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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Address | Telephone Number | Fax Number |
---|---|---|
110 Main St, Suite 1200, Saco, ME 040723509 | 2075713008 | 2075713263 |
Street Address |
180 MAIN ST |
City | BIDDEFORD |
State | ME |
Zip Code | 04005 |
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 |
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 |
Find all providers in zip 04005 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
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] |
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 |
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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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.