INDEPENDENCE ASSOCIATION, INC (NPI# 1477604221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477604221 |
| Entity Type | Organization |
| Organization Name | INDEPENDENCE ASSOCIATION, INC |
| Practice Address |
87 Baribeau Dr Brunswick ME 04011-3229 |
| Practice Telephone | 2077254371 |
| Practice Fax Number | 2077251416 |
| Mailing Telephone | 2077254371 |
| Mailing Fax Number | 2077251416 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JAMES PIERCE (CEO EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2077254371 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 278241 | ME | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346391901 | Independence Association, Inc | Day Training, Developmentally Disabled Services | 87 Baribeau Dr, Brunswick, ME 04011-3229 | 2007-01-12 |
| 1568513315 | Independence Association, Inc | Case Management | 87 Baribeau Dr, Brunswick, ME 04011-3229 | 2007-01-16 |
| 1386795136 | Independence Association, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 87 Baribeau Dr, Brunswick, ME 04011-3229 | 2007-01-16 |
| 1023169976 | Independence Association, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 87 Baribeau Dr, Brunswick, ME 04011-3229 | 2007-01-16 |
| Street Address |
87 BARIBEAU DR |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011-3229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346391901 | Independence Association, Inc | Day Training, Developmentally Disabled Services | 87 Baribeau Dr, Brunswick, ME 04011-3229 | 2007-01-12 |
| 1568513315 | Independence Association, Inc | Case Management | 87 Baribeau Dr, Brunswick, ME 04011-3229 | 2007-01-16 |
| 1386795136 | Independence Association, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 87 Baribeau Dr, Brunswick, ME 04011-3229 | 2007-01-16 |
| 1023169976 | Independence Association, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 87 Baribeau Dr, Brunswick, ME 04011-3229 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| Find all providers in zip 04011 | ||||
| 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 |
|---|---|---|---|---|
| 1710380993 | Gateway Behavioral Health | Community/Behavioral Health | 6129 New Jesup Hwy, Brunswick, GA 31523-4201 | 2014-10-02 |
| 1396153136 | Southeast Support Services | Community/Behavioral Health | 139 Altama Connector # 193, Brunswick, GA 31525-1888 | 2014-07-24 |
| 1033556493 | The Resiliency Institute, Inc | Community/Behavioral Health | 706 G St, Suite 101, Brunswick, GA 31520-6749 | 2013-05-25 |
| 1528312451 | Cantor LLC. | Community/Behavioral Health | 1638 Norwich St, Brunswick, GA 31520 | 2012-10-30 |
| 1821359993 | 1 R.u.s.h. Inc. | Community/Behavioral Health | 3441 Cypress Mill Rd Ste 203-4, Brunswick, GA 31520-2878 | 2012-06-05 |
| 1497042303 | Gateway Behavioral Health Services | Community/Behavioral Health | 2 Lodge Rd, Hwy 17 North, Brunswick, GA 31525-2011 | 2011-06-30 |
| 1366737330 | Gateway Behavioral Health Services | Community/Behavioral Health | 3441 Cypress Mill Rd, Brunswick, GA 31520-2878 | 2011-06-17 |
| 1558595983 | Gateway Behavioral Health Services | Community/Behavioral Health | 3045 Scarlett Street, Brunswick, GA 31520-1251 | 2009-05-13 |
| 1750583670 | Morningstar Children and Family Services, Inc. | Community/Behavioral Health | 3596 Darien Hwy, Suites 4 & 5, Brunswick, GA 31525-3034 | 2007-06-04 |
| 1760683502 | The Resiliency Institiute | Community/Behavioral Health | 501 Mansfield St, Brunswick, GA 31520 | 2007-05-30 |
| Find all providers in BRUNSWICK | ||||
Please comment or provide details below to improve the information on INDEPENDENCE ASSOCIATION, INC.
| 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.