KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND INC (NPI# 1619185113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619185113 |
| Entity Type | Organization |
| Organization Name | KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND INC |
| Practice Address |
16 Kidspeace Way Ellsworth ME 04605 |
| Mailing Address |
4085 Independence Drive Schnecksville PA 18078 |
| Practice Telephone | 2076670909 |
| Practice Fax Number | 2076646122 |
| Mailing Telephone | 8008543123 |
| Mailing Fax Number | 6107998318 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2008-06-17 |
| Authorized Official Name | MR. MICHAEL W SLACK (VP FOR MARKETING AND BUS DEV) |
| Authorized Official Telephone | 8008543123 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
322081 | ME | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 123430103 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629197926 | Kidspeace National Centers of New England Inc | Assisted Living Facility | 411 Alfred Road, Park One Eleven, Biddeford, ME 04005 | 2007-03-28 |
| 1346373735 | Kidspeace National Centers of New England Inc | Assisted Living Facility | 49 Florida Ave, Bangor, ME 04401-3005 | 2007-03-14 |
| 1477686715 | Kidspeace National Centers of New England Inc | Assisted Living Facility | 747 Western Ave, Suite 3, Manchester, ME 04351-3528 | 2007-03-14 |
| 1376676767 | Kidspeace National Centers of New England Inc | Assisted Living Facility | 324 Gannett Drive, Suite 300, South Portland, ME 04106 | 2007-03-14 |
| 1699808097 | Kidspeace National Centers of New England Inc | Assisted Living Facility | 444 Stillwater Ave Ste 204, Bangor, ME 04401-3500 | 2007-03-14 |
| 1851424253 | Kidspeace National Centers of New England Inc | Case Management | 411 Alfred Road Park One Eleven, Biddeford, ME 04005 | 2007-03-14 |
| 1700958022 | Kidspeace National Centers of New England Inc | Residential Treatment Facility, Emotionally Disturbed Children | 16 Kidspeace Way, Graham Lake Campus, Ellsworth, ME 04605 | 2006-11-14 |
| 1396927919 | Kidspeace National Centers of New England Inc | Residential Treatment Facility, Emotionally Disturbed Children | 16 Kidspeace Way, Graham Lake Campus, Ellsworth, ME 04605 | 2007-12-05 |
| 1942482567 | Kidspeace National Centers of New England Inc | Residential Treatment Facility, Emotionally Disturbed Children | 16 Kidspeace Way, Graham Lake Campus, Ellsworth, ME 04605 | 2007-12-05 |
| 1477755197 | Kidspeace National Centers of New England Inc | Assisted Living Facility | 411 Alfred Road Park One Eleven, Biddeford, ME 04005 | 2007-06-04 |
| Street Address |
16 KIDSPEACE WAY |
| City | ELLSWORTH |
| State | ME |
| Zip Code | 04605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700958022 | Kidspeace National Centers of New England Inc | Residential Treatment Facility, Emotionally Disturbed Children | 16 Kidspeace Way, Graham Lake Campus, Ellsworth, ME 04605 | 2006-11-14 |
| 1396927919 | Kidspeace National Centers of New England Inc | Residential Treatment Facility, Emotionally Disturbed Children | 16 Kidspeace Way, Graham Lake Campus, Ellsworth, ME 04605 | 2007-12-05 |
| 1942482567 | Kidspeace National Centers of New England Inc | Residential Treatment Facility, Emotionally Disturbed Children | 16 Kidspeace Way, Graham Lake Campus, Ellsworth, ME 04605 | 2007-12-05 |
| 1346454758 | Amy M Burrell | Social Worker | 16 Kidspeace Way, Ellsworth, ME 04605-0787 | 2007-05-09 |
| 1336353747 | Donald Lawrence Bigwood | Psychiatry & Neurology | 16 Kidspeace Way, Ellsworth, ME 04605-0787 | 2007-05-09 |
| 1245444652 | Paula Ann Kirkpatrick | Social Worker | 16 Kidspeace Way, Ellsworth, ME 04605-0787 | 2007-05-09 |
| 1801910971 | Kidspeace National Centers of New England Inc | Residential Treatment Facility, Emotionally Disturbed Children | 16 Kidspeace Way, Graham Lake Campus, Ellsworth, ME 04605 | 2007-03-16 |
| 1225152309 | Kidspeace National Centers of New England Inc | Assisted Living Facility | 16 Kidspeace Way, Graham Lake Campus, Ellsworth, ME 04605 | 2007-03-16 |
| 1194849273 | Kidspeace National Centers of New England Inc | Residential Treatment Facility, Emotionally Disturbed Children | 16 Kidspeace Way, Graham Lake Campus, Ellsworth, ME 04605 | 2007-03-16 |
| 1093839185 | Kidspeace National Centers of New England Inc | Psychiatric Residential Treatment Facility | 16 Kidspeace Way, Graham Lake Campus, Ellsworth, ME 04605 | 2007-03-16 |
| 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 | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306965033 | Northwest Journey - Ellsworth | Clinic/Center | N6096 530th St, Ellsworth, WI 54011-5107 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770049769 | Full Bloom Therapy & Consulting | Clinic/Center | 153 Park Row Ste 204, Brunswick, ME 04011-2053 | 2019-02-14 |
| 1164484093 | Day One | Clinic/Center | 525 Main St, South Portland, ME 04106-5462 | 2006-04-05 |
| 1194376079 | Noah Krell Psychotherapy, LLC | Clinic/Center | 57 Exchange St Ste 203, Portland, ME 04101-5000 | 2019-09-23 |
| 1093238461 | Outlook Ccs, LLC | Clinic/Center | 74 Beach St, Saco, ME 04072-2812 | 2017-07-18 |
| 1619366945 | Katharine Evans, Lcsw | Clinic/Center | 5 Lowell St, Suite 4, Calais, ME 04619-1712 | 2015-01-09 |
| 1932454352 | Katherine K. Ryan, Phd, LLC | Clinic/Center | 251 Woodford St, Portland, ME 04103-5617 | 2012-07-23 |
| 1255526158 | Healing Connections, Pllc | Clinic/Center | 997 Main St, Sanford, ME 04073-3512 | 2007-09-13 |
Please comment or provide details below to improve the information on KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND 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.