UCP OF NORTHEASTERN MAINE


Address: 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680
Phone: 2079412952

UCP OF NORTHEASTERN MAINE (NPI# 1497957021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497957021
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 (EXECUTICE DIRECTOR)
Authorized Official Telephone 2079412952
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children 209700 ME Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
UCP of Maine Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1962604595 Ucp of Northeastern Maine Residential Treatment Facility, Emotionally Disturbed Children 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 2007-06-05
1245432871 Ucp of Northeastern Maine Day Training, Developmentally Disabled Services 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

Office Location

Street Address 700 MOUNT HOPE AVE STE 320
City BANGOR
State ME
Zip Code 04401-5680

Providers in the same location

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
1962604595 Ucp of Northeastern Maine Residential Treatment Facility, Emotionally Disturbed Children 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 2007-06-05
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment.
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376610311 Nfi North, Inc Residential Treatment Facility, Emotionally Disturbed Children 63 Summit Ave, Bangor, ME 04401-5631 2006-11-28
1639304454 Families and Children Together Residential Treatment Facility, Emotionally Disturbed Children 304 Hancock St, Suite 2b, Bangor, ME 04401-6573 2009-05-22
1962604595 Ucp of Northeastern Maine Residential Treatment Facility, Emotionally Disturbed Children 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 2007-06-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1497917371 Summit Achievement of Stow Residential Treatment Facility, Emotionally Disturbed Children 69 Deer Hill Rd, Stow, ME 04037-3100 2008-07-01
1316134273 Santana Lynn Riding Stables Residential Treatment Facility, Emotionally Disturbed Children 728 Upper Guinea Rd, Lebanon, ME 04027-4417 2007-09-25
1770703597 Good Will Home Association Residential Treatment Facility, Emotionally Disturbed Children Waterville Rd, Prescott Administration Bldg., Hinckley, ME 04944-0159 2007-04-26
1144397480 Nfi North, Inc Residential Treatment Facility, Emotionally Disturbed Children 99 North Mountain Rd, Jefferson, ME 04348 2006-11-30
1679649990 Nfi North, Inc Residential Treatment Facility, Emotionally Disturbed Children 55 Oliver St, Bath, ME 04530-2826 2006-11-28
1093881369 Nfi North, Inc Residential Treatment Facility, Emotionally Disturbed Children 98 Russell St, Lewiston, ME 04240-6004 2006-11-28
1134295405 Nfi North, Inc Residential Treatment Facility, Emotionally Disturbed Children 15 Wayside Ave, Bridgton, ME 04009-1231 2006-11-28
1588737985 Charlotte White Center Residential Treatment Facility, Emotionally Disturbed Children 487 Garland Rd, Dexter, ME 04930-2652 2006-11-16
1700958022 Kidspeace National Centers of New England Inc Residential Treatment Facility, Emotionally Disturbed Children 16 Kidspeace Way, Graham Lake Campus, Ellsworth, ME 04605 2006-11-14
1669415659 Harbor Schools of Maine, Inc. Residential Treatment Facility, Emotionally Disturbed Children 1152 Rockland St., W. Rockport, ME 04865 2006-06-14
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Competitor

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City BANGOR
Zip Code 04401

Improve Information

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Dataset Information

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.

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