Maine Behavioral Healthcare

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

680905 Issued in ME

Legal business name

MAINE BEHAVIORAL HEALTHCARE

Practice address

165 Lancaster St
Portland, ME 04101-2406

Phone

(207) 874-1030

Fax

(207) 874-1044

NPI assigned

Dec 14, 2009

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 1

Other names 1

• Community Counseling Center Former legal business name

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1669701066",
    "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": "165 LANCASTER ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012406",
            "telephone_number": "207-874-1030",
            "fax_number": "207-874-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE BEHAVIORAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "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": "104760000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Counseling Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Maine Anesthesia Partners LLC
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• Maine Anesthesiology
• Maine Artificial Limb & Orthotics
• Maine Axis Care
• Maine Behavioral Healthcare
• Maine Center on Deafness
• Maine Centers for Healthcare Physical Therapy
• Maine Coast Oral Surgery
• Maine Eye Center, PA

• Case Management Agency in Portland, ME
• Providers in Portland, 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.