MEDICARE: MAINE BEHAVIORAL HEALTHCARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician
2	251S00000X	Community/Behavioral Health Agency	680905	ME

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386652535
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAINE BEHAVIORAL HEALTHCARE

Provider Business Mailing Address
First Line	:	78 ATLANTIC PL
Second Line	:
City	:	SOUTH PORTLAND
State	:	ME
Zip	:	04106-2316
Country	:	US
Telephone Number	:	207-842-7701
Fax Number	:	207-842-7773

Provider Business Practice Location Address
First Line	:	12 UNION ST
Second Line	:
City	:	ROCKLAND
State	:	ME
Zip	:	04841-2739
Country	:	US
Telephone Number	:	207-701-4400
Fax Number	:	207-701-4485

Authorized Official
Title or Position	:	EVP & COO
Name	:	GREG BOWERS
Credential	:
Telephone Number	:	207-253-2629

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	06/10/2014

Similar Medicare Providers

1427054873 — DR. THEODORE P. LOGAN MD
Practice Location Address:

12 UNION ST
ROCKLAND, ME
04841-2739

Practice Phone: 207-701-4400
Practice Fax: 207-701-4487

1811982580 — LINDA K MADSON MD
Practice Location Address:

12 UNION ST
ROCKLAND, ME
04841-2739

Practice Phone: 207-701-4400
Practice Fax:

1154347524 — DR. RICHARD E. NILSON MD
Practice Location Address:

12 UNION ST
ROCKLAND, ME
04841-2739

Practice Phone: 207-701-4400
Practice Fax: 207-701-4487

1568472280 — MARTHA L VIRGIN LCSW
Practice Location Address:

12 UNITION STREET
ROCKLAND, ME
04841-2739

Practice Phone: 207-701-4402
Practice Fax: 207-701-4486

1568576403 — DR. HAROLD WILLIAMS VAN LONKHUYZEN MD
Practice Location Address:

12 UNION STREET
ROCKLAND, ME
04841-2739

Practice Phone: 207-701-4402
Practice Fax: 207-701-4486

1962517573 — MS. BARBARA SPERLING OWEN LCSW
Practice Location Address:

12 UNION ST
ROCKLAND, ME
04841-2739

Practice Phone: 207-842-6556
Practice Fax:

Directions to “MAINE BEHAVIORAL HEALTHCARE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.