ACADIA HEALTHCARE, INC (NPI# 1568477297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568477297 |
Entity Type | Organization |
Organization Name | ACADIA HEALTHCARE, INC |
Practice Address |
268 Stillwater Avenue Bangor ME 04401 |
Mailing Address |
P.o. Box 442 Bangor ME 04402-0422 |
Practice Telephone | 2079736100 |
Practice Fax Number | 2079736109 |
Mailing Telephone | 2079736100 |
Mailing Fax Number | 2079736109 |
Enumeration Date | 2006-07-30 |
Last Update Date | 2018-01-03 |
Authorized Official Name | MARIE K SUITTER (VP OF FINANCE AND OPERATIONS) |
Authorized Official Telephone | 2079735110 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
ME | Ambulatory Health Care Facilities | |
N | 324500000X | Substance Abuse Rehabilitation Facility | ARC 231302 | ME | Residential Treatment Facilities |
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
ME | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | 1568477297 | 05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | ACADIA HEALTHCARE, INC. | 268 Stillwater Ave, Bangor, ME 04401-3945 |
Street Address |
268 STILLWATER AVENUE |
City | BANGOR |
State | ME |
Zip Code | 04401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255314621 | Anthony Taiwai Ng | Psychiatry & Neurology | 268 Stillwater Avenue, Acadia Hospital Corp., Bangor, ME 04401 | 2005-11-21 |
1912299694 | Courtney E Evans | Counselor | 268 Stillwater Avenue, Acadia Hospital Corp., Bangor, ME 04401-0000 | 2011-05-12 |
1922311620 | Martha A Eastman | Nurse Practitioner | 268 Stillwater Avenue, Acadia Hospital Corp., Bangor, ME 04401-0000 | 2010-07-22 |
1710203328 | Jesse M. Higgins | Nurse Practitioner | 268 Stillwater Avenue, Acadia Hospital Corp., Bangor, ME 04401-0000 | 2010-04-08 |
1477878601 | Daniel E Hoyt | Social Worker | 268 Stillwater Avenue, Acadia Hospital Corp., Bangor, ME 04401 | 2010-03-31 |
1992037980 | Matthew D Tolman | Psychologist | 268 Stillwater Avenue, Acadia Hospital Corp., Bangor, ME 04401 | 2010-02-02 |
1003141052 | Rodney St. Louis | Social Worker | 268 Stillwater Avenue, Acadia Hospital Corp., Bangor, ME 04401-0000 | 2009-10-08 |
1326373473 | Susan Wengrzynek | Social Worker | 268 Stillwater Avenue, Acadia Hospital Corp., Bangor, ME 04401-0000 | 2009-10-07 |
1962737015 | James B Mccormack | Counselor | 268 Stillwater Avenue, Acadia Hospital Corp., Bangor, ME 04401 | 2009-10-07 |
1518292879 | Laureen Ann Frost | Counselor | 268 Stillwater Avenue, Acadia Hospital Corp., Bangor, ME 04401 | 2009-10-05 |
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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 Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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---|---|---|---|---|
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1871847103 | Restoration Health LLC | Clinic/Center | 1 Cumberland Pl, Suite 114, Bangor, ME 04401-5083 | 2012-11-08 |
1760497200 | Manna Inc | Clinic/Center | 629 Main St, Bangor, ME 04401-6848 | 2006-07-31 |
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1326682774 | New Hope Residential Care | Clinic/Center | 43 Rollins Way, South Portland, ME 04106-1942 | 2019-10-29 |
1821654112 | Hand of Mercy Health Care, LLC | Clinic/Center | 1087 Forest Ave, Portland, ME 04103-3321 | 2019-05-13 |
1700358314 | Nikki Wetherell Counseling | Clinic/Center | 19 South St Ste 6, Portland, ME 04101-3963 | 2018-12-20 |
1952870792 | Psychwellness, LLC | Clinic/Center | 169 Park Row Ste 6, Brunswick, ME 04011-2039 | 2018-11-23 |
1255846531 | Mid-coast Family Wellness Center, LLC | Clinic/Center | 219 Route One Ste 101, Edgecomb, ME 04556-3000 | 2017-12-07 |
1073037099 | Next Step Domestic Violence Project | Clinic/Center | 733 Bangor Rd, Ellsworth, ME 04605-3580 | 2017-08-01 |
1306170295 | Department of Veterans Affairs | Clinic/Center | 99 River Rd, Lincoln, ME 04457-4012 | 2009-09-24 |
1891733309 | Maine Behavioral Healthcare | Clinic/Center | 2 Springbrook Dr, Biddeford, ME 04005-9443 | 2006-06-04 |
1538122445 | Sweetser | Clinic/Center | 50 Moody Street, Saco, ME 04072 | 2006-04-11 |
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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.