| New England Psychiatric Pllc | |
|
415 Congress St Ste 202a Portland ME 04101-3500 | |
| (207) 600-5339 | |
| Not Available |
| Full Name | New England Psychiatric Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 415 Congress St Ste 202a, Portland, Maine |
| Authorized Official Name and Position | Daniel Porter (PSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Contact | 2076005339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New England Psychiatric Pllc 415 Congress St Ste 202a Portland ME 04101-3500 Ph: (207) 600-5339 | New England Psychiatric Pllc 415 Congress St Ste 202a Portland ME 04101-3500 Ph: (207) 600-5339 |
| NPI Number | 1053206730 |
|---|---|
| Provider Enumeration Date | 06/11/2025 |
| Last Update Date | 06/11/2025 |
| Certification Date | 06/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053206730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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