BECKET ACADEMY INC. — NPI 1619171923 (Licensed & Credentialed Residential Treatment Facility, Emotionally Disturbed Children in BELGRADE, ME)

CMS-1500 Box 24J / 33a • NPI

1619171923

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

322D00000X

Licensed & Credentialed Residential Treatment Facility, Emotionally Disturbed Children

Box 32 Service Location & ZIP+4

744 OAKLAND RD, BELGRADE, ME, 04917-3411

✓ 9-Digit EDI 837 ZIP+4 (04917-3411)

Practice Phone & Referral Fax

(207) 465-4600

Fax: (207) 465-3785

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1619171923 (BECKET ACADEMY INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1619171923` (NPI-2 Organization / Facility)
Provider / Legal Name	BECKET ACADEMY INC.
Plain-English Specialty	Licensed & Credentialed Residential Treatment Facility, Emotionally Disturbed Children NUCC Code: `322D00000X` (Residential Treatment Facility, Emotionally Disturbed Children)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	744 OAKLAND RD, BELGRADE, ME, 04917-3411
Practice Telephone / Fax	Tel: (207) 465-4600 \| Fax: (207) 465-3785
Administrative Mailing Address	PO BOX 325, ORFORD, NH, 03777-0325
Enumeration & Last Sync	Enumerated: 2007-06-12 \| CMS Record Updated: 2019-06-13
Authorized Official	JAY WOLTER (President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

744 OAKLAND RD, BELGRADE, ME, 04917-3411

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Plain-English Taxonomy & CMS Crosswalk (322D00000X)

What Does Taxonomy Code 322D00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 322D00000X translates to:
"Licensed & Credentialed Residential Treatment Facility, Emotionally Disturbed Children"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Residential Treatment Facility, Emotionally Disturbed Children for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BECKET ACADEMY INC.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`253Z00000X` — In Home Supportive Care Plain English: Licensed & Credentialed In Home Supportive Care	State: N/A \| License: `Verified` \| Primary: Secondary
`323P00000X` — Psychiatric Residential Treatment Facility Plain English: Licensed & Credentialed Psychiatric Residential Treatment Facility	State: N/A \| License: `Verified` \| Primary: Secondary
`322D00000X` — Residential Treatment Facility, Emotionally Disturbed Children Plain English: Licensed & Credentialed Residential Treatment Facility, Emotionally Disturbed Children	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BECKET ACADEMY INC. (NPI #1619171923)