Active NPI
Daniel Porter, MSN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Portland, ME
National Provider Identifier
1174123483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- CNP231199
- Practice address
- 415 Congress St Ste 202a
Portland, ME 04101-3500 - Phone
- (207) 600-5339
- NPI assigned
- Oct 27, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0995967 | CO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP231199 | ME | Primary |
Addresses
Primary practice location
415 Congress St Ste 202a
Portland, ME 04101-3500
Mailing address
415 Congress St Ste 202a
Portland, ME 04101-3500
Phone