NPIMap

Organization Active NPI

United Cerebral Palsy of Northeastern Maine

  • Local Education Agency (LEA)
  • Bangor, ME
National Provider Identifier
1093933558
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
4036849 Issued in ME
Legal business name
UNITED CEREBRAL PALSY OF NORTHEASTERN MAINE
Practice address
700 Mount Hope Ave Ste 320
Suite 320
Bangor, ME 04401-5680
Phone
(207) 941-2952
Fax
(207) 941-2955
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

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

Authorized official

Name
Mrs. Bobbi-Jo Yeager
Title
Executive Director
Phone
(207) 941-2952

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 4036849 ME Primary

Addresses

Primary practice location

700 Mount Hope Ave Ste 320
Suite 320
Bangor, ME 04401-5680

Mailing address

700 Mount Hope Ave Ste 320
Suite 320
Bangor, ME 04401-5680
Phone (207) 941-2952

Other identifiers 1

IdentifierTypeStateIssuer
167950600MedicaidME

Other names 1

  • UCP of Maine Other name

National Provider Directory

National Provider Directory
Tax ID family
Ucp of Maine18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Locations

700 Mount Hope Ave
Ste 320
Bangor, ME 04401
Phone (207) 941-2952

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222992000000",
    "number": "1093933558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MOUNT HOPE AVE STE 320",
            "address_2": "SUITE 320",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015680",
            "telephone_number": "207-941-2952",
            "fax_number": "207-941-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MOUNT HOPE AVE STE 320",
            "address_2": "SUITE 320",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015680",
            "telephone_number": "207-941-2952",
            "fax_number": "207-941-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CEREBRAL PALSY OF NORTHEASTERN MAINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2008-10-03",
        "status": "A",
        "authorized_official_last_name": "YEAGER",
        "authorized_official_first_name": "BOBBI-JO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-941-2952",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "ME",
            "license": "4036849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167950600",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCP of Maine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; 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.