COMMUNITY CORRECTIONAL ALTERNATIVES, INC. (NPI# 1376628537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376628537 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CORRECTIONAL ALTERNATIVES, INC. |
| Practice Address |
15 College Ave Waterville ME 04901-6104 |
| Practice Telephone | 2078724500 |
| Practice Fax Number | 2078722441 |
| Mailing Telephone | 2078724500 |
| Mailing Fax Number | 2078722441 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | DR. WILLIAM S. TANNER (PRESIDENT) |
| Authorized Official Telephone | 2078724500 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | 414950 | ME | Agencies |
| Y | 251S00000X | Community/Behavioral Health | 414950 | ME | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 170230000 | 05 |
| Street Address |
15 COLLEGE AVE |
| City | WATERVILLE |
| State | ME |
| Zip Code | 04901-6104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093325649 | Orthopedic Physical Therapy | Physical Therapist | Orthopedic Physical Therapy, 234 College Ave, Waterville, ME 04901 | 2020-08-07 |
| 1790328771 | Elizabeth Saucier | Counselor | Discovery House 40 Airport Rd, Waterville, ME 04901 | 2019-10-23 |
| 1780233445 | Amy Marie Tardy | Counselor | 325 Kmd, Building D - Unit 4, 325 Kmd - Building D -- Unit 4, Waterville, ME 04901 | 2019-09-05 |
| 1457905911 | Waterville Audiology PC | Audiologist-Hearing Aid Fitter | 124 Silver Street, Waterville, ME 04901 | 2019-08-01 |
| 1629537048 | Samantha Sobel | Behavioral Analyst | 2 Seton Center Dr, Waterville, ME 04901 | 2019-03-15 |
| 1366916025 | Waterville Pharmacy | Pharmacy | 20 Concourse W, Waterville, ME 04901 | 2019-01-16 |
| 1699243733 | Thomas James Demers | Counselor | Discovery House, 40 Airport Road, Waterville, ME 04901 | 2018-11-07 |
| 1851892442 | Alishia M Austin | Counselor | Discovery House Ctc Waterville 40 Airport Rd, Waterville, ME 04901 | 2018-02-28 |
| 1336671056 | Douglas Joseph Dicola | Family Medicine | Mainegeneral Medical Center, 149 North St, Waterville, ME 04901 | 2017-03-31 |
| 1134660020 | Waterville Medical Supplies | Durable Medical Equipment & Medical Supplies | 325 Waterville Commons Drive, Waterville, ME 04901 | 2017-03-13 |
| Find all providers in zip 04901 | ||||
| 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 |
|---|---|---|---|---|
| 1093198947 | Blue Sky Counseling P.C. | Community/Behavioral Health | 32 College Ave Ste 203, Waterville, ME 04901-6100 | 2015-07-09 |
| 1699237784 | Open Door Behavioral Health & Wellness | Community/Behavioral Health | 13 Railroad Sq Ste 1, Waterville, ME 04901-6139 | 2019-04-05 |
| 1548768039 | R&k LLC | Community/Behavioral Health | 13 Railroad Square, Unit 1 Office 10, Waterville, ME 04901 | 2018-01-30 |
| 1518379411 | Paramount Behavioral Services, Inc | Community/Behavioral Health | 58 Elm St, Waterville, ME 04901-6017 | 2014-05-27 |
| 1174899397 | Life Management Coaching Solutions | Community/Behavioral Health | 18 Common St, Suite 203, Waterville, ME 04901-6678 | 2012-04-02 |
| 1346556644 | Don Acorn Substance Abuse and Mental Health | Community/Behavioral Health | 32 College Ave, Suite 206, Waterville, ME 04901-6100 | 2010-08-24 |
| 1548574411 | Waterville Public Schools | Community/Behavioral Health | 25 Messalonskee Ave, Waterville, ME 04901-5206 | 2010-08-03 |
| 1306907464 | Mainegeneral Community Care | Community/Behavioral Health | 8 Highwood St, Waterville, ME 04901-5740 | 2006-12-13 |
| 1215098371 | Mainegeneral Community Care | Community/Behavioral Health | 8 Highwood St, Waterville, ME 04901-5740 | 2006-12-13 |
| 1255492294 | Maine General Community Care | Community/Behavioral Health | 8 Highwood St, Waterville, ME 04901-5740 | 2006-12-13 |
| Find all providers in WATERVILLE | ||||
| City | WATERVILLE |
| Zip Code | 04901 |
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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.