Individual provider Active NPI

Mitzi L Wright, PMHCNS, BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Old Town, ME
National Provider Identifier
1013930056
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP181156 Issued in ME
Practice address
242 Brunswick St
Old Town, ME 04468
Phone
(207) 827-6128
NPI assigned
Jul 25, 2006
Last updated
Aug 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP181156 ME Primary
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist 364SP0807X CNP184001 ME
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist 364SP0807X 0000005943 TN

Addresses

Primary practice location

242 Brunswick St
Old Town, ME 04468

Mailing address

PO Box 1599
Bangor, ME 04402-1599
Phone (207) 404-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210224001665 NC Practitioner - Nurse Practitioner 7315905775 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Lincoln Memorial University Medical Department, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rha Health Services IncGroup PAC ID 8426196072, 55 clinicians

Practice addresses (Care Compare)

1405 A S Glenburnie Rd
New Bern, NC 28562-2603
Phone (252) 638-9091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
5943TNMDSpeech-Language Pathologist
CNP181156MEMDPsychiatric/Mental Health Nurse Practitioner
CNP184001MEMDChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
0000005943TNMDChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Rha Behavioral Health NC LLC CurrentSince Nov 20, 2020 Accepting new patients
Rha Health Services Inc Current Accepting new patients
Rha Behavioral Health NC LLC CurrentSince Nov 20, 2020 Accepting new patients
Rha Health Services, Inc CurrentSince Nov 20, 2020 Accepting new patients
Rha Health Services Inc CurrentSince Nov 20, 2020 Accepting new patients
Rha Behavioral Health NC LLC Current Accepting new patients

Locations

211 Perimeter Center Pkwy NE
Ste 750
Atlanta, GA 30346

356 Biltmore Ave
Asheville, NC 28801
Phone (828) 252-0190

106 4th St
Bladenboro, NC 28320
Phone (910) 386-7596

211 S Centennial St
High Point, NC 27260
Phone (336) 841-0143

1405A S Glenburnie Rd
New Bern, NC 28562
Phone (252) 638-7875

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1013930056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1599",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044021599",
            "telephone_number": "207-404-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 BRUNSWICK ST",
            "city": "OLD TOWN",
            "state": "ME",
            "postal_code": "04468",
            "telephone_number": "207-827-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "MITZI",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PMHCNS, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP181156",
            "primary": true
        },
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "ME",
            "license": "CNP184001",
            "primary": false
        },
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "TN",
            "license": "0000005943",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Town, ME

Sources for this page

Verify at the official NPI Registry.