CONSTELLATIONS (NPI# 1821389479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821389479 |
Entity Type | Organization |
Organization Name | CONSTELLATIONS |
Practice Address |
284 Main St Suite 190 Wilton ME 04294-3044 |
Practice Telephone | 2076457010 |
Practice Fax Number | 2076457141 |
Mailing Telephone | 2076457010 |
Mailing Fax Number | 2076457141 |
Enumeration Date | 2011-04-29 |
Last Update Date | 2012-08-27 |
Authorized Official Name | DR. ERIC RUTBERG (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 2076457010 |
Authorized Official Credential | D. H. ED. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251B00000X | Case Management | Agencies | ||
Y | 251S00000X | Community/Behavioral Health | Agencies |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Constellations Child Care LLC | 2129 Madison Way, Erie, CO 80516 |
Washington State Corporations | CONSTELLATIONS CHURCH | 1115 W 13th St, Vancouver, WA 98660-2714 |
Colorado Business Entities | CONSTELLATIONS DEVELOPMENT LLC | 2051 Zlaten Drive Unit L 203, Longmont, CO 80504 |
New York State Corporations | CONSTELLATIONS IN REVERSE PRODUCTIONS LLC | 155 East 34th Street, Apt. 4c, New York, Ny 10016 |
Virginia Business Entities | Constellations LLC | 2621 Meadow Lake Dr, Toano, Virginia 23168 |
New York State Corporations | CONSTELLATIONS RECOVERY LLC | 118 Middle Patent Road, Bedford, Ny 10506 |
Street Address |
284 MAIN ST SUITE 190 |
City | WILTON |
State | ME |
Zip Code | 04294-3044 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538522628 | Karen Jacques | Counselor | 284 Main St, Suite 390, Wilton, ME 04294-3044 | 2016-04-05 |
1124372909 | Keith A Plouffe | Counselor | 284 Main St, Suite 390, Wilton, ME 04294-3044 | 2012-11-01 |
1780944728 | Kristin Rackliffe | Registered Nurse | 284 Main St, Suite 190, Wilton, ME 04294-3044 | 2012-05-24 |
1720397748 | Ricky P. Condon | Counselor | 284 Main St, Suite 190, Wilton, ME 04294-3044 | 2010-09-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851648240 | Rosemarie Sheline Dds Pa | Dentist | 7 Thompson St., Wilton, ME 04294 | 2012-08-06 |
1144489741 | Dorothy C Mckellick | Counselor | 284 Main Street - Suite 390, Care & Comfort, Wilton, ME 04294 | 2008-06-09 |
1811041619 | Mary Paula Widmer | Social Worker | 6 Wiken Ln., Wilton, ME 04294 | 2007-01-22 |
1134216971 | Philip Manuel Ramu | Social Worker | 2 Fernald Street, Wilton, ME 04294 | 2006-10-05 |
1851819825 | Morning Star Counseling & Support Services, LLC | Case Management | 844 Us Route 2 E, Wilton, ME 04294 | 2017-08-30 |
1548787617 | Bright Morning Star Counseling and Support Services, LLC | Clinic/Center | 343 Main St., Wilton, ME 04294 | 2017-08-29 |
1558532523 | Steve R Brod | Counselor | 280 Main St, Suite 390, Wilton, ME 04294 | 2008-03-18 |
1558580407 | Barbara Koertge Meldrum | Social Worker | 1120 Main St, Wilton, ME 04294-0106 | 2007-04-25 |
1629298534 | Carol Marlene Ramu | Physical Therapist | 2 Fernald Street, Wilton, ME 04294-0796 | 2007-04-26 |
1588280259 | Partners In Hope Counseling & Support Services LLC | Social Worker | 370 Main St, Suite #2, Wilton, ME 04294-1025 | 2020-06-18 |
Find all providers in zip 04294 |
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 |
---|---|---|---|---|
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.