Provider Demographics
NPI:1497780647
Name:HIDDEN SPRINGS, INC.
Entity Type:Organization
Organization Name:HIDDEN SPRINGS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCOISE
Authorized Official - Middle Name:E
Authorized Official - Last Name:PARADIS
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:207-282-6730
Mailing Address - Street 1:PO BOX 1325
Mailing Address - Street 2:
Mailing Address - City:SACO
Mailing Address - State:ME
Mailing Address - Zip Code:04072-1325
Mailing Address - Country:US
Mailing Address - Phone:207-282-6730
Mailing Address - Fax:207-282-6731
Practice Address - Street 1:110 MAIN ST
Practice Address - Street 2:SUITE 1408D
Practice Address - City:SACO
Practice Address - State:ME
Practice Address - Zip Code:04072-3509
Practice Address - Country:US
Practice Address - Phone:207-282-6730
Practice Address - Fax:207-282-6731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPS481103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEMM9543Medicare ID - Type UnspecifiedPSYCHOLOGIST