Provider Demographics
NPI:1245353796
Name:BAYVIEW CENTER FOR MENTAL HEALTH
Entity type:Organization
Organization Name:BAYVIEW CENTER FOR MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:DANNE
Authorized Official - Last Name:ADAIR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:207-667-4100
Mailing Address - Street 1:5 SCHOOL ST
Mailing Address - Street 2:SUITE 7
Mailing Address - City:ELLSWORTH
Mailing Address - State:ME
Mailing Address - Zip Code:04605-1932
Mailing Address - Country:US
Mailing Address - Phone:207-667-4100
Mailing Address - Fax:207-667-4107
Practice Address - Street 1:5 SCHOOL ST
Practice Address - Street 2:SUITE 7
Practice Address - City:ELLSWORTH
Practice Address - State:ME
Practice Address - Zip Code:04605-1932
Practice Address - Country:US
Practice Address - Phone:207-667-4100
Practice Address - Fax:207-667-4107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEME113703251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEMM6766Medicare ID - Type Unspecified