BROADLEAF BEHAVIORAL HEALTH PC (NPI# 1689755530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689755530 |
| Entity Type | Organization |
| Organization Name | BROADLEAF BEHAVIORAL HEALTH PC |
| Practice Address |
9 Old Sawmill Ln Arundel ME 04046-8164 |
| Mailing Address |
Po Box 810 Westbrook ME 04098-0810 |
| Practice Telephone | 2079858998 |
| Practice Fax Number | 2079851281 |
| Mailing Telephone | 8005950033 |
| Mailing Fax Number | 2078393190 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2010-04-13 |
| Authorized Official Name | DR. DAVID P JONES (SOLE PROPRIETOR) |
| Authorized Official Telephone | 2079858998 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
ME1558 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 431879600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184925323 | Broadleaf Behavioral Health PC | Psychiatry & Neurology | 51 Us Route 1 Ste R-1, Scarborough, ME 04074-7158 | 2010-11-04 |
| Street Address |
9 OLD SAWMILL LN |
| City | ARUNDEL |
| State | ME |
| Zip Code | 04046-8164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386662476 | Virginia Maria Lawrence | Registered Nurse | 9 Old Sawmill Ln, Arundel, ME 04046-8164 | 2006-07-17 |
| 1750684825 | Southern Maine Tms LLC | Psychiatry & Neurology | 9 Old Sawmill Ln, Arundel, ME 04046-8164 | 2010-12-13 |
| 1003946757 | Marie A. Laverriere | Counselor | 9 Old Sawmill Ln, Arundel, ME 04046-8164 | 2007-03-06 |
| 1679671879 | David Paul Jones | Psychiatry & Neurology | 9 Old Sawmill Ln, Arundel, ME 04046-8164 | 2006-09-20 |
| 1790881928 | Daniel W Hamilton | Psychologist | 9 Old Sawmill Ln, Arundel, ME 04046-8164 | 2006-09-15 |
| 1912013442 | Claudine Nancy Grange | Nurse Practitioner | 9 Old Sawmill Ln, Arundel, ME 04046-8164 | 2006-08-21 |
| 1972527745 | Elizabeth Morrill Burke | Social Worker | 9 Old Sawmill Ln, Arundel, ME 04046-8164 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841517950 | Kristen L Coutu | Occupational Therapist | Child Development Services York, 39 Limerick Rd., Arundel, ME 04046 | 2010-04-28 |
| 1649426404 | 3rd Generation Dentistry, PC | Dentist | 1389 Portland Rd, Trentalange Family Dentistry, Arundel, ME 04046 | 2008-08-13 |
| 1093929978 | Gentle Dental Care | Dentist | 1220 Portland Road, Us Rt. 1, Arundel, ME 04046 | 2007-05-09 |
| 1629087283 | Robin Linster | Chiropractor | 1228 Portland Rd, Arundel, ME 04046 | 2006-08-05 |
| 1568986099 | Active Balance Spine and Sports Care Pllc | Chiropractor | 1228 Portland Rd, Arundel, ME 04046 | 2017-07-26 |
| 1174641047 | Town of Kennebunkport Maine | Registered Nurse | 101 Main Street, Police Communications Public Health Complex, Kennebunkport, ME 04046 | 2007-03-27 |
| 1679600548 | David Laurence Smith | Specialist | 283 Goose Rocks Rd, Kennebunkport, ME 04046-5102 | 2007-02-27 |
| 1669850376 | Mark Daniel Simmons | Counselor | 103 Whitten Hill Rd, Kennebunkport, ME 04046-5117 | 2015-05-13 |
| 1477068757 | Cornerstones of Maine LLC | Community Based Residential Treatment Facility, Mental Illness | 20 Fairfield Hill Rd, Kennebunkport, ME 04046-5222 | 2017-12-07 |
| 1275908204 | Erika Grant | Dietitian, Registered | 181 Goose Rocks Rd, Kennebunkport, ME 04046-5246 | 2015-12-02 |
| Find all providers in zip 04046 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508091281 | Jonathan Carl Fellers | Psychiatry & Neurology | 550 Forest Ave Ste 103, Portland, ME 04101-1505 | 2009-05-25 |
| 1295875276 | Anthony J Kozma | Psychiatry & Neurology | 70 Center St Ste G7, Portland, ME 04101-3935 | 2007-02-07 |
| 1245325794 | Roger M Wilson | Psychiatry & Neurology | Dorothea Dix Agency, Bangor, ME 04401 | 2006-10-03 |
| 1821079237 | James Fine | Psychiatry & Neurology | 43 Hooper St., Wiscasset, ME 04578 | 2005-11-11 |
| 1457823817 | Jonathan C Fellers Md Pa LLC | Psychiatry & Neurology | 550 Forest Ave Ste 103, Portland, ME 04101-1505 | 2018-12-26 |
| 1124448196 | Christopher Mark Buttarazzi | Psychiatry & Neurology | 254 Western Ave, South Portland, ME 04106-2410 | 2014-04-17 |
| 1265464614 | Edward A Mccarthy | Psychiatry & Neurology | 144 State St, Portland, ME 04101-3776 | 2006-07-07 |
Please comment or provide details below to improve the information on BROADLEAF BEHAVIORAL HEALTH PC.
| 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.