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PINE TREE RECOVERY CENTER, LLC
NPI 1730673088
Substance Abuse Rehabilitation Facility in Portland, ME

Active since June 20, 2018CLIA 20D2312698 · Waiver
17 BISHOP ST, PORTLAND, ME 04103(833) 338-6945 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 5, 2026, Jun 20, 2018 (2 updates tracked since 2018).

About Pine Tree Recovery Center, Llc NPPES

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

PINE TREE RECOVERY CENTER, LLC (NPI 1730673088) is a healthcare organization registered as a substance abuse rehabilitation facility in Portland, Maine and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through October 16, 2026, maintains a secondary practice location in Portland, and lists Justin Barrett, Authorized Offiical, as its authorized official.

NPPES Registry Identity

NPI1730673088
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NamePINE TREE RECOVERY CENTER, LLC
Location Address17 BISHOP STPortland, ME 04103-2659
Mailing Address446 Main StPlymouth, NH 03264-4521
Phone(833) 338-6945
Organization SubpartNo
Authorized OfficialJustin BarrettAuthorized Offiical · (603) 536-5500
Enumeration DateJune 20, 2018
Last NPPES UpdateJanuary 5, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2026
✔ NPI 1730673088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
17 BISHOP ST, Portland, ME 04103
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Secondary Practice Location 1

Location 11250 Forest Ave Ste 201Portland, ME 04103-6403 · Phone (561) 910-3141

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 20D2312698

Pine Tree Recovery Center, LLC · Portland, ME
Active · expires Oct 16, 2026
CLIA Number20D2312698
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateOctober 17, 2024
Certificate Expiration DateOctober 16, 2026
Laboratory DirectorTamer W. Wassef
Laboratory Phone(207) 618-9611
Laboratory LocationPine Tree Recovery Center, LLC1250 Forest Ave Suite 201, Portland, ME 04103
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 20D2151946

Pine Tree Recovery Center · Portland, ME
Expired · Jul 30, 2026
CLIA Number20D2151946
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJuly 31, 2024
Certificate Expiration DateJuly 30, 2026
Laboratory DirectorTamer W. Wassef
Laboratory Phone(207) 618-9611
Laboratory LocationPine Tree Recovery Center17 Bishop Street, Portland, ME 04103
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. REBECCA L DROUIN LCSW
Social Worker (Clinical)
17 BISHOP ST
PORTLAND, ME 04103
Cumberland County (207) 871-1235
ALICIA M WILLIS CAC
Social Worker (Clinical)
17 BISHOP ST
PORTLAND, ME 04103
Cumberland County (207) 871-1235
JOSEPH DIFONZO CADC
Counselor (Addiction (Substance Use Disorder))
17 BISHOP ST
PORTLAND, ME 04103
Cumberland County (207) 208-9787
MS. REBECCA W SPITKO LS11320
Case Manager/Care Coordinator
17 BISHOP ST
PORTLAND, ME 04103
Cumberland County (207) 871-1235
KERRY DRACH PHD
Psychologist (Clinical)
17 BISHOP ST
PORTLAND, ME 04103
Cumberland County (207) 871-1235
ANTHONY W BEATTIE LMHC, LCC
Counselor (Mental Health)
17 BISHOP ST
PORTLAND, ME 04103
Cumberland County (207) 871-1235
JESSICA OESTERHELDER M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
17 BISHOP ST
PORTLAND, ME 04103
Cumberland County (207) 871-1235
KASSADI MCPHERSON
Counselor (Addiction (Substance Use Disorder))
17 BISHOP ST
PORTLAND, ME 04103
Cumberland County (207) 203-7933

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 Pine Tree Recovery Center, LLC's NPI number?

The NPI number for Pine Tree Recovery Center, LLC is 1730673088. It was assigned to this organization in the NPPES registry on June 20, 2018.

Where is Pine Tree Recovery Center, LLC located?

Pine Tree Recovery Center, LLC is located at 17 Bishop St, Portland, ME 04103. The listed phone number is (833) 338-6945.

What is Pine Tree Recovery Center, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Pine Tree Recovery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D2312698) is associated with this NPI, valid through October 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pine Tree Recovery Center, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Pine Tree Recovery Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pine Tree Recovery Center, LLC was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.