| Acadia Healthcare, Inc | |
|
268 Stillwater Avenue Bangor ME 04401 | |
| (207) 973-6100 | |
| (207) 973-6109 |
| Full Name | Acadia Healthcare, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 268 Stillwater Avenue, Bangor, Maine |
| Authorized Official Name and Position | Marie K Suitter (VP OF FINANCE AND OPERATIONS) |
| Authorized Official Contact | 2079735110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acadia Healthcare, Inc P.o. Box 442 Bangor ME 04402-0422 Ph: (207) 973-6100 | Acadia Healthcare, Inc 268 Stillwater Avenue Bangor ME 04401 Ph: (207) 973-6100 |
| NPI Number | 1568477297 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 01/03/2018 |
| Medicare PECOS PAC ID | 8729019633 |
|---|---|
| Medicare Enrollment ID | O20050830000481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568477297 | NPI | - | NPPES |
| 1568477297 | Medicaid | ME |
| Provider Name | Julie A Lamoreau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326149782 PECOS PAC ID: 5395642896 Enrollment ID: I20031215000037 |
| Provider Name | Ramneesh Trehan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801829270 PECOS PAC ID: 3577527472 Enrollment ID: I20041118001053 |
| Provider Name | Brent W Scobie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659463040 PECOS PAC ID: 5395787717 Enrollment ID: I20050525001197 |
| Provider Name | John J Campbell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922108836 PECOS PAC ID: 0143266338 Enrollment ID: I20050628000802 |
| Provider Name | Richard E Redmond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356491096 PECOS PAC ID: 2264460716 Enrollment ID: I20050727000423 |
| Provider Name | Joye M Jewell - Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861451478 PECOS PAC ID: 6204861099 Enrollment ID: I20050929001089 |
| Provider Name | Kimberly A Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306905567 PECOS PAC ID: 8921109935 Enrollment ID: I20070720000418 |
| Provider Name | Vijay A Amarendran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669660015 PECOS PAC ID: 8729175757 Enrollment ID: I20071107000392 |
| Provider Name | Clifford M Singer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023118361 PECOS PAC ID: 0648251009 Enrollment ID: I20100929001204 |
| Provider Name | Michaele J Potvin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205066636 PECOS PAC ID: 8022285428 Enrollment ID: I20120126000310 |
| Provider Name | Marcia C Bean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992072508 PECOS PAC ID: 1355509175 Enrollment ID: I20120225000109 |
| Provider Name | Lynette M Roy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538597851 PECOS PAC ID: 4486882354 Enrollment ID: I20140123000122 |
| Provider Name | Brandy D Gebo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952680597 PECOS PAC ID: 8325270044 Enrollment ID: I20140411001214 |
| Provider Name | Brittany M Barker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063764777 PECOS PAC ID: 9739408659 Enrollment ID: I20150427002077 |
| Provider Name | Susan E Darling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558794107 PECOS PAC ID: 8325352768 Enrollment ID: I20150729010082 |
| Provider Name | Joshua T Bridges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063897064 PECOS PAC ID: 6002123916 Enrollment ID: I20150909002141 |
| Provider Name | Heather L Reid |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831569219 PECOS PAC ID: 1254631856 Enrollment ID: I20151204000091 |
| Provider Name | Samantha M Brent |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184176638 PECOS PAC ID: 1951681097 Enrollment ID: I20161207002592 |
| Provider Name | Hillary T Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487912267 PECOS PAC ID: 7719258763 Enrollment ID: I20170809001595 |
| Provider Name | Kati L Boucher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760904734 PECOS PAC ID: 2769755198 Enrollment ID: I20170907001174 |
| Provider Name | Martha K Baldwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891280855 PECOS PAC ID: 6507115466 Enrollment ID: I20180827000763 |
| Provider Name | Julia B St John |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821458506 PECOS PAC ID: 6406106392 Enrollment ID: I20180914000981 |
| Provider Name | Alaina M. Willson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487952271 PECOS PAC ID: 1658600861 Enrollment ID: I20190913001548 |
| Provider Name | Patricia Mary Milner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447541602 PECOS PAC ID: 6800103771 Enrollment ID: I20200212000953 |
| Provider Name | Michael M Messer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689740821 PECOS PAC ID: 5698673614 Enrollment ID: I20200327001113 |
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