| Kennebec Behavioral Health | |
|
67 Eustis Pkwy Waterville ME 04901-5173 | |
| (207) 873-2136 | |
| (207) 872-4522 |
| Full Name | Kennebec Behavioral Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 67 Eustis Pkwy, Waterville, Maine |
| Authorized Official Name and Position | Thomas Mcadam (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2078732136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennebec Behavioral Health 67 Eustis Pkwy Waterville ME 04901-5173 Ph: (207) 873-2136 | Kennebec Behavioral Health 67 Eustis Pkwy Waterville ME 04901-5173 Ph: (207) 873-2136 |
| NPI Number | 1679504864 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 01/24/2008 |
| Medicare PECOS PAC ID | 7113829383 |
|---|---|
| Medicare Enrollment ID | O20040127000419 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679504864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 222762 (Maine) | Primary |
| Provider Name | Teresa E Hermida |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255342796 PECOS PAC ID: 8123928793 Enrollment ID: I20040110000070 |
| Provider Name | Arlene C Almazan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053426387 PECOS PAC ID: 6305730268 Enrollment ID: I20040211000617 |
| Provider Name | Janine Taylor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891803607 PECOS PAC ID: 3870484843 Enrollment ID: I20040322000451 |
| Provider Name | Carlton Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053462143 PECOS PAC ID: 0143210070 Enrollment ID: I20040513001005 |
| Provider Name | David B Whitestone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881617744 PECOS PAC ID: 3577543412 Enrollment ID: I20040722000116 |
| Provider Name | Melinda M Morissette |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1750486023 PECOS PAC ID: 6901852086 Enrollment ID: I20050323000177 |
| Provider Name | Lora Lynn Wilford Mcmanus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255491296 PECOS PAC ID: 7214984814 Enrollment ID: I20050406000175 |
| Provider Name | Gust S Stringos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417954777 PECOS PAC ID: 1658313309 Enrollment ID: I20050524000403 |
| Provider Name | Kathleen R Friedrich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902812076 PECOS PAC ID: 7113953506 Enrollment ID: I20050718000380 |
| Provider Name | Emil Bukher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487601282 PECOS PAC ID: 7911929237 Enrollment ID: I20051229000416 |
| Provider Name | Claire I Koenig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467472548 PECOS PAC ID: 3476562455 Enrollment ID: I20060424000036 |
| Provider Name | Jacquelynne L Charity |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831109628 PECOS PAC ID: 9931100898 Enrollment ID: I20070122000107 |
| Provider Name | Holly Jane Zack |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447303904 PECOS PAC ID: 5890898977 Enrollment ID: I20070309000306 |
| Provider Name | Maria P Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831106095 PECOS PAC ID: 2062504517 Enrollment ID: I20070828001019 |
| Provider Name | Paige Mcinerney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376611996 PECOS PAC ID: 7214021831 Enrollment ID: I20070913000325 |
| Provider Name | Robin Phair |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972685709 PECOS PAC ID: 3476614397 Enrollment ID: I20081210000169 |
| 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 | Kelley J Grover |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669531828 PECOS PAC ID: 9537308127 Enrollment ID: I20130611000447 |
| Provider Name | Vicky M Packard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821430794 PECOS PAC ID: 3577707132 Enrollment ID: I20130920000508 |
| Provider Name | Veronika Vogt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114260288 PECOS PAC ID: 9638307390 Enrollment ID: I20140102001323 |
| Provider Name | Molly Bea Benner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093952319 PECOS PAC ID: 5597982470 Enrollment ID: I20140818000678 |
| Provider Name | Layla B Billings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558626655 PECOS PAC ID: 6204058597 Enrollment ID: I20141121001288 |
| Provider Name | Suzette E Cyr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275972689 PECOS PAC ID: 2668796285 Enrollment ID: I20150130000295 |
| Provider Name | Elizabeth J Daley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922300730 PECOS PAC ID: 5395052310 Enrollment ID: I20150923001269 |
| Provider Name | Alyssa Russell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306278841 PECOS PAC ID: 4183928757 Enrollment ID: I20160203000377 |
| Provider Name | Bridget K Orourke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558764019 PECOS PAC ID: 0143528034 Enrollment ID: I20160408001194 |
| Provider Name | Christina L Falla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043568231 PECOS PAC ID: 2365734431 Enrollment ID: I20160711000703 |
| Provider Name | Ruth A Raczkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770512956 PECOS PAC ID: 6901855576 Enrollment ID: I20160909000583 |
| Provider Name | Donna L Piccininni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225583321 PECOS PAC ID: 2466730668 Enrollment ID: I20161021001786 |
| Provider Name | Diantha S Bovey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861935405 PECOS PAC ID: 7810278827 Enrollment ID: I20170106000572 |
| Provider Name | Monica M Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316249675 PECOS PAC ID: 8820348121 Enrollment ID: I20180907000608 |
| Provider Name | Marissa R Ayer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780130765 PECOS PAC ID: 1355687542 Enrollment ID: I20190109000457 |
| Provider Name | Dawn M Chase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497396543 PECOS PAC ID: 7618309626 Enrollment ID: I20191113001367 |
