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BANGOR PSYCHIATRIC ASSOCIATES PA NPI 1740356997


NPI Information

NPI: 1740356997
Provider Name: BANGOR PSYCHIATRIC ASSOCIATES, PA
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
444 STILLWATER AVE STE 210
BANGOR, ME
ZIP 04401
Phone: (207) 907-4311
Get Directions

BANGOR PSYCHIATRIC ASSOCIATES, PA is a psychiatry psychiatry neurology in Bangor, ME. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. BANGOR PSYCHIATRIC ASSOCIATES, PA NPI is 1740356997. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

444 STILLWATER AVE STE 210
BANGOR, ME
ZIP 04401-500
Phone: (207) 907-4311
Fax: (207) 907-4322

The provider's authorized official is Michelle Henneberry .
The authorized official title is President and has the following contact phone number (207) 907-6311.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 12/8/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1105740000MEDICAIDMAINE
2ME1858MEDICARE PINMAINE
3048918OTHERMAINEANTHEM

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

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