Casco Bay Recovery

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

CASCO BAY RECOVERY

Practice address

989 Brighton Ave
Portland, ME 04102-1022

Phone

(207) 332-2991

Fax

(772) 679-0244

NPI assigned

Sep 7, 2021

Organization subpart

No

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

Authorized official

Name

John Deberardinis

Title

Director of Ur

Phone

(781) 799-4350

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1124797931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 BRIGHTON AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041021022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 BRIGHTON AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041021022",
            "telephone_number": "207-332-2991",
            "fax_number": "772-679-0244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Allen Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041033715",
            "country_code": "US",
            "telephone_number": "207-332-2991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CASCO BAY RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-07",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "DEBERARDINIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR OF UR",
        "authorized_official_telephone_number": "781-799-4350"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casco Bay Community Support Services
• Casco Bay Eye Care LLC
• Casco Bay Eyecare LLC
• Casco Bay Gastroenterology LLC
• Casco Bay Medical PLLC
• Casco Bay Rehabilitation, PA
• Casco Bay Substance Abuse Resource Center
• Casco Bay Surgery, PA
• Casco Medical Group
• Case Management Solutions

• Substance Use Disorder Rehabilitation Clinic/Center in Portland, ME
• Providers in Portland, ME by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.