Organization Active NPI

Life Lessons Psychiatric Services, SC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bangor, ME
National Provider Identifier
1033488556
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LIFE LESSONS PSYCHIATRIC SERVICES, SC
Practice address
61 Main St
Suite 53
Bangor, ME 04401-6397
Phone
(207) 208-8301
Fax
(877) 320-4344
NPI assigned
Dec 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
Mrs. Melissa Charette, PMHNP-BC
Title
Owner
Phone
(207) 208-8301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X ME Primary

Addresses

Primary practice location

61 Main St
Suite 53
Bangor, ME 04401-6397

Mailing address

61 Main St
Suite 53
Bangor, ME 04401-6397

National Provider Directory

National Provider Directory

Locations

61 Main St
Ste 53
Bangor, ME 04401
Phone (207) 208-8301

NPI Registry JSON

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1033488556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 MAIN ST",
            "address_2": "SUITE 53",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MAIN ST",
            "address_2": "SUITE 53",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016397",
            "telephone_number": "207-208-8301",
            "fax_number": "877-320-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE LESSONS PSYCHIATRIC SERVICES, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "CHARETTE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-208-8301",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.

Verify at the official NPI Registry.