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PCHC CLUBHOUSE
NPI 1629348156
Community/Behavioral Health in Bangor, ME

Active since December 30, 2011
30 SUMMER ST, BANGOR, ME 04401(207) 992-2636(207) 992-2638 Get Directions Write a Review

NPPES record last updated: August 6, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 6, 2018, Jan 19, 2018 (2 updates tracked since 2018).

About Pchc Clubhouse NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PCHC CLUBHOUSE (NPI 1629348156) is a healthcare organization registered as a community/behavioral health in Bangor, Maine and active in the NPI registry since December 2011. The organization lists Lori L. Dwyer, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1629348156
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePENOBSCOT COMMUNITY HEALTH CENTER
Location Address30 SUMMER STBangor, ME 04401
Mailing AddressPo Box 1599Bangor, ME 04402-1599 · (207) 945-5247 · Fax (207) 947-0435
Phone(207) 992-2636
Fax(207) 992-2638
Organization SubpartNo
Authorized OfficialLori L. DwyerPresident & Ceo · (207) 992-9200
Enumeration DateDecember 30, 2011
Last NPPES UpdateAugust 6, 20182 updates tracked since enumeration
✔ NPI 1629348156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in ME · 611003
Definition
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.
30 SUMMER ST, Bangor, ME 04401
Open in Google Maps ↗

Other Names 1

Doing Business AsPchc Clubhouse

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pchc Clubhouse is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

144

Medicare enrollment records show 144 clinicians reassign Medicare billing to Pchc Clubhouse, which bills Medicare for the services they deliver. Of these, 107 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Nurse Practitioner68
Clinical Social Worker27
Family Practice14
Mental Health Counselor10
Pediatric Medicine8
Qualified Audiologist6
Internal Medicine3
Psychiatry2
5 other specialties6

Nearest to this location (20)

See all 144
Barry Edith, LCSW
Clinical Social Worker
NPI 1346330487
189 EXCHANGE ST 2201A &2201B
Bangor, ME 04401
(207) 299-4947
✔ PECOS✔ Accepts Medicare0.4 mi
Mary Case, PMHNP-BC, FNP-C
Nurse Practitioner
NPI 1457840084
104 CENTER ST
Bangor, ME 04401
(207) 307-2287
✔ PECOS✔ Accepts Medicare0.7 mi
Lindsey Piper
Nurse Practitioner
NPI 1386971679
12 STILLWATER AVE
Bangor, ME 04401
(207) 945-6588
✔ PECOS✔ Accepts Medicare1.2 mi
Emily Skrok, FNP
Nurse Practitioner
NPI 1164057741
12 STILLWATER AVE STE 1
Bangor, ME 04401
(207) 945-6588
✔ PECOS✔ Accepts Medicare1.2 mi
Ann Troicke, LCSW
Clinical Social Worker
NPI 1750083366
92 PENDLETON ST
Brewer, ME 04412
(207) 992-2393
✔ PECOS1.4 mi
Sarah Alexander, LCPC
Mental Health Counselor
NPI 1649855321
181 CORPORATE DR
Bangor, ME 04401
(207) 992-2636
✔ PECOS✔ Accepts Medicare1.8 mi
Brandy Fredette, LCSW
Clinical Social Worker
NPI 1952680597
181 CORPORATE DR
Bangor, ME 04401
(207) 992-2636
✔ PECOS✔ Accepts Medicare1.8 mi
Laurie Yntema, MD
Internal Medicine
NPI 1508809500
992 UNION ST PENOBSCOT COMMUNITY HEALTH CENTER
Bangor, ME 04401
(207) 992-2601
✔ PECOS✔ Accepts Medicare2.2 mi
Kendra Emery, D.O.
Family Practice
NPI 1518283530
1012 UNION ST
Bangor, ME 04401
(207) 404-8100
✔ PECOS✔ Accepts Medicare2.2 mi
Niamh Holohan, MD
Psychiatry
NPI 1902901283
1012 UNION ST
Bangor, ME 04401
(207) 945-5247
✔ PECOS✔ Accepts Medicare2.2 mi
Patricia Mclain, LCPCC
Mental Health Counselor
NPI 1871218255
1012 UNION ST
Bangor, ME 04401
(207) 404-8100
✔ PECOS✔ Accepts Medicare2.2 mi
Rachel Solotaroff, MD
Internal Medicine
NPI 1568576122
1012 UNION ST
Bangor, ME 04401
(207) 404-8100
✔ PECOS✔ Accepts Medicare2.2 mi
Courtney Corbeil, DO
Rheumatology
NPI 1174948608
900 BROADWAY
Bangor, ME 04401
(207) 907-3370
✔ PECOS✔ Accepts Medicare2.4 mi
David Loxterkamp, MD
Family Practice
NPI 1982789087
895 UNION ST STE 12
Bangor, ME 04401
(207) 973-7979
✔ PECOS✔ Accepts Medicare2.5 mi
Teddy Kajkowski, PT
Physical Therapist in Private Practice
NPI 1801826896
735 WILSON ST
Brewer, ME 04412
(207) 989-1567
2.6 mi
Jaime Barrall, AUD
Qualified Audiologist
NPI 1922538875
6 TELCOM DR FL 1
Bangor, ME 04401
(207) 941-2850
✔ Accepts Medicare2.7 mi
Amy Barrett, MD
Pediatric Medicine
NPI 1669411799
6 TELCOM DR
Bangor, ME 04401
(207) 947-0147
✔ PECOS✔ Accepts Medicare2.7 mi
Aimee Beaton, DO
Pediatric Medicine
NPI 1245650605
6 TELCOM DR
Bangor, ME 04401
(207) 947-0147
✔ PECOS✔ Accepts Medicare2.7 mi
Mellisa Bernardini, RD
Registered Dietitian or Nutrition Professional
NPI 1255678553
6 TELCOM DR
Bangor, ME 04401
(207) 947-0147
✔ Accepts Medicare2.7 mi
Chuanbing Huo, SLP
Qualified Speech Language Pathologist
NPI 1124785746
6 TELCOM DR
Bangor, ME 04401
(207) 941-2850
2.7 mi
See all 144 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently 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 Penobscot Community Health Center's NPI number?

The NPI number for Penobscot Community Health Center is 1629348156. It was assigned to this organization in the NPPES registry on December 30, 2011. The provider is doing business as Pchc Clubhouse.

Where is Penobscot Community Health Center located?

Penobscot Community Health Center is located at 30 Summer St, Bangor, ME 04401. The listed phone number is (207) 992-2636.

What is Penobscot Community Health Center's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Penobscot Community Health Center enrolled in Medicare?

Yes. Penobscot Community Health Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Penobscot Community Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 144 clinicians in 13 Medicare specialties reassign their Medicare billing to Penobscot Community Health Center. 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 Nurse Practitioner (68), Clinical Social Worker (27) and Family Practice (14). Of these, 107 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Penobscot Community Health Center was last updated on August 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.