DR. MICAH GORDON MALENFANT DNP PMHNP-BC RN NPI 1902415268

NPI Information

  • NPI: 1902415268
  • Provider Name: DR. MICAH GORDON MALENFANT, DNP, PMHNP-BC, RN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 15 PLEASANT HILL RD STE 204
    SCARBOROUGH, ME
    ZIP 04074
  • Phone: (207) 600-4025

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NPI Details

DR. Micah Gordon Malenfant, DNP, PMHNP-BC, RN is a psychiatric/mental health nurse practitioner in Scarborough, ME. DR. Micah Gordon Malenfant, DNP, PMHNP-BC, RN NPI is 1902415268. 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:

15 PLEASANT HILL RD STE 204
SCARBOROUGH, ME
ZIP 04074-678
Phone: (207) 600-4025
Fax: (207) 600-9625

The NPI 1902415268 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Assessment of emotional or behavioral problems (HCPCS:96127)

The enumeration date for this NPI number is 7/23/2020 and was last updated on 9/24/2024.

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 HealthCNP201195MAINEYes

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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