Active NPI
Julie K. Pease, MD
- Psychiatry Physician
- Brunswick, ME
National Provider Identifier
1023073582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 12352
- Practice address
- 329 Bath Rd # 1
Brunswick, ME 04011-2673 - Phone
- (207) 373-3040
- Fax
- (207) 373-3030
- NPI assigned
- Apr 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 12352 | ME | Primary |
Addresses
Primary practice location
329 Bath Rd # 1
Brunswick, ME 04011-2673
Mailing address
329 Bath Rd # 1
Brunswick, ME 04011-2673
Phone (207) 373-3040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330660099 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12352 | ME | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315440000000",
"number": "1023073582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 BATH RD # 1",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112673",
"telephone_number": "207-373-3040",
"fax_number": "207-373-3030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 BATH RD # 1",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112673",
"telephone_number": "207-373-3040",
"fax_number": "207-373-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEASE",
"first_name": "JULIE",
"middle_name": "K.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-19",
"last_updated": "2011-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ME",
"license": "12352",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "330660099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brunswick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.