KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND, INC. (NPI# 1770956393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770956393 |
| Entity Type | Organization |
| Organization Name | KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND, INC. |
| Practice Address |
16 Kids Peace Way Ellsworth ME 04605-3483 |
| Practice Telephone | 2077761351 |
| Mailing Telephone | 2077761351 |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |
| Authorized Official Name | MR. KENNETH A OLSON (EXECUTIVE DIR/CLINICAL DIR ME) |
| Authorized Official Telephone | 2077761351 |
| Is Organization Subpart | Y |
| Parent Organization Name | KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 322081 | ME | Agencies |
| Street Address |
16 KIDS PEACE WAY |
| City | ELLSWORTH |
| State | ME |
| Zip Code | 04605-3483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053621987 | Jennifer Cammack | Occupational Therapist | 16 Kids Peace Way, Ellsworth, ME 04605-3483 | 2010-10-13 |
| 1306322847 | Margaret Pierce | Speech-Language Pathologist | 16 Kids Peace Way, Ellsworth, ME 04605-3483 | 2018-07-18 |
| 1356887327 | Ashley Burns | Counselor | 16 Kids Peace Way, Ellsworth, ME 04605-3483 | 2017-01-13 |
| 1477806982 | Caitlin Richard | Occupational Therapist | 16 Kids Peace Way, Ellsworth, ME 04605-3483 | 2012-10-22 |
| 1760731830 | Shannon J Heath | Counselor | 16 Kids Peace Way, Ellsworth, ME 04605-3483 | 2012-09-05 |
| 1528321528 | Tabitha E Varney | Speech-Language Pathologist | 16 Kids Peace Way, Ellsworth, ME 04605-3483 | 2012-06-25 |
| 1477837102 | Rebecca Hunter | Social Worker | 16 Kids Peace Way, Ellsworth, ME 04605-3483 | 2011-09-29 |
| 1568746394 | Desiree Luzzi | Occupational Therapist | 16 Kids Peace Way, Ellsworth, ME 04605-3483 | 2011-09-28 |
| 1992009922 | Martha Sullivan | Speech-Language Pathologist | 16 Kids Peace Way, Ellsworth, ME 04605-3483 | 2011-01-05 |
| 1598075236 | Suzanne Bishop | Speech-Language Pathologist | 16 Kids Peace Way, Ellsworth, ME 04605-3483 | 2010-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940464 | Mary Elizabeth Wagstaff | Occupational Therapist | Seaport Village Healthcare, 19 General Moore Way, Ellsworth, ME 04605 | 2019-03-12 |
| 1154784668 | Black Dog Medical Pa | Internal Medicine | 11 Madison Avenue, Lamoine, ME 04605 | 2016-04-01 |
| 1528466687 | Eyecare Now | Point of Service | 248 State St., Ste. 7, Ellsworth, ME 04605 | 2014-12-05 |
| 1104245364 | Elizabeth Arntzen | Massage Therapist | 61 Pine St., Ellsworth, ME 04605 | 2014-04-15 |
| 1992144794 | Kenneth L Senter | Family Medicine | 248 State St., Ellsworth Free Medical Clinic, Ellsworth, ME 04605 | 2013-06-14 |
| 1639465248 | Lynne Marie Betz | Dental Hygienist | 52 Christian Ridge Road, Ellsworth, ME 04605 | 2011-06-22 |
| 1215238431 | Kimberly Ann Burgess | Social Worker | 23 Carriage Way, Ellsworth, ME 04605 | 2010-11-04 |
| 1962713115 | Springy Pond Farm | Voluntary or Charitable | 562 Springy Pond Rd., Otis, ME 04605 | 2010-06-23 |
| 1851629851 | Astor Charlene Gillis | Counselor | 59 Franklin St., Suite B, Ellsworth, ME 04605 | 2009-12-02 |
| 1326372723 | Patricia Brown Orchard | Community Health Worker | 10 Water Street, Suite 124, Ellsworth, ME 04605 | 2009-10-01 |
| Find all providers in zip 04605 | ||||
| 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 |
|---|---|---|---|---|
| 1518191675 | Washington Hancock Community Agency | Community/Behavioral Health | 248 Bucksport Road, Ellsworth, ME 04605 | 2009-05-05 |
| 1770659658 | Pierce County Dept of Human Services | Community/Behavioral Health | 412 W Kinne Street, Ellsworth, WI 54011 | 2006-11-24 |
| 1558839969 | Ohi | Community/Behavioral Health | 190 Main St, Ellsworth, ME 04605-1919 | 2018-11-05 |
| 1275919003 | Western Region Recovery & Wellness Consortia | Community/Behavioral Health | 412 West Kinne Street, Ellsworth, WI 54011-0670 | 2015-08-04 |
| 1780024208 | Family Youth Integrated Counseling, Inc. | Community/Behavioral Health | 64 Church St, Ellsworth, ME 04605-1658 | 2013-06-28 |
| 1326229584 | Downeast Community Mental Health Center | Community/Behavioral Health | 10 Hancock St, Ellsworth, ME 04605-2015 | 2007-11-16 |
| 1245353796 | Bayview Center for Mental Health | Community/Behavioral Health | 5 School St, Suite 7, Ellsworth, ME 04605-1932 | 2007-04-09 |
| 1689740565 | Pierce County Dept of Human Services | Community/Behavioral Health | 412 W Kinne St, Ellsworth, WI 54011 | 2006-11-24 |
| 1376618157 | County of Pierce | Community/Behavioral Health | 412 W Kinne St, Ellsworth, WI 54011 | 2006-11-21 |
| 1346314655 | Pierce County Dept of Human Services | Community/Behavioral Health | 412 W Kinne St, Ellsworth, WI 54011 | 2006-11-20 |
| Find all providers in ELLSWORTH | ||||
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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.