NPIMap

Organization Active NPI

Maine Behavioral Health Organization

  • Community/Behavioral Health Agency
  • Augusta, ME
National Provider Identifier
1124553979
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CAC5599 Issued in ME
Legal business name
MAINE BEHAVIORAL HEALTH ORGANIZATION
Practice address
49 Oak St
Augusta, ME 04330-5118
Phone
(207) 458-4642
NPI assigned
Apr 28, 2017
Last updated
Apr 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Authorized official

Name
Jason White, PHDNPI 1871973263
Title
Ceo
Phone
(207) 542-4301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CAC5599 ME Primary

Addresses

Primary practice location

49 Oak St
Augusta, ME 04330-5118

Mailing address

49 Oak St
Augusta, ME 04330-5118

National Provider Directory

National Provider Directory
Tax ID family
Maine Behavioral Health Organization3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1124553979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 OAK ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 OAK ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305118",
            "telephone_number": "207-458-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE BEHAVIORAL HEALTH ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-28",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-542-4301",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ME",
            "license": "CAC5599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.