| Holistic Psychiatry Llc | |
|
12 Acme Rd Ste 102 Brewer ME 04412-1546 | |
| (207) 299-1997 | |
| (207) 387-2828 |
| Full Name | Holistic Psychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 12 Acme Rd Ste 102, Brewer, Maine |
| Authorized Official Name and Position | Vijay A Amarendran (OWNER) |
| Authorized Official Contact | 2072991997 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Psychiatry Llc 12 Acme Rd Ste 102 Brewer ME 04412-1546 Ph: (207) 299-1997 | Holistic Psychiatry Llc 12 Acme Rd Ste 102 Brewer ME 04412-1546 Ph: (207) 299-1997 |
| NPI Number | 1225521222 |
|---|---|
| Provider Enumeration Date | 06/13/2018 |
| Last Update Date | 03/27/2023 |
| Certification Date | 03/27/2023 |
| Medicare PECOS PAC ID | 3375891062 |
|---|---|
| Medicare Enrollment ID | O20180813003187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225521222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Vijay A Amarendran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669660015 PECOS PAC ID: 8729175757 Enrollment ID: I20071107000392 |
| Provider Name | Sarah R Patten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932488699 PECOS PAC ID: 4688835523 Enrollment ID: I20120419000616 |
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