DR. GINA OLIVETO MD NPI 1407872765

NPI Information

NPI: 1407872765
Provider Name: DR. GINA OLIVETO, MD
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

Organization: ALEGENT CREIGHTON HEALTH

PECOS Registration: Yes

Address:
100 CAMPUS AVE
SUITE 208
LEWISTON, ME
ZIP 04240
Phone: (207) 777-8974
Get Directions

DR. Gina Oliveto, MD is a child and adolescent psychiatry psychiatry neurology in Lewiston, ME with 27 years of experience. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. DR. Gina Oliveto, MD NPI is 1407872765. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1997

The provider's business location address is:

100 CAMPUS AVE
SUITE 208
LEWISTON, ME
ZIP 04240-040
Phone: (207) 777-8974
Fax: (207) 777-8946

The NPI 1407872765 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 7/13/2006 and was last updated on 12/10/2008.

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	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	016272	MAINE	Yes

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
1	ME0587	MEDICARE ID-TYPE UNSPECIFIED	MAINE
2	407770099	MEDICAID	MAINE
3	I05903	MEDICARE UPIN	MAINE

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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