| Cornerstone Behavioral Healthcare, Llc | |
|
157 Park Street Suite 5 Bangor ME 04401-5000 | |
| (207) 992-0410 | |
| (207) 992-0414 |
| Full Name | Cornerstone Behavioral Healthcare, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 157 Park Street, Bangor, Maine |
| Authorized Official Name and Position | Frank H Willard (MEMBER, CEO) |
| Authorized Official Contact | 2079920410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Behavioral Healthcare, Llc 157 Park Street Suite 5 Bangor ME 04401-5000 Ph: (207) 992-0410 | Cornerstone Behavioral Healthcare, Llc 157 Park Street Suite 5 Bangor ME 04401-5000 Ph: (207) 992-0410 |
| NPI Number | 1215102850 |
|---|---|
| Provider Enumeration Date | 04/24/2008 |
| Last Update Date | 12/14/2010 |
| Medicare PECOS PAC ID | 7214097740 |
|---|---|
| Medicare Enrollment ID | O20081113000616 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215102850 | NPI | - | NPPES |
| 432911500 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 569364 (Maine) | Primary |
| Provider Name | Raymond Plotnick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528116381 PECOS PAC ID: 1951378710 Enrollment ID: I20040913000528 |
| Provider Name | Richard Staples |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932294782 PECOS PAC ID: 5496797367 Enrollment ID: I20050601000828 |
| Provider Name | Cathy J Cumler Dennis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861408700 PECOS PAC ID: 3577508209 Enrollment ID: I20050623000252 |
| Provider Name | Monica L Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821397191 PECOS PAC ID: 8022053677 Enrollment ID: I20050623000538 |
| Provider Name | Rowena Tessman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073531422 PECOS PAC ID: 3072419902 Enrollment ID: I20050727000689 |
| Provider Name | Edith Snyder Lyman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861445900 PECOS PAC ID: 5597768317 Enrollment ID: I20060817000238 |
| Provider Name | Anna C Seadler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518991140 PECOS PAC ID: 8921001801 Enrollment ID: I20070129000095 |
| Provider Name | Jeanie K Mcpherson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811079510 PECOS PAC ID: 0244332682 Enrollment ID: I20070302000476 |
| Provider Name | Amy Ruth Carpenter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740360981 PECOS PAC ID: 5799882833 Enrollment ID: I20070524000029 |
| Provider Name | Catherine A Morse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801004700 PECOS PAC ID: 8820030778 Enrollment ID: I20070713000026 |
| Provider Name | Contessa L Brophy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932270162 PECOS PAC ID: 1759472491 Enrollment ID: I20070809000221 |
| Provider Name | Joyce C Petrosky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336245000 PECOS PAC ID: 3274566864 Enrollment ID: I20080227000614 |
| Provider Name | Melissa M Charette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629050992 PECOS PAC ID: 9739089855 Enrollment ID: I20090416000163 |
| Provider Name | Jackson B Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215123047 PECOS PAC ID: 4082769716 Enrollment ID: I20090902000350 |
| Provider Name | Greg A Bazakas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932306560 PECOS PAC ID: 0345383097 Enrollment ID: I20100203000872 |
| Provider Name | Jennifer L Lamb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740570902 PECOS PAC ID: 1658558028 Enrollment ID: I20110613000161 |
| Provider Name | Kerish M Benttinen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730316910 PECOS PAC ID: 3274709241 Enrollment ID: I20111222000533 |
| Provider Name | Vickie J Fisher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003077629 PECOS PAC ID: 6709046030 Enrollment ID: I20120324000018 |
| Provider Name | Rachel A Booker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326319716 PECOS PAC ID: 6709048028 Enrollment ID: I20120503000312 |
| Provider Name | Kathryn Manahan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881978195 PECOS PAC ID: 2961721428 Enrollment ID: I20150505000744 |
| Provider Name | Lisa Keyser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558563486 PECOS PAC ID: 5698080463 Enrollment ID: I20150824000638 |
| Provider Name | Donna L Piccininni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225583321 PECOS PAC ID: 2466730668 Enrollment ID: I20161021001786 |
| Provider Name | Shannon E. Pettit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649474156 PECOS PAC ID: 6800151622 Enrollment ID: I20180529001841 |
| Provider Name | Elizabeth Corbin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073988010 PECOS PAC ID: 2466703301 Enrollment ID: I20180917000926 |
| Provider Name | Hugh M Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023507837 PECOS PAC ID: 6002241908 Enrollment ID: I20200123001441 |
| Provider Name | April Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164066296 PECOS PAC ID: 4880073097 Enrollment ID: I20220617002379 |
