Psychmaine

LBN: Psychmaine Llc
Psychmaine is an health care organization with primary practice located at 550 Forest Ave Ste 103 , Portland ME 04101-1505. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Nursing Service Providers / Registered Nurse, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Ambulatory Health Care Facilities / Multi-Specialty, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Psychmaine Llc can be contacted via phone (207) 221-0635, or through Fellers, Jonathan C via phone (207) 221-0635.

Contact Information

Primary practice address
550 Forest Ave Ste 103 Portland ME 04101-1505
Phone: (207) 221-0635
Fax: (207) 221-0634
Website:
Map and Directions
Authorized official contact:
Name: Fellers, Jonathan C Doctor of Medicine (MD)
Phone: (207) 221-0635

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Nursing Service Providers / Registered Nurse 163W00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1891409025
LBN Legal business name Psychmaine Llc
DBA Doing business as Psychmaine
Authorized official Fellers, Jonathan C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2023
Last updated Mar 1st, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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