OrganizationActive
Integrated Behavioral Healthcare
NPI 1639131287 · Mental Health Clinic/Center (Including Community Mental Health Center) · Portland, ME
Provider details
- NPI number
- 1639131287
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gordon Clark, Medical Director(207) 761-4761
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1 Forest Ave
Portland, ME 04101-2810
Phone: (207) 761-4761
Fax: (207) 780-1727
Street-level locationGet directions
Mailing address
1 Forest Ave
Portland, ME 04101-2810
Registry dates
- Enumerated
- 2006-04-06
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.