Saco Bay Mental Health PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SACO BAY MENTAL HEALTH PLLC

Practice address

15 Pleasant Hill Rd Ste 204
Scarborough, ME 04074-9688

Phone

(073) 874-8012

Fax

(207) 799-9887

NPI assigned

Feb 10, 2023

Organization subpart

No

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

Authorized official

Name

Samuel Kingsley, PMHNPNPI 1558935338

Title

Owner

Phone

(207) 832-1212

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel G Kingsley, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Scarborough, ME
  • NPI 1558935338
  Medicare reassignment NPD Authorized official
• Ellie E Fleming, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Scarborough, ME
  • NPI 1215828611
  Medicare reassignment

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1144927062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 JOB RD",
            "city": "STANDISH",
            "state": "ME",
            "postal_code": "040846530",
            "telephone_number": "207-832-1212",
            "fax_number": "207-799-9887"
        },
        {
            "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": "040749688",
            "telephone_number": "073-874-8012",
            "fax_number": "207-799-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACO BAY MENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-10",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "KINGSLEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-832-1212",
        "authorized_official_credential": "PMHNP"
    },
    "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": []
}

• Anand Indulal Rughani, MD
• Marion Russell, OTR/L
• Kathleen Ann Rutecki, DO
• Kathryn Anne Ryan, NP
• Thomas J Ryan Jr., M.D.
• Saco Bay Orthopaedic and Sports Physical Therapy, Inc.
• Cassiah Zimra Sahl, CCC-SLP
• Ashish Saini, MD
• Salt & Pine Restorative Counseling, LLC
• Sam'S Club Optical

• Psychiatric/Mental Health Nurse Practitioner in Scarborough, ME
• Providers in Scarborough, ME by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.