Active NPI
Dinah V Tungol, M.D.
- Psychiatry Physician
- Presque Isle, ME
National Provider Identifier
1154436061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 011634
- Practice address
- 180 Academy St Ste 2
Presque Isle, ME 04769-3183 - Phone
- (207) 764-3319
- Fax
- (207) 768-5377
- NPI assigned
- Aug 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 011634 | ME | Primary |
Addresses
Primary practice location
180 Academy St Ste 2
Presque Isle, ME 04769-3183
Mailing address
180 Academy St Ste 3
Presque Isle, ME 04769-3183
Phone (207) 764-3319
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011634 | ME | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612224000000",
"number": "1154436061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 ACADEMY ST STE 3",
"city": "PRESQUE ISLE",
"state": "ME",
"postal_code": "047693183",
"telephone_number": "207-764-3319",
"fax_number": "207-768-5377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 ACADEMY ST STE 2",
"city": "PRESQUE ISLE",
"state": "ME",
"postal_code": "047693183",
"telephone_number": "207-764-3319",
"fax_number": "207-768-5377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUNGOL",
"first_name": "DINAH",
"middle_name": "V",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2021-02-02",
"certification_date": "2021-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ME",
"license": "011634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Presque Isle, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.