Iam-3Rivers

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

36469 Issued in ME

Legal business name

IAM-3RIVERS

Practice address

2 Hillside Rd
Orono, ME 04473-4459

Phone

(207) 866-3769

Fax

(207) 866-3769

NPI assigned

Dec 21, 2006

Last updated

Aug 15, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

3RIVERS, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Ann-Marie Mayberry

Title

Ceo

Phone

(207) 831-1463

Specialties & licenses 2

Addresses

Part of

3Rivers Inc

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Meghann L. Derosier, DO

  • Family Medicine Physician
  • Bangor, ME
  • NPI 1861697583
  NPD (past)
• David L Rocker, MD

  • Family Medicine Physician
  • Bangor, ME
  • NPI 1558370163
  NPD (past)
• Laurie E Yntema, MD

  • Internal Medicine Physician
  • Bangor, ME
  • NPI 1508809500
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1023172145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1280",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040981280",
            "telephone_number": "207-523-5170",
            "fax_number": "207-854-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HILLSIDE RD",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044734459",
            "telephone_number": "207-866-3769",
            "fax_number": "207-866-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IAM-3RIVERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "3RIVERS, INC.",
        "enumeration_date": "2006-12-21",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "MAYBERRY",
        "authorized_official_first_name": "ANN-MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-831-1463",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "ME",
            "license": "36469",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Mae Hedrich
• Courtney Lynn Heffernan
• Jamie L Hight, PAC
• Sarah Howorth, PH.D, BCBA-D
• Denae Natusha Hudson, PA-C
• Alexis Ireland
• Janet Koppenhofer
• Sahara Javner
• Celeste Jenks, DC
• Abigail Jernigan, OTR/L

• Intellectual Disabilities Intermediate Care Facility in Orono, ME
• Providers in Orono, ME by specialty
• Intellectual Disabilities Intermediate Care Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.