Rivers Edge Behavioral Health Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RIVERS EDGE BEHAVIORAL HEALTH SERVICES, LLC

Practice address

213 W Broadway
Lincoln, ME 04457-4001

Phone

(207) 403-9215

NPI assigned

Sep 2, 2021

Last updated

Sep 2, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

RIVERS EDGE BEHAVIORAL HEALTH SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Julie Racine, PMHNP-BC

Title

Executive Director

Phone

(207) 290-1450

Specialties & licenses 2

Addresses

Tax ID family

Rivers Edge Behavioral Health Services LLC2 organizations share this tax ID, including this one

Part of

Rivers Edge Behavioral Health Services LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rivers Edge Behavioral Health Services, LLC

  • Substance Abuse Rehabilitation Facility
  • Springfield, ME
  • NPI 1659985125
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Rivers Edge Behavioral Health Services, LLC

  • Substance Abuse Rehabilitation Facility
  • Springfield, ME
  • NPI 1659985125
  NPPES parent name

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1790453751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27",
            "city": "SPRINGFIELD",
            "state": "ME",
            "postal_code": "044870027",
            "telephone_number": "207-290-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 W BROADWAY",
            "city": "LINCOLN",
            "state": "ME",
            "postal_code": "044574001",
            "telephone_number": "207-403-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERS EDGE BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERS EDGE BEHAVIORAL HEALTH SERVICES, LLC",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "RACINE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-290-1450",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R & C Home Care, Inc. (Maine Home Care)
• Reality Therapy
• Ryan Rebar, APRN-CNP
• Carrie Moors Rich, OT
• Rite Aid of Maine Inc (Rite Aid Pharmacy 04178)
• Riverside Community Center
• Jerome P Roberts, DDS
• Robin H. Fugazzi, Inc.
• Fawn I Robinson, LCSW
• Mark B Robinson, RD

• Mental Health Counselor in Lincoln, ME
• Providers in Lincoln, ME by specialty
• Mental Health Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.