FRANNIE PEABODY CENTER
NPI 1184009128
Community/Behavioral Health in Portland, ME

Q: What is Frannie Peabody Center's NPI number?

The NPI number for Frannie Peabody Center is 1184009128. It was assigned to this organization in the NPPES registry on July 20, 2015.

Q: What is Frannie Peabody Center's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since July 20, 2015CLIA 20D1012191 · Waiver

30 DANFORTH ST STE 311, PORTLAND, ME 04101(207) 774-6877(207) 879-0761 Get Directions Write a Review

NPPES record last updated: July 20, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Frannie Peabody Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRANNIE PEABODY CENTER (NPI 1184009128) is a healthcare organization registered as a community/behavioral health in Portland, Maine and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through July 14, 2028 and lists John Fitzgerald Joanette, Operations Director, as its authorized official.

NPPES Registry Identity

NPI1184009128

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameFRANNIE PEABODY CENTER

Location Address30 DANFORTH ST STE 311Portland, ME 04101-4574

Mailing Address30 Danforth St Ste 311Portland, ME 04101-4574 · (207) 774-6877 · Fax (207) 879-0761

Phone(207) 774-6877

Fax(207) 879-0761

Organization SubpartNo

Authorized OfficialJohn Fitzgerald JoanetteOperations Director · (207) 774-6877

Enumeration DateJuly 20, 2015

✔ NPI 1184009128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in ME · 683146

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.

30 DANFORTH ST STE 311, Portland, ME 04101

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Other Identifiers 1

Medicaid1992935662ME

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 20D1012191

Frannie Peabody Center · Portland, ME

Active · expires Jul 14, 2028

CLIA Number20D1012191

Laboratory TypeCommunity Clinic

Certificate Effective DateJuly 15, 2026

Certificate Expiration DateJuly 14, 2028

Laboratory DirectorKatie Rutherford

Laboratory Phone(207) 774-6877

Laboratory LocationFrannie Peabody Center30 Danforth Street, Suite 309, Portland, ME 04101

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIA RACHEL DORNBUSCH LCSW

Social Worker (Clinical)