Maine Behavioral Healthcare

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

680905 Issued in ME

Legal business name

MAINE BEHAVIORAL HEALTHCARE

Practice address

12 Union St
Rockland, ME 04841-2739

Phone

(207) 701-4400

Fax

(207) 701-4485

NPI assigned

Jun 22, 2010

Organization subpart

No

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

Authorized official

Name

Greg Bowers

Title

Evp & Coo

Phone

(207) 253-2629

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Spring Harbor Community Services Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather M. Jackson, LCSW

  • Clinical Social Worker
  • Portland, ME
  • NPI 1982799755
  NPD

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1164743381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 ATLANTIC PL",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062316",
            "telephone_number": "207-842-7701",
            "fax_number": "207-842-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 UNION ST",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412739",
            "telephone_number": "207-701-4400",
            "fax_number": "207-701-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE BEHAVIORAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-22",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "BOWERS",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "EVP & COO",
        "authorized_official_telephone_number": "207-253-2629"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "ME",
            "license": "680905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "435793100",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "435793101",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Harbor Community Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Deborah Mackinnon
• Linda K Madson, MD
• Francis J Magrogan, LCSW
• Chandni Mahindra, DDS
• Main Street Therapy Center L.L.C.
• Maine Behavioral Healthcare
• Mainehealth (MH Ophthalmology)
• Mainehealth (Spring Harbor Community Services)
• Mainehealth (Knox Center for Long Term Care)
• Mainehealth (MH Walk-In Care)

• Case Management Agency in Rockland, ME
• Providers in Rockland, ME by specialty
• Case Management Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.