Active NPI
Mitchell Pulver, M.D.
- Psychiatry Physician
- Brunswick, ME
National Provider Identifier
1043368160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 015835
- Practice address
- 153 Park Row
Suite B
Brunswick, ME 04011-2053 - Phone
- (207) 729-8391
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 015835 | ME | Primary |
Addresses
Primary practice location
153 Park Row
Suite B
Brunswick, ME 04011-2053
Mailing address
153 Park Row
Suite B
Brunswick, ME 04011-2053
Phone (207) 729-8391
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 226720000 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050606000928 | ME | Practitioner - Psychiatry | 4284677782 | Practice locations: Brunswick, ME |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Hahnemann University College of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
153 Park Row
Suite B
Brunswick, ME 04011-2053
153 Park Row B
Brunswick, ME 04011-2053
Phone (207) 729-8391
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015835 | ME | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043368160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 PARK ROW",
"address_2": "SUITE B",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112053",
"telephone_number": "207-729-8391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 PARK ROW",
"address_2": "SUITE B",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112053",
"telephone_number": "207-729-8391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULVER",
"first_name": "MITCHELL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ME",
"license": "015835",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "226720000",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.