Organization Active NPI

Maine Behavioral Healthcare

  • Community/Behavioral Health Agency
  • Rockland, ME
National Provider Identifier
1386652535
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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
Aug 4, 2006
Last updated
Jun 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU
Community/Behavioral Health Agency 251S00000X 680905 ME Primary

Addresses

Primary practice location

12 Union St
Rockland, ME 04841-2739

Mailing address

78 Atlantic PL
South Portland, ME 04106-2316
Phone (207) 842-7701

Other identifiers 8

IdentifierTypeStateIssuer
435657001MedicaidME
132610000MedicaidME
435793100MedicaidME
435793101MedicaidME
132610001MedicaidME
435657002MedicaidME
132610002MedicaidME
435657000MedicaidME

Other names 1

  • Spring Harbor Community Services Former legal business name

National Provider Directory

National Provider Directory

Locations

66 Baribeau Dr
Brunswick, ME 04011
Phone (207) 373-6950

576 Saint John St
Portland, ME 04102
Phone (207) 661-0700

12 Union St
Rockland, ME 04841
Phone (207) 701-4400

354 US Rte 1
York, ME 03909
Phone (207) 351-3140

Practitioners & affiliated clinicians

Practitioners 4

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": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1386652535",
    "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": "2006-08-04",
        "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": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ME",
            "license": "680905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "435657001",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132610000",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "435793100",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "435793101",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132610001",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "435657002",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132610002",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "435657000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Harbor Community Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rockland, ME

Sources for this page

  • 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.