NPIMap

Organization Active NPI

United Cerebral Palsy of Northeastern Maine

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bangor, ME
National Provider Identifier
1225720592
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
UNITED CEREBRAL PALSY OF NORTHEASTERN MAINE
Practice address
700 Mount Hope Ave Ste 320
Bangor, ME 04401-5680
Phone
(207) 941-2952
NPI assigned
May 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Authorized official

Name
Marianne Berube, MBA
Title
Coo
Phone
(207) 941-2952

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

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

Mailing address

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

Other names 1

  • UCP of Maine Doing business as

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

NPI Registry JSON

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1225720592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MOUNT HOPE AVE STE 320",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015680",
            "telephone_number": "207-941-2952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MOUNT HOPE AVE STE 320",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015680",
            "telephone_number": "207-941-2952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CEREBRAL PALSY OF NORTHEASTERN MAINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "BERUBE",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "207-941-2952",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCP of Maine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 24, 2023; 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.