NPIMap

Organization Active NPI

Acadia Hospital Corp

  • Psychiatric Hospital
  • Bangor, ME
National Provider Identifier
1215940523
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
36303 Issued in ME
Legal business name
ACADIA HOSPITAL CORP
Practice address
268 Stillwater Avenue
Bangor, ME 04401
Phone
(207) 973-6470
Fax
(207) 973-6109
NPI assigned
Aug 15, 2006
Last updated
Sep 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Dorothy E Hill
Title
Chief Executive Officer
Phone
(207) 973-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 36303 ME Primary

Addresses

Primary practice location

268 Stillwater Avenue
Bangor, ME 04401

Mailing address

PO Box 422
Bangor, ME 04402-0422
Phone (207) 973-6470

Other identifiers 1

IdentifierTypeStateIssuer
3251291OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040323000136 ME Part B Supplier - Clinic/Group Practice 7719878495 Receives reassigned benefits from 348 practitioners
Practice locations: Bangor, ME
O20050916000594 ME Part A Provider - Hospital 7719878495 Practice locations: Bangor, ME

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215940523. Details of each certification follow.

Hospital certification: CCN 204006

Legal name
ACADIA HOSPITAL CORP.
Doing business as
NORTHERN LIGHT ACADIA HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Jan 22, 1993
Last certification
Oct 14, 2010
Beds
100
Ownership / control type
Private (not for profit)
Most recent change of ownership
Sep 20, 2006 (1 total)
Organization structure
CorporationNon-profit
Enrollment address
268 Stillwater Ave
Bangor, ME 44013945
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Northern Light Acadia HospitalCCN 204006 · All quality measures
Type
Psychiatric
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Acadia Hospital Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
John J Campbell Individual Corporate OfficerSenior Physician Executive Sep 25, 2019
Operational/Managerial ControlSenior Physician Executive Sep 25, 2019
Ed Gould Individual Corporate DirectorBoard Member Apr 24, 2019
Timothy J Dentry Individual Corporate OfficerCeo of Eastern Maine Healthcare Apr 29, 2020 100%
Winston W Chung Individual Corporate DirectorBoard Member Jan 27, 2021
Kara S Hay Individual Corporate DirectorBoard Member Apr 1, 2016
Shirar Patterson Individual Corporate DirectorBoard Member Jan 31, 2018
Richard W Rosen Individual Corporate DirectorBoard Member Jun 27, 2018
Eastern Maine Healthcare Services Organization, Brewer, ME Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Aug 22, 1992 100%
Rhonda a Williams Individual W-2 Managing EmployeeOperations Support Analyst Jul 23, 2025 1%
Raymond D Townsend Individual Corporate OfficerVP Operations Mar 1, 2023
W-2 Managing EmployeeVP Operations Mar 1, 2023
Paul F Bolin Individual Contracted Managing EmployeePresident Jul 23, 2025
Corporate OfficerPresident Jul 23, 2025
James E Rogers Individual Corporate DirectorBoard Member Jan 25, 2017
Rhonda Sperrey Individual Corporate DirectorBoard Member Jan 25, 2023
Stephen B Rich Individual Corporate DirectorBoard Member Feb 25, 2026

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 15

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 15

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 387

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.

View all 387

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1215940523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 422",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044020422",
            "telephone_number": "207-973-6470",
            "fax_number": "207-973-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 STILLWATER AVENUE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-973-6470",
            "fax_number": "207-973-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIA HOSPITAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "207-973-6100"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "ME",
            "license": "36303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3251291",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.