Individual provider Active NPI

Carlann M Welch, PSY.D.

  • Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
  • Portland, ME
National Provider Identifier
1063554947
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0807X
License
CNP191213 Issued in ME
Practice address
57 Exchange St
Suite 403
Portland, ME 04101-5000
Phone
(207) 775-0382
Fax
(207) 775-4454
NPI assigned
Feb 13, 2007
Last updated
Apr 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist 364SP0807X CNP191213 ME Primary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X CNP191213 ME
Psychologist 103T00000X PS847 ME

Addresses

Primary practice location

57 Exchange St
Suite 403
Portland, ME 04101-5000

Mailing address

57 Exchange St
Suite 403
Portland, ME 04101-5000
Phone (207) 775-0382

Other practice location 1

86 Tandberg Trl
Windham, ME 04062-5841
Phone (207) 893-0386

Other practice location 2

15 York St Unit 201
Biddeford, ME 04005-5531
Phone (207) 893-0386

Other identifiers 1

IdentifierTypeStateIssuer
153990099MedicaidME

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200327002580 ME Practitioner - Nurse Practitioner 5496184301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Day OneGroup PAC ID 9032249644, 6 clinicians

Practice addresses (Care Compare)

86 Tandberg TRL
Windham, ME 04062-5841
Phone (207) 893-0386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS847MEMDPsychologist
CNP191213MEMDChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist

Organizations & group practices 2

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1063554947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 EXCHANGE ST",
            "address_2": "SUITE 403",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041015000",
            "telephone_number": "207-775-0382",
            "fax_number": "207-775-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 EXCHANGE ST",
            "address_2": "SUITE 403",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041015000",
            "telephone_number": "207-775-0382",
            "fax_number": "207-775-4454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "86 Tandberg Trl",
            "address_purpose": "LOCATION",
            "city": "Windham",
            "state": "ME",
            "postal_code": "040625841",
            "country_code": "US",
            "telephone_number": "207-893-0386",
            "fax_number": "207-893-2086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 York St Unit 201",
            "address_purpose": "LOCATION",
            "city": "Biddeford",
            "state": "ME",
            "postal_code": "040055531",
            "country_code": "US",
            "telephone_number": "207-893-0386",
            "fax_number": "207-893-2086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELCH",
        "first_name": "CARLANN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "ME",
            "license": "CNP191213",
            "primary": true
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP191213",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ME",
            "license": "PS847",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153990099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.