MAINEHEALTH
NPI 1265912067
Community/Behavioral Health in Portland, ME
NPI Status: Active since August 21, 2018
Contact Information
165 LANCASTER ST
PORTLAND, ME
ZIP 04101
Phone: (207) 874-1030
- Organization
- Community/Behavioral Health
- Accepts Insurance
- CLIA Number: 20D2302751
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-15-2026
About MAINEHEALTH
This page provides the complete NPI Profile along with additional information for Mainehealth, a provider established in Portland, Maine operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1265912067 assigned on August 2018. The practitioner's primary taxonomy code is 251S00000X with license number 680905 (ME). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's
- NPI
- 1265912067
- Provider Legal Name
- MAINEHEALTH
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 165 LANCASTER ST PORTLAND, ME 04101
- Location Phone
- (207) 874-1030
- Mailing Address
- 78 ATLANTIC PL SOUTH PORTLAND, ME 04106
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-21-2018
- Last Update Date
- 02-03-2025
- Code Navigator
Location Map
Secondary Locations
- 235 Main St Fl 2
Biddeford, ME 04005
(844) 292-0111
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- License No.
- 680905
- License State
- ME
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 104760001 | MEDICAID (05) | ME | |
| 104760100 | MEDICAID (05) | ME | |
| 104760000 | MEDICAID (05) | ME | |
| 14760200 | MEDICAID (05) | ME | |
| 104760201 | MEDICAID (05) | ME |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 20D2302751
- Facility Type
- Physician Office
- Certificate Effective Date
- April 16, 2024
- Certificate Expiration Date
- April 15, 2026
- Laboratory Director
- JESSICA J. BIAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mainehealth to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for MAINEHEALTH
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 6 | 5 | 9 | 1 | 2 | 0 | 6 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 12 | 5 | 18 | 1 | 4 | 0 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 2 + 5 + 1 + 8 + 1 + 4 + 0 + 1 + 2 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1265912067 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1043312192 | TERRY MORRELL LCSW Individual | Social Worker (Clinical) | 165 LANCASTER ST PORTLAND, ME 04101 (207) 874-1030 |
| 1215171715 | MOLLY MCMAHON LCSW Individual | Social Worker (Clinical) | 165 LANCASTER ST PORTLAND, ME 04101 (207) 874-1030 |
| 1477884450 | EMILY E ELLIOT LCPC-C Individual | Counselor | 165 LANCASTER ST PORTLAND, ME 04101 (207) 874-1030 |
| 1588611156 | SUZANNE ROSE MCCARTHY LCPC Individual | Counselor (Mental Health) | 165 LANCASTER ST PORTLAND, ME 04101 (207) 874-1030 |
| 1669486890 | KATHERINE READ PHILLIPS LCSW Individual | Social Worker (Clinical) | 165 LANCASTER ST PORTLAND, ME 04101 (207) 874-1030 |
| 1275740581 | DAVID WILLIAM MAY LCSW Individual | Social Worker (Clinical) | 165 LANCASTER ST PORTLAND, ME 04101 (207) 874-1030 |
| 1225216773 | MR. ROLAND A. SAWYER JR. LCSW Individual | Social Worker (Clinical) | 165 LANCASTER ST PORTLAND, ME 04101 (207) 874-1030 |
| 1679723472 | ALISON N ECKERT LCSW Individual | Social Worker (Clinical) | 165 LANCASTER ST PORTLAND, ME 04101 (207) 874-1030 |
| 1871739391 | KRISTEN LYNN KOCH LCSW Individual | Social Worker (Clinical) | 165 LANCASTER ST PORTLAND, ME 04101 (207) 874-1030 |
| 1528293578 | JANE E. HUBLEY LCSW Individual | Social Worker (Clinical) | 165 LANCASTER ST PORTLAND, ME 04101 (207) 874-1030 |
| 1154625762 | ALICE M. DUNWORTH LCSW Individual | Social Worker (Clinical) | 165 LANCASTER ST PORTLAND, ME 04101 (207) 874-1030 |
| 1215253497 | REBECCA E SKOLNIK PMHNP-BC Individual | Nurse Practitioner (Psychiatric/Mental Health) | 165 LANCASTER ST PORTLAND, ME 04101 (207) 874-1030 |
| 1215005814 | MS. CAROLYN C CLAIBORN LCSW Individual | Social Worker (Clinical) | 165 LANCASTER ST PORTLAND, ME 04101 (207) 874-1030 |
| 1386979433 | ERIN DAWN BENNER LCSW Individual | Social Worker (Clinical) | 165 LANCASTER ST PORTLAND, ME 04101 (207) 874-1030 |
| 1053613695 | MEREDITH FREIMER ANDERSON LCSW Individual | Social Worker (Clinical) | 165 LANCASTER ST PORTLAND, ME 04101 (207) 874-1030 |
| 1689001976 | JESSICA KILEY HUTCHINGS RN Individual | Registered Nurse (Psychiatric/Mental Health) | 165 LANCASTER ST PORTLAND, ME 04101 (207) 874-1030 |
| 1639301013 | MRS. MELISSA JEAN MARCINUK LCSW Individual | Social Worker (Clinical) | 165 LANCASTER ST PORTLAND, ME 04101 (207) 874-1030 |
| 1962422964 | MAINE BEHAVIORAL HEALTHCARE Organization | Community/Behavioral Health | 165 LANCASTER ST PORTLAND, ME 04101 (207) 874-1030 |
| 1669701066 | MAINE BEHAVIORAL HEALTHCARE Organization | Case Management | 165 LANCASTER ST PORTLAND, ME 04101 (207) 874-1030 |
| 1235192477 | MR. WILLIAM HART LESCHEY III PHD Individual | Psychologist (Clinical) | 165 LANCASTER ST PORTLAND, ME 04101 (207) 874-1030 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265912067, enumerated in the NPI registry as an "organization" on August 21, 2018
The provider is located at 165 Lancaster St Portland, Me 04101 and the phone number is (207) 874-1030
This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 20D2302751 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on August 21, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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