UCP OF NORTHEASTERN MAINE (NPI# 1245432871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245432871 |
| Entity Type | Organization |
| Organization Name | UCP OF NORTHEASTERN MAINE |
| Other Organization Name | UCP OF MAINE |
| Practice Address |
700 Mount Hope Ave Ste 320 Bangor ME 04401-5680 |
| Practice Telephone | 2079412952 |
| Practice Fax Number | 2079412955 |
| Mailing Telephone | 2079412952 |
| Mailing Fax Number | 2079412955 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BOBBI-JO YEAGER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2079412952 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | 402831 | ME | Agencies |
| Other Name | Type Code |
|---|---|
| UCP of Maine | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497957021 | Ucp of Northeastern Maine | Residential Treatment Facility, Emotionally Disturbed Children | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2007-06-05 |
| 1962604595 | Ucp of Northeastern Maine | Residential Treatment Facility, Emotionally Disturbed Children | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2007-06-05 |
| 1063614691 | Ucp of Northeastern Maine | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2007-06-05 |
| Street Address |
700 MOUNT HOPE AVE STE 320 |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-5680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992877765 | Katharine J Disalvatore Fortin | Speech-Language Pathologist | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2006-11-15 |
| 1740724285 | Daniel Cohen | Social Worker | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2016-12-16 |
| 1366995540 | Heidi Anne Crouse | Speech-Language Pathologist | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2016-07-25 |
| 1972925964 | Jennifer Williams | Specialist/Technologist | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2014-01-10 |
| 1942543848 | Sadel Davis | Counselor | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2013-03-29 |
| 1760721138 | Leigh Erin Broughan | Behavioral Analyst | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2013-02-05 |
| 1093068041 | Melissa Shorey | Social Worker | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2012-10-16 |
| 1285983262 | Keith Gordon Tibbetts | Counselor | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2012-09-05 |
| 1689805590 | Sarah Christine Marks | Specialist | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2009-07-28 |
| 1497957021 | Ucp of Northeastern Maine | Residential Treatment Facility, Emotionally Disturbed Children | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2007-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124160171 | Amicus | Day Training, Developmentally Disabled Services | 96 13th St, Bangor, ME 04401-4538 | 2007-02-13 |
| 1942595343 | Amicus | Day Training, Developmentally Disabled Services | 96 13th St, Suite 2, Bangor, ME 04401-4538 | 2011-06-14 |
| 1518034453 | Penquis C.a.p., Inc. | Day Training, Developmentally Disabled Services | 262 Harlow St, Bangor, ME 04401-4952 | 2006-11-29 |
| 1649346156 | Penquis C.a.p., Inc. | Day Training, Developmentally Disabled Services | 262 Harlow St, Bangor, ME 04401-4952 | 2006-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285907386 | Employment Connections Maine LLC | Day Training, Developmentally Disabled Services | 9 Fengler Rd, Scarborough, ME 04074-8490 | 2012-02-21 |
| 1285918383 | Lee Todd Lacks | Day Training, Developmentally Disabled Services | 9 Lemont Ave, South Portland, ME 04106-5717 | 2011-10-06 |
| 1851601421 | Bolduc Employment Support & Training, LLC | Day Training, Developmentally Disabled Services | 175 Lancaster Street, Suite 218a, Portland, ME 04101 | 2010-10-18 |
| 1558671156 | Progressions LLC | Day Training, Developmentally Disabled Services | 58 Lower Barley St, Lebanon, ME 04027 | 2010-10-15 |
| 1831418128 | Mainehealth | Day Training, Developmentally Disabled Services | 39 Forest Ave, Portland, ME 04101 | 2010-05-26 |
| 1033433461 | Sargent Family Farm, LLC | Day Training, Developmentally Disabled Services | 11 Crazywater Creek Rd, Limington, ME 04049-3013 | 2010-03-14 |
| 1033447131 | Langley Vocational Services | Day Training, Developmentally Disabled Services | 16 Hollingsworth St, Winslow, ME 04901-6742 | 2009-12-01 |
| 1427384957 | Career Consultant Company | Day Training, Developmentally Disabled Services | 140 Turner St, Canton, ME 04221-3045 | 2009-10-18 |
| 1851625834 | St John Valley Associates, Inc. | Day Training, Developmentally Disabled Services | 291 Newberry Dr, Suite 105, Madawaska, ME 04756-1219 | 2009-09-24 |
| 1427286350 | E. Terrance Smith | Day Training, Developmentally Disabled Services | 62 Melbourne Street, Portland, ME 04101-2727 | 2009-06-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.