NPIMap

Organization Active NPI

Protea Behavioral Health Services

  • Public Health or Welfare Agency
  • Bangor, ME
National Provider Identifier
1700814712
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
PROTEA BEHAVIORAL HEALTH SERVICES
Practice address
33 State St
Bangor, ME 04401-5038
Phone
(207) 992-7010
Fax
(207) 992-7011
NPI assigned
Jun 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Rowena Tessmann, PHDNPI 1073531422
Title
Executive Director
Phone
(207) 992-7010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X ME Primary

Addresses

Primary practice location

33 State St
Bangor, ME 04401-5038

Mailing address

33 State St
Bangor, ME 04401-5038
Phone (207) 992-7010

Other identifiers 2

IdentifierTypeStateIssuer
031509OtherMEANTHEM FACILITY ID#
1003100101MedicaidME

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700814712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015038",
            "telephone_number": "207-992-7010",
            "fax_number": "207-992-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015038",
            "telephone_number": "207-992-7010",
            "fax_number": "207-992-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTEA BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TESSMANN",
        "authorized_official_first_name": "ROWENA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-992-7010",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM FACILITY ID#",
            "identifier": "031509",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003100101",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.