04005 2009-10-08
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821324815 Oceanside Community Services Community/Behavioral Health 22 W Cole Rd Ste 103, Biddeford, ME 04005 2009-10-26
1609277102 Alternative Wellness Services Community/Behavioral Health 275 Main St, Biddeford, ME 04005-2432 2014-09-16
1508198037 St Andre Home Inc. Community/Behavioral Health 168 Prospect St, Biddeford, ME 04005-3093 2010-02-09
1114159209 Violence No More Inc. Community/Behavioral Health 26 South St, Biddeford, ME 04005-2447 2009-08-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609476852 Allied Community Services LLC Community/Behavioral Health 476 Sabattus St, Lewiston, ME 04240-4111 2020-10-27
1124627765 Peace Care Services LLC Community/Behavioral Health 145 Lisbon St Ste 508, Lewiston, ME 04240-7241 2020-10-24
1770181877 Renewal Family Center, LLC Community/Behavioral Health 10 Learners Drive, Augusta, ME 04330 2020-10-12
1790302677 Hope for All Community Services LLC Community/Behavioral Health 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 2020-06-26
1497371868 Touchstone Support Services LLC Community/Behavioral Health 247 Lisbon St # 2, Lewiston, ME 04240-7704 2020-06-22
1770106916 Rolling Hills Enterprises, Inc. Community/Behavioral Health 124 Canal St Ste 2, Lewiston, ME 04240-7711 2020-05-22
1871134478 Nicole Mank, Lcsw, LLC Community/Behavioral Health 126 Western Ave # 1026, Augusta, ME 04330-7249 2019-10-04
1699328336 Nancy Yombe Community/Behavioral Health 280 Stetson Rd, Lewiston, ME 04240-2430 2019-07-22
1942867676 At The Helm Counseling and Case Management, LLC Community/Behavioral Health 64 Paris St, Norway, ME 04268-5634 2019-05-29
1629530530 Fraser Clinical Consultation Services, LLC Community/Behavioral Health 96 Harlow St Ste 214, Bangor, ME 04401-4981 2019-04-01
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City BIDDEFORD
Zip Code 04005

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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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