Mainehealth, NPI 1811917222
Psychiatric Hospital Unit in Portland, ME, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1811917222
NPI Entity Type Organization
Provider Name Mainehealth
Other Name
Subpart of Organization Maine Medical Center
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 22 Bramhall St, Portland, ME, US
Provider Mailing Address 22 Bramhall St, Attn Cashiers Office, Portland, ME, US, 041023134
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Lugene Anthony Inzana
Official Position CFO & ASSOCIATE CFO
Phone 207-662-3538

Primary Taxonomy

Taxonomy Code

273R00000X

Taxonomy Name Psychiatric Hospital Unit
Classification

Psychiatric Unit

Group

Hospital Units

License No. 36236
License State ME
Description In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.

Other Organization Name

MMC Department of Psychiatry
Other Name

Business Address

Mainehealth
22 Bramhall St

Portland, ME, US

Phone: 207-662-6562
Fax: 207-662-6234

Mailing Address

Mainehealth
22 Bramhall St
Attn Cashiers Office
Portland, ME, US
ZIP 041023134
Phone: 207-662-6562
Fax: 207-662-6234

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
102500000 ME MEDICAID 05
200009000025 ME ANTHEM BLUE CROSS PROV # 01

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
CONNECT https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service 2.16.840.1.113883.3.1068.1 OTHER Yes 2720 Dundee Rd # 302, Northbrook, IL, US

Other Providers in ME, US

NPI Name Taxonomy Address

1992426563

RDH IPDH Brittany Rita Hubert

Individual

Dental Hygienist

6 E Chestnut St

Augusta, ME

1821713256

Metanoia Compassionate Care Llc

Organization

Developmentally Disabled Services Day Training Agency

10 Columbia St Unit 2

Lewiston, ME

1063716710

Mainegeneral Medical Center

Organization

Psychiatry Physician

121 Medical Center Dr

Brunswick, ME

1073238473

LMT, MLD-C Merissa Mertaugh

Individual

Massage Therapist

690 Stroudwater St

Westbrook, ME

1356999650

LCPC Emma Georgene Swift

Individual

Professional Counselor

235 Center St

Brewer, ME

1871218263

FNP-C Catherine Rasco-robinson

Individual

Family Nurse Practitioner

506 Main St

Saco, ME

1871218255

LCPC-C Patricia Marie Mclain

Individual

Student in an Organized Health Care Education/Training Program

1012 Union St

Bangor, ME

1457076838

RDH Rebecca Lynn Hanscom

Individual

Dental Hygienist

15 Oak St

Springvale, ME

1174248645

Autumn Marie Walsh

Individual

Addiction (Substance Use Disorder) Counselor

2 Lehner Rd

Saco, ME

1083339527

COTA/L Madeline Conrad Smith

Individual

Pediatric Occupational Therapist

170 Route 1 Ste 100

Falmouth, ME

1922449073

DR. M.D. Rene Adonis Seegobin

Individual

Pediatrics Physician

133 Corporate Dr

Bangor, ME

1275258782

Patrick Fahey

Individual

Acupuncturist

2 Southside Rd

York, ME

1770159931

Kathryn Goffin

Individual

Psychologist

123 Andover Rd

Westbrook, ME

1558821520

DO Rachel Coffey

Individual

Pediatrics Physician

22 Bramhall St

Portland, ME

1215497474

DO Rebecca Patterson

Individual

Family Medicine Physician

331 Veranda St

Portland, ME

1912638214

Jason Mudge

Individual

Physician Assistant

22 Bramhall St

Portland, ME

1477025286

Hospice Of Maine, Llc

Organization

Community Based Hospice Care Agency

824 Stillwater Ave Ste B

Bangor, ME

1245626316

Great Bay Services

Organization

Developmental Disabilities Clinic/Center

61 Washington St Ste 4

Sanford, ME

1013641463

Affinity Care Of Maine Llc

Organization

Community Based Hospice Care Agency

600 Southborough Dr Ste 103

South Portland, ME

1336864966

Antonio Home Care Llc

Organization

In Home Supportive Care Agency

70 Webster St

Westbrook, ME

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