National Provider Identifier Database

SWEETSER
Mental Health (Including Community Mental Health Center)


Contact Information

SWEETSER
50 MOODY STREET
SACO, ME04072
Phone: 800-434-3000
Fax: 207-294-4649
Website:
Specialty Taxonomy Code
* Mental Health (Including Community Mental Health Center) 261QM0801X
Group Psychotherapy 103TP2701X

* Indicates primary specialty

NPI Profile & details for SWEETSER

NPI Number 1538122445
Legal business name
LBN
SWEETSER
Authorized official JAYNE VAN BRAMER - (CEO)
Entity Organization
Organization subpart No
Enumeration date 04/11/2006
Last updated 03/10/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • ME License #: 229941
  • ME Medicaid: 1538122445

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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