DOROTHEA DIX PSYCHIATRIC CENTER OUT PATIENT SERVICES
NPI 1184020091
Community/Behavioral Health in Bangor, ME
About Dorothea Dix Psychiatric Center Out Patient Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOROTHEA DIX PSYCHIATRIC CENTER OUT PATIENT SERVICES (NPI 1184020091) is a healthcare organization registered as a community/behavioral health in Bangor, Maine and active in the NPI registry since November 2014. The organization holds a CLIA Waiver certificate valid through November 6, 2026 and lists Carol Webb Cody, Financial Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dorothea Dix Psychiatric Center Out Patient Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
59Medicare enrollment records show 59 clinicians reassign Medicare billing to Dorothea Dix Psychiatric Center Out Patient Services, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 15 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 59Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 20D0089428
Dorothea Dix Psychiatric Center · Bangor, MEFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is State Of Maine's NPI number?
The NPI number for State Of Maine is 1184020091. It was assigned to this organization in the NPPES registry on November 5, 2014. The provider is doing business as Dorothea Dix Psychiatric Center Out Patient Services.
Where is State Of Maine located?
State Of Maine is located at 656 State St, Bangor, ME 04401. The listed phone number is (207) 287-7418.
What is State Of Maine's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is State Of Maine enrolled in Medicare?
Yes. State Of Maine is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through State Of Maine?
According to the CMS Revalidation Reassignment List (October 2026 release), 59 clinicians in 9 Medicare specialties reassign their Medicare billing to State Of Maine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Psychiatry (22), Nurse Practitioner (19) and Clinical Psychologist (8). Of these, 8 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does State Of Maine hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 20D0089428) is associated with this NPI, valid through November 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for State Of Maine was last updated on June 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dorothea Dix Psychiatric Center Out Patient Services · NPI 1184020091
Community/Behavioral Health organization in Bangor, Maine. Organization record, active in the CMS NPPES registry since November 5, 2014.
## Identity
- **NPI:** 1184020091 (Entity type: Organization)
- **Enumerated:** November 5, 2014
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Legal business name:** State Of Maine
- **Organization subpart:** No
- **Authorized official:** Carol Cody, FINANCIAL MANAGER
## Practice location
- **Address:** 656 STATE ST, Bangor, ME 04401-5609
- **Phone:** (207) 287-7418 · **Fax:** (207) 287-1862
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 59 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Psychiatry (22), Nurse Practitioner (19), Clinical Psychologist (8); 8 practice at this address and 15 within 10 miles; [full list](https://npiprofile.com/npi/1184020091/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 14, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1184020091) · Data from the CMS NPPES public registry.