Thrive-Maine Behavioral Health, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THRIVE-MAINE BEHAVIORAL HEALTH, LLC

Practice address

510 Main St # 23
Gorham, ME 04038-1339

Phone

(207) 749-3143

NPI assigned

Dec 4, 2024

Last updated

Feb 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan L WardNPI 1760220248

Title

Co-Executive Director/Adminstrator

Phone

(207) 749-3143

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Susan L Ward

  • Case Manager/Care Coordinator
  • Gorham, ME
  • NPI 1760220248
  NPD Authorized official

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1699581819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 MAIN ST # 23",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381339",
            "telephone_number": "207-749-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 MAIN ST # 23",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381339",
            "telephone_number": "207-749-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE-MAINE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-04",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CO-EXECUTIVE DIRECTOR/ADMINSTRATOR",
        "authorized_official_telephone_number": "207-749-3143"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Gorham, ME
• Providers in Gorham, ME by specialty
• Community/Behavioral Health Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.