MAINE GEROPSYCHOLOGY LLC NPI 1144692880

NPI Information

NPI: 1144692880
Provider Name: MAINE GEROPSYCHOLOGY, LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
14 MAINE ST
SUITE 111-C
BRUNSWICK, ME
ZIP 04011
Phone: (207) 721-8143
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MAINE GEROPSYCHOLOGY, LLC is an adult mental health clinic center in Brunswick, ME. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MAINE GEROPSYCHOLOGY, LLC NPI is 1144692880. The provider is registered as an organization entity type.

The provider's business location address is:

14 MAINE ST
SUITE 111-C
BRUNSWICK, ME
ZIP 04011-049
Phone: (207) 721-8143
Fax: (207) 721-8143

The provider's authorized official is Martin Morthland .
The authorized official title is Owner and has the following contact phone number (207) 721-8143.

The enumeration date for this NPI number is 10/21/2015 and was last updated on 11/4/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	PS1413	MAINE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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