MAINEHEALTH (NPI# 1790265502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790265502 |
| Entity Type | Organization |
| Organization Name | MAINEHEALTH |
| Other Organization Name | MAINE BEHAVIORAL HEALTHCARE |
| Practice Address |
123 Andover Rd Westbrook ME 04092-3848 |
| Mailing Address |
78 Atlantic Pl South Portland ME 04106-2316 |
| Practice Telephone | 2077612200 |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2019-02-13 |
| Authorized Official Name | LUGENE ANTHONY INZANA (SVP FINANCE, CFO) |
| Authorized Official Telephone | 2076623538 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 37984 | ME | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 132600000 | 05 |
| Other Name | Type Code |
|---|---|
| Maine Behavioral Healthcare | Other Name - Individual/Organization |
| Maine Medical Center | Former Legal Business Name - Organization |
| SPRING HARBOR HOSPITAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558841353 | Mainehealth | Skilled Nursing Facility | 35 July St, Sanford, ME 04073-1909 | 2018-08-21 |
| 1912304205 | Mainehealth | General Acute Care Hospital | 41 Spring Hill Rd, Saco, ME 04072-9650 | 2014-12-02 |
| 1831418128 | Mainehealth | Day Training, Developmentally Disabled Services | 39 Forest Ave, Portland, ME 04101 | 2010-05-26 |
| 1295800118 | Mainehealth | Clinic/Center | Cape Jellison Road, Stockton Springs, ME 04981 | 2006-11-24 |
| 1396815106 | Mainehealth | Pharmacy | Attn: Retail Pharmacy, 6 Glen Cove Drive, Rockport, ME 04856 | 2006-11-09 |
| 1528151065 | Mainehealth | Nursing Facility/Intermediate Care Facility | 145 Emery Lane, Boothbay Harbor, ME 04538 | 2006-10-02 |
| 1447342209 | Mainehealth | Skilled Nursing Facility | 35 July Street, Sanford, ME 04073 | 2006-09-29 |
| 1780788372 | Mainehealth | Internal Medicine | 19 West St, Portland, ME 04102 | 2006-09-12 |
| 1962496877 | Mainehealth | Skilled Nursing Facility | 6 White St, Rockland, ME 04841-2953 | 2005-09-07 |
| 1972129005 | Mainehealth | Clinic/Center | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2020-06-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MAINEHEALTH SERVICES | 110 Free St, Portland, ME 04101-3908 |
| Colorado Business Entities | MaineHealth, Inc. | 22 Bramhall Street, Portland, ME 04102 |
| Street Address |
123 ANDOVER RD |
| City | WESTBROOK |
| State | ME |
| Zip Code | 04092-3848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508841909 | Michael T Price | Psychiatry & Neurology | 123 Andover Rd, Westbrook, ME 04092-3848 | 2005-12-08 |
| 1497379028 | Deborah H.w. Hamilton | Social Worker | 123 Andover Rd, Westbrook, ME 04092-3850 | 2020-05-29 |
| 1669094256 | Lisa Howell | Social Worker | 123 Andover Rd, Westbrook, ME 04092-3850 | 2020-05-18 |
| 1427684372 | Mary Stanton | Counselor | 123 Andover Rd, Westbrook, ME 04092-3850 | 2020-03-22 |
| 1700411006 | Kristen Marie Sowada | Nurse Practitioner | 123 Andover Rd, Westbrook, ME 04092-3848 | 2020-03-06 |
| 1891327805 | Ashley M Higgins | Counselor | 123 Andover Rd, Westbrook, ME 04092-3848 | 2020-02-07 |
| 1255962031 | Kathryn Levett | Social Worker | 123 Andover Rd, Westbrook, ME 04092-3848 | 2020-01-30 |
| 1427698083 | Ian Whitmore | Social Worker | 123 Andover Rd, Westbrook, ME 04092-3850 | 2020-01-13 |
| 1033758321 | Christopher Merrill | Social Worker | 123 Andover Rd, Westbrook, ME 04092-3848 | 2020-01-03 |
| 1306484563 | Katherine C Hallissey | Social Worker | 123 Andover Rd, Westbrook, ME 04092-3848 | 2019-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023529013 | Easy Life LLC | In Home Supportive Care | 77 Mechanic St, Westbrook, ME 04092 | 2017-10-17 |
| 1932644325 | Onelove Homecare, LLC | In Home Supportive Care | 24 Pike Street, Westbrook, ME 04092 | 2016-12-21 |
| 1184171613 | Conor Cannon I | Counselor | 1500 Saunders Way, 900, Westbrook, ME 04092 | 2016-09-01 |
| 1104201011 | Dana L Villmore | Physician Assistant | Intermed Onsite At Idexx, 1 Idexx Drive, Westbrook, ME 04092 | 2015-07-22 |
| 1407249147 | Allyson Bea Lowell | Social Worker | 170 Forest Street, Westbrook, ME 04092 | 2015-03-05 |
| 1477969541 | Gretchen Jefferson | Psychologist | 15 Saunders Way Woodfords Family Services, Westbrook, ME 04092 | 2014-07-09 |
| 1053725176 | Anita Aaltje Devine | Massage Therapist | 89 Lamb Street, Westbrook, ME 04092 | 2014-06-17 |
| 1124449806 | Spectrum Staffing Solutions LLC | In Home Supportive Care | 1 Westbrook Commons, Suite 1, Westbrook, ME 04092 | 2013-12-23 |
| 1760816276 | Avita Stroudwater, LLC | Alzheimer Center (Dementia Center) | 320 Spring Street, Westbrook, ME 04092 | 2013-09-03 |
| 1659637742 | Kate Beever | Music Therapist | 54 West Valentine Street, Westbrook, ME 04092 | 2012-04-03 |
| Find all providers in zip 04092 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598798787 | Mainehealth | Psychiatric Hospital | 123 Andover Rd, Westbrook, ME 04092-3848 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699776146 | State of Maine | Psychiatric Hospital | 656 State St, Bangor, ME 04401-5609 | 2005-08-09 |
| 1053319566 | State of Maine | Psychiatric Hospital | 250 Arsenal St, Augusta, ME 04333-0011 | 2005-07-08 |
| 1578911830 | Acadia Hospital | Psychiatric Hospital | 268 Stillwater Ave, Bangor, ME 04401-3945 | 2016-05-27 |
| 1215940523 | Acadia Hospital Corp | Psychiatric Hospital | 268 Stillwater Avenue, Bangor, ME 04401 | 2006-08-15 |
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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.