UCP OF NORTHEASTERN MAINE (NPI# 1962604595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962604595 |
| 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 | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 209700 | ME | Residential Treatment Facilities |
| 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 |
| 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 |
| 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 | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| 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. |
| 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 |
| 1497957021 | Ucp of Northeastern Maine | Residential Treatment Facility, Emotionally Disturbed Children | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2007-06-05 |
| 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 |
| 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.