NPIMap

Organization Active NPI

Maine Behavioral Health Organization

  • Community/Behavioral Health Agency
  • Skowhegan, ME
National Provider Identifier
1992096515
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
623004 Issued in ME
Legal business name
MAINE BEHAVIORAL HEALTH ORGANIZATION
Practice address
30 Leavitt St
Skowhegan, ME 04976-1843
Phone
(207) 474-3244
Fax
(207) 474-5244
NPI assigned
Apr 29, 2011
Last updated
Apr 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Authorized official

Name
Hillary Kimball-WhiteNPI 1154071629
Title
Ceo
Phone
(207) 399-5589

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
Community/Behavioral Health Agency 251S00000X 623004 ME Primary

Addresses

Primary practice location

30 Leavitt St
Skowhegan, ME 04976-1843

Mailing address

30 Leavitt St
Skowhegan, ME 04976-1843
Phone (207) 474-3244

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120324000007 ME Part B Supplier - Clinic/Group Practice 4082874318 Receives reassigned benefits from 2 practitioners
Practice locations: Skowhegan, ME

National Provider Directory

National Provider Directory
Tax ID family
Maine Behavioral Health Organization3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1992096515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 LEAVITT ST",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049761843",
            "telephone_number": "207-474-3244",
            "fax_number": "207-474-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LEAVITT ST",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049761843",
            "telephone_number": "207-474-3244",
            "fax_number": "207-474-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE BEHAVIORAL HEALTH ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-29",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "KIMBALL-WHITE",
        "authorized_official_first_name": "HILLARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-399-5589"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ME",
            "license": "623004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skowhegan, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.