| Provider Name | Kira Barber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235777921 PECOS PAC ID: 6800222308 Enrollment ID: I20200131000964 |
| Provider Name | Daric Davenport |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346751740 PECOS PAC ID: 5294164653 Enrollment ID: I20200406001781 |
| Provider Name | Kathleen Fs Harvey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033549357 PECOS PAC ID: 9234556648 Enrollment ID: I20200831002513 |
| Provider Name | Joanna Lusk-libby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699393694 PECOS PAC ID: 0749607802 Enrollment ID: I20200903001424 |
| Provider Name | Allison A Morse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376055186 PECOS PAC ID: 0648681726 Enrollment ID: I20201120000805 |
| Provider Name | Kaitlyn Roy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033684568 PECOS PAC ID: 2163838632 Enrollment ID: I20210308001633 |
| Provider Name | Annmarie Dubois |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083774004 PECOS PAC ID: 4082023866 Enrollment ID: I20210506002801 |
| Provider Name | Victoria Wilson Townley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417503202 PECOS PAC ID: 0648675157 Enrollment ID: I20210823000091 |
| Provider Name | Robyn King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174158562 PECOS PAC ID: 4587041793 Enrollment ID: I20220509002251 |
| Provider Name | Lyudmila Dmitriyev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528792587 PECOS PAC ID: 2365827607 Enrollment ID: I20220922000884 |
| Provider Name | Kristina A King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104492453 PECOS PAC ID: 7618345273 Enrollment ID: I20221201003083 |
| Provider Name | Vanessa Macoy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649918426 PECOS PAC ID: 3375913122 Enrollment ID: I20230112000720 |
| Provider Name | Julia Vicaire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316459530 PECOS PAC ID: 9032589890 Enrollment ID: I20230112001007 |
| Provider Name | Jennifer Conley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265909857 PECOS PAC ID: 2062893365 Enrollment ID: I20230403000327 |
| Provider Name | Ami-jo E Greco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386784189 PECOS PAC ID: 5991159022 Enrollment ID: I20230923000279 |
| Provider Name | Patricia J Mahoney-rohrl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154913218 PECOS PAC ID: 9335596717 Enrollment ID: I20231107000204 |
| Provider Name | Jennie Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235755612 PECOS PAC ID: 6608225206 Enrollment ID: I20231207003001 |
| Provider Name | Emma Tardif |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598331159 PECOS PAC ID: 0547619017 Enrollment ID: I20231208001537 |
| Provider Name | Dana Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598532400 PECOS PAC ID: 3274985346 Enrollment ID: I20240115001306 |
| Provider Name | Robin Gardella |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952409807 PECOS PAC ID: 4981056165 Enrollment ID: I20240124000396 |
| Provider Name | C. Paige Ricciardo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922266345 PECOS PAC ID: 0547613622 Enrollment ID: I20240124004322 |
| Provider Name | Elsa Kevin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518592997 PECOS PAC ID: 1951754084 Enrollment ID: I20240125001064 |
| Provider Name | Taylor L Hodgdon-mcburney |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1427538693 PECOS PAC ID: 8729431788 Enrollment ID: I20240126001027 |
| Provider Name | Kerry M Robinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306951660 PECOS PAC ID: 8123478757 Enrollment ID: I20240209000759 |
| Provider Name | Matthew Hutchins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619418860 PECOS PAC ID: 4486004009 Enrollment ID: I20240209001273 |
| Provider Name | Carianne Watson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427590439 PECOS PAC ID: 3274983895 Enrollment ID: I20240209001490 |
| Provider Name | Keith Plouffe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124372909 PECOS PAC ID: 4981054590 Enrollment ID: I20240213000089 |
| Provider Name | Jenny Cobuzzi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467903401 PECOS PAC ID: 0840640975 Enrollment ID: I20240220001719 |
| Provider Name | Kerri Holmes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588982300 PECOS PAC ID: 6507200391 Enrollment ID: I20240220003978 |
| Provider Name | Tracy Allen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982953477 PECOS PAC ID: 5294179917 Enrollment ID: I20240221000508 |
| Provider Name | Megan Poto |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215328083 PECOS PAC ID: 6901258649 Enrollment ID: I20240228001720 |
| Provider Name | Tina York |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588731681 PECOS PAC ID: 0941650550 Enrollment ID: I20240228004724 |
| Provider Name | Ryan Treuhaft |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114324845 PECOS PAC ID: 1052756194 Enrollment ID: I20240228004765 |
Renew Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13 Railroad Sq Ste 1, Waterville, ME 04901 Phone: 207-649-4790 Fax: 844-450-1757 | |
Today Matters Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13 Railroad Sq Ste 1, Waterville, ME 04901 Phone: 207-649-9454 | |
Blue Sky Counseling P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 College Ave Ste 203, Waterville, ME 04901 Phone: 207-314-7544 | |
Health Psych Maine, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Big Sky Ln, Waterville, ME 04901 Phone: 207-872-5800 | |
Life Management Coaching Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 18 Common St, Suite 203, Waterville, ME 04901 Phone: 207-861-2028 | |
Healthreach Network Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Highwood St, Waterville, ME 04901 Phone: 207-861-3488 Fax: 207-861-3470 | |
Dayspring Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Highwood St, Waterville, ME 04901 Phone: 207-861-3488 Fax: 207-861-3470 |