Active NPI
Summit Wellness Solutions, PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Scarborough, ME
National Provider Identifier
1073343729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- SUMMIT WELLNESS SOLUTIONS, PLLC
- Practice address
- 15 Pleasant Hill Rd Ste 204
Scarborough, ME 04074-7678 - Phone
- (207) 756-9819
- NPI assigned
- Aug 7, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Micah G Malenfant, DNP, PMHNP-BC
- Title
- Psychiatric Nurse Practitioner
- Phone
- (207) 756-9819
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
15 Pleasant Hill Rd Ste 204
Scarborough, ME 04074-7678
Mailing address
15 Pleasant Hill Rd Ste 204
Scarborough, ME 04074-7678
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722988800000",
"number": "1073343729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 PLEASANT HILL RD STE 204",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040747678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 PLEASANT HILL RD STE 204",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040747678",
"telephone_number": "207-756-9819"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT WELLNESS SOLUTIONS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-07",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A",
"authorized_official_last_name": "MALENFANT",
"authorized_official_first_name": "MICAH",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
"authorized_official_telephone_number": "207-756-9819",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP, PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scarborough, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.