| Provider Name | Danielle Marie Carey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386382323 PECOS PAC ID: 2668851783 Enrollment ID: I20220621001753 |
| Provider Name | Meagan Foss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871994657 PECOS PAC ID: 3072987064 Enrollment ID: I20230314001479 |
| Provider Name | Jan M Gee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992026322 PECOS PAC ID: 2466772926 Enrollment ID: I20230917000034 |
| Provider Name | Barbara Jane Mainguy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538727110 PECOS PAC ID: 3173978558 Enrollment ID: I20231005001901 |
| Provider Name | Bennett Hilton Holbrook |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093971731 PECOS PAC ID: 4981054301 Enrollment ID: I20231228000451 |
| Provider Name | Kay E. Hamlin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083071567 PECOS PAC ID: 6800246182 Enrollment ID: I20231228002767 |
| Provider Name | Sandra R Graves |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154467157 PECOS PAC ID: 1052761350 Enrollment ID: I20231228003407 |
| Provider Name | Stephanie L. Welling |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578950259 PECOS PAC ID: 7113377417 Enrollment ID: I20231228003498 |
| Provider Name | Rebecca Furrow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083143143 PECOS PAC ID: 9830549138 Enrollment ID: I20231228003542 |
| Provider Name | Brenda Fielding |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467623074 PECOS PAC ID: 3375993595 Enrollment ID: I20231229000644 |
| Provider Name | Sara Beth Fenwick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548308885 PECOS PAC ID: 9436500014 Enrollment ID: I20240108005118 |
| Provider Name | Katherine Collins Heard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790870517 PECOS PAC ID: 9133570666 Enrollment ID: I20240109004676 |
| Provider Name | Ryan David Wells |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003152505 PECOS PAC ID: 2163873316 Enrollment ID: I20240111003763 |
| Provider Name | Vickie L. Montgomery |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982700076 PECOS PAC ID: 5092167098 Enrollment ID: I20240116000301 |
| Provider Name | Tamara J Hunt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063651792 PECOS PAC ID: 3870945892 Enrollment ID: I20240116001049 |
| Provider Name | Jennifer C Roberts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245841444 PECOS PAC ID: 6709238439 Enrollment ID: I20240118002633 |
| Provider Name | Leanne Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467574574 PECOS PAC ID: 0840642450 Enrollment ID: I20240119000616 |
| Provider Name | Bryan J. Double |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659679355 PECOS PAC ID: 6507218062 Enrollment ID: I20240119002651 |
| Provider Name | Gary Turgeon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023336450 PECOS PAC ID: 0446602965 Enrollment ID: I20240122000232 |
| Provider Name | Susan E Wiley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760921969 PECOS PAC ID: 6406208867 Enrollment ID: I20240122001974 |
| Provider Name | Mary L Kelley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992913529 PECOS PAC ID: 1850743048 Enrollment ID: I20240124000510 |
| Provider Name | Gwendolyn Shatto |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801325147 PECOS PAC ID: 9133562820 Enrollment ID: I20240209001301 |
| Provider Name | Denise J Reed |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336637776 PECOS PAC ID: 9638512262 Enrollment ID: I20240209002929 |
| Provider Name | Joan Reinholdtsen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003212945 PECOS PAC ID: 6305280777 Enrollment ID: I20240214001474 |
| Provider Name | Sarah E Brasslett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548504111 PECOS PAC ID: 6406290964 Enrollment ID: I20240223000242 |
| Provider Name | Jane S Mcmorrow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386766582 PECOS PAC ID: 0547605800 Enrollment ID: I20240227002529 |
Pinetree Behavioral Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 263 State St Ste 9, Bangor, ME 04401 Phone: 207-307-7119 Fax: 207-307-7129 | |
Robert Peddicord Phd Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Grove St, Bangor, ME 04401 Phone: 207-944-9315 | |
Greater Love Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 336 Mount Hope Ave Ste 14, Bangor, ME 04401 Phone: 207-561-0182 | |
Groundwork Healing Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Stillwater Ave Ste 7, Bangor, ME 04401 Phone: 918-344-7844 | |
Bangor Family Counseling Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 96 Harlow St, Ste 335, Bangor, ME 04401 Phone: 207-990-1555 Fax: 207-990-1555 | |
Community Health And Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 42 Cedar St, Bangor, ME 04401 Phone: 207-947-0366 Fax: 207-942-4350 | |
Third Eye Counseling Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 27 State St Ste 38, Bangor, ME 04401 Phone: 207-370-9397 |