KATAHDIN BEHAVIORAL HEALTH LLC
NPI 1912860487
Nurse Practitioner - Psychiatric/Mental Health in Orono, ME

Active since December 03, 2025

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 6, 2026, Jan 16, 2026, Dec 3, 2025 (3 updates tracked since 2025).

About Katahdin Behavioral Health Llc NPPES

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

KATAHDIN BEHAVIORAL HEALTH LLC (NPI 1912860487) is a healthcare organization registered as a psychiatric/mental health in Orono, Maine and active in the NPI registry since December 2025. The organization lists Jason Dobrovolny, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1912860487
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameKATAHDIN BEHAVIORAL HEALTH LLC
Location Address292 MAIN STOrono, ME 04473-3433
Mailing Address292 Main StOrono, ME 04473-3433 · (207) 615-9797
Organization SubpartNo
Authorized OfficialJason DobrovolnyOwner/ceo · (207) 615-9797
Enumeration DateDecember 3, 2025
Last NPPES UpdateMarch 6, 20263 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
✔ NPI 1912860487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
292 MAIN ST, Orono, ME 04473

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katahdin Behavioral Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Katahdin Behavioral Health LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1427619691
268 STILLWATER AVE
Bangor, ME 04401
(207) 973-6100
✔ PECOS✔ Accepts Medicare5.3 mi

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 Katahdin Behavioral Health LLC's NPI number?

The NPI number for Katahdin Behavioral Health LLC is 1912860487. It was assigned to this organization in the NPPES registry on December 3, 2025.

Where is Katahdin Behavioral Health LLC located?

Katahdin Behavioral Health LLC is located at 292 Main St, Orono, ME 04473. The listed phone number is (207) 615-9797.

What is Katahdin Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Katahdin Behavioral Health LLC enrolled in Medicare?

Yes. Katahdin Behavioral Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Katahdin Behavioral Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Katahdin Behavioral Health LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Katahdin Behavioral Health LLC was last updated on March 6, 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.