{"npi":"1265634893","type":"NPI-2","status":"active","name":{"display":"United Cerebral Palsy Of Northeastern Maine","other":[],"organization_name":"UNITED CEREBRAL PALSY OF NORTHEASTERN MAINE","authorised_official":"Candice Madore"},"specialty":{"primary_taxonomy":"251S00000X","primary_taxonomy_description":"Community/Behavioral Health Agency","slug":"community-behavioral-health-agency","schema_org_specialty":null,"all":[{"code":"251S00000X","description":"Community/Behavioral Health Agency","primary":true,"state":"ME","license":"CC3374"}]},"addresses":[{"purpose":"LOCATION","street_1":"700 MOUNT HOPE AVE","city":"BANGOR","state":"ME","postal_code":"044015680","country_code":"US","street_2":"SUITE 320","phone":"2079412952","fax":"2079412955"},{"purpose":"MAILING","street_1":"700 MOUNT HOPE AVE","city":"BANGOR","state":"ME","postal_code":"044015680","country_code":"US","street_2":"SUITE 320","phone":"2079412952","fax":"2079412955"}],"license":{"state":"ME","number":"CC3374"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"167950200","state":"ME","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20121206000540","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"ME","pac_id":"6507018058"}]},"enumeration_date":"2007-06-05","last_updated":"2012-11-29","_meta":{"source":"NPPES","snapshot_date":"2012-11-29","doc_url":"https://findmynpi.com/api"}}