- Practice location
- 17 Bishop St, Portland, ME 04103-2659
- Phone
- 207-835-0488
- Fax
- —
- Last updated
- March 26, 2026
Gavin Black is a Counselor, Addiction (Substance Use Disorder) based in Portland, ME. Gavin Black practices in Portland, ME. The NPI Number for Gavin Black is 1588503346 and holds a License No. CAC9381 (ME). The current practice location address for Gavin Black is 17 Bishop St, Portland, ME 04103-2659 and can be reached out via phone at 207-835-0488.
Provider Profile Details
- NPI Number
- 1588503346
- Provider Name
- Gavin Black
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 17 Bishop St, Portland, ME 04103-2659
- Phone Number
- 207-835-0488
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 26, 2026
- Last Update Date
- March 26, 2026
- Certification Date
- March 26, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 17 Bishop St
Portland, ME 04103-2659 - City
- Portland
- State
- Maine
- Zip
- 04103-2659
- Phone Number
- 207-835-0488
Provider Business Mailing Address Details
- Address
- 9 Romasco Ln Unit 2
Portland, ME 04101-3699 - City
- Portland
- State
- ME
- Zip
- 04101-3699
License Information
- License Number
- CAC9381
- License State
- ME
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Addiction (Substance Use Disorder) providers near Portland, ME
View all Counselor, Addiction (Substance Use Disorder) providers in Portland →- Adam F AraujoCounselor, Addiction (Substance Use Disorder) · NPI 1548182207
- David A Bigelow, MA LADCCounselor, Addiction (Substance Use Disorder) · NPI 1750333647
- Emma Bagby, LMSW-CC, CADCCounselor, Addiction (Substance Use Disorder) · NPI 1912858101
- Geoffrey B BerminghamCounselor, Addiction (Substance Use Disorder) · NPI 1326784406
- Maria BeauregardCounselor, Addiction (Substance Use Disorder) · NPI 1801427893
- Mr. David A Benoit Sr., CADCCounselor, Addiction (Substance Use Disorder) · NPI 1649113853
Frequently Asked Questions
What is the NPI number of Gavin Black?
The NPI number of Gavin Black is 1588503346. It was assigned on March 26, 2026 and is currently active in the NPPES registry.
What is the specialty of Gavin Black?
Gavin Black is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in ME under license number CAC9381.
Where does Gavin Black practice?
The practice location is 17 Bishop St, Portland, ME 04103-2659. The office can be reached at 207-835-0488 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588503346 directly on the NPPES registry website.