MR. BENJAMIN CHAD SMITH PMHNP NPI 1386929230

NPI Information

  • NPI: 1386929230
  • Provider Name: MR. BENJAMIN CHAD SMITH, PMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6 TELCOM DR
    BANGOR, ME
    ZIP 04401
  • Phone: (207) 947-0147

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NPI Details

MR. Benjamin Chad Smith, PMHNP is a psychiatric/mental health nurse practitioner in Bangor, ME. MR. Benjamin Chad Smith, PMHNP NPI is 1386929230. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6 TELCOM DR
BANGOR, ME
ZIP 04401-072
Phone: (207) 947-0147

The NPI 1386929230 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/11/2011 and was last updated on 3/7/2023.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthCNP171185MAINEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CNP171185OTHERMAINESTATE LICENSE
2E400443631OTHERMAINEPTAN

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: 11/21/2025

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