OPEN DOOR WELLNESS LLC NPI 1841079407

NPI Information

  • NPI: 1841079407
  • Provider Name: OPEN DOOR WELLNESS LLC,
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 375 MAIN ST
    ROCKLAND, ME
    ZIP 04841
  • Phone: (561) 866-1211

Map and Directions

Get Directions

NPI Details

OPEN DOOR WELLNESS LLC, is a psychiatric/mental health nurse practitioner in Rockland, ME. OPEN DOOR WELLNESS LLC, NPI is 1841079407. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

375 MAIN ST
ROCKLAND, ME
ZIP 04841-304
Phone: (561) 866-1211
Fax: (207) 569-6650

The provider's authorized official is Dolores Imelda Van Bourgondien .
The authorized official title is Director and has the following contact phone number (207) 691-9907.

The enumeration date for this NPI number is 9/25/2023 and was last updated on 10/24/2025.

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
1363LA2200XNurse PractitionerAdult HealthNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI