Active NPI
Carlann M Welch, PSY.D.
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
- License
- CNP191213
- 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, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 153990099 | 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: No
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS847 | ME | MD | Psychologist |
| CNP191213 | ME | MD | Child & 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.
-
- Children's Substance Abuse Rehabilitation Facility
- Windham, ME
- NPI 1164484093
-
- Psychologist
- Portland, ME
- NPI 1053542910
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.