| Maine Behavioral Health Organization | |
|
203 North Rd Athens ME 04912-4004 | |
| (207) 654-2429 | |
| Not Available |
| Full Name | Maine Behavioral Health Organization |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 203 North Rd, Athens, Maine |
| Authorized Official Name and Position | Hillary Kimball-white (CEO) |
| Authorized Official Contact | 2073995589 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maine Behavioral Health Organization 49 Oak St Augusta ME 04330-5118 Ph: () - | Maine Behavioral Health Organization 203 North Rd Athens ME 04912-4004 Ph: (207) 654-2429 |
| NPI Number | 1992096515 |
|---|---|
| Provider Enumeration Date | 04/29/2011 |
| Last Update Date | 04/29/2011 |
| Medicare PECOS PAC ID | 4082874318 |
|---|---|
| Medicare Enrollment ID | O20120324000007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992096515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 623004 (Maine) | Primary |
| Provider Name | Janet A Zalanskas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609886340 PECOS PAC ID: 0143110833 Enrollment ID: I20050712000663 |
| Provider Name | Larry C. Sexton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396849980 PECOS PAC ID: 5294866802 Enrollment ID: I20100625000643 |
| 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 | Aaron A Fortin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184951832 PECOS PAC ID: 2567603228 Enrollment ID: I20130724000003 |
| Provider Name | Sherle Heathers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538413190 PECOS PAC ID: 6305156100 Enrollment ID: I20151106001219 |
| Provider Name | Maria R Noyes Paylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033518857 PECOS PAC ID: 0446534309 Enrollment ID: I20170222000092 |
| Provider Name | Lori A Dugas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326508300 PECOS PAC ID: 1658764063 Enrollment ID: I20220208000797 |
| Provider Name | Ileana I Vintila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043945579 PECOS PAC ID: 9335515642 Enrollment ID: I20221011002290 |
| Provider Name | Heriberto Sierra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245900646 PECOS PAC ID: 0345639415 Enrollment ID: I20221024000926 |