CMS-1500 Box 24J / 33a • NPI
1689755530
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
2084A0401X (CMS 79)
Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)
Box 32 Service Location & ZIP+4
9 OLD SAWMILL LN, ARUNDEL, ME, 04046-8164
✓ 9-Digit EDI 837 ZIP+4 (04046-8164)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1689755530 (BROADLEAF BEHAVIORAL HEALTH PC) 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1689755530 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | BROADLEAF BEHAVIORAL HEALTH PC |
| Plain-English Specialty | Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) NUCC Code: 2084A0401X (Psychiatry & Neurology, Addiction Medicine) |
| Certifying / Licensing Body | American Board of Psychiatry and Neurology (ABPN) |
| Practice Location Address | 9 OLD SAWMILL LN, ARUNDEL, ME, 04046-8164 |
| Practice Telephone / Fax | Tel: (207) 985-8998 | Fax: (207) 985-1281 |
| Administrative Mailing Address | PO BOX 810, WESTBROOK, ME, 04098-0810 |
| Enumeration & Last Sync | Enumerated: 2006-10-18 | CMS Record Updated: 2010-04-13 |
| Authorized Official | DAVID JONES (sole proprietor) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (2084A0401X)
What Does Taxonomy Code 2084A0401X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2084A0401X translates to:
"Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BROADLEAF BEHAVIORAL HEALTH PC)
Typical CPT / Diagnostic Procedures:- Electroencephalography (EEG — CPT 95816) for Seizure & Epilepsy Evaluation
- Electromyography (EMG) & Nerve Conduction Studies (NCS)
- Lumbar Puncture & Cerebrospinal Fluid (CSF) Pressure/Analysis
- Acute Ischemic Stroke NIHSS Assessment & Neuroimaging Review
- CGRP Antagonists & Triptans (Sumatriptan, Rizatriptan) for Migraine
- Antiepileptic Drugs (Levetiracetam, Lamotrigine, Valproate)
- Levodopa/Carbidopa (Parkinson's Disease) & Gabapentin/Pregabalin (Neuropathy)
- Antiplatelet & Secondary Stroke Prevention Regimens
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
2084A0401X — Psychiatry & Neurology, Addiction MedicinePlain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) | State: ME | License: ME1558 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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