KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND INC – NPI #1619185113
Clinic/Center

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.

KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND INC is an AHC clinic located in ELLSWORTH, ME. NPPES has assigned the NPI number 1619185113 to KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND INC on May 18, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0855X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adolescent and Children Mental Health

The NPI profile was previously updated about 18 years ago on Jun 17, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND INC below.

NPI Profile for
KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND INC

NPI Number
1619185113
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND INC
Primary location
16 KIDSPEACE WAY
ELLSWORTH, ME 04605
Phone: (207) 667-0909 Fax: (207) 664-6122
Mailing address
4085 INDEPENDENCE DRIVE
SCHNECKSVILLE, PA 18078
Phone: (800) 854-3123 Fax: (610) 799-8318
Organization Subpart
No
Authorized Official
MICHAEL SLACK
VP FOR MARKETING AND BUS DEV
Phone: (800) 854-3123
Updated
Identifiers

Identifiers for KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDME123430103
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0855X
- Clinic/Center / Adolescent and Children Mental Health (Primary)
ME 322081

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.