Organization Active NPI

Katahdin Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Orono, ME
National Provider Identifier
1912860487
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
KATAHDIN BEHAVIORAL HEALTH LLC
Practice address
292 Main St
Orono, ME 04473-3433
Phone
(207) 615-9797
NPI assigned
Dec 3, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Jason Dobrovolny, PMHNPNPI 1427619691
Title
Owner/Ceo
Phone
(207) 615-9797

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

Practitioners 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260319002574 ME Part B Supplier - Clinic/Group Practice 0244714046 Receives reassigned benefits from 1 practitioner
Practice locations: Orono, ME

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

NPPES NPI Registry

Primary practice location

292 Main St
Orono, ME 04473-3433

Mailing address

292 Main St
Orono, ME 04473-3433
Phone (207) 615-9797

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 6, 2026.

{
    "created_epoch": "1764720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1912860487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 MAIN ST",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044733433",
            "telephone_number": "207-615-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 MAIN ST",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044733433",
            "telephone_number": "207-615-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATAHDIN BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-03",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "DOBROVOLNY",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "207-615-9797",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orono, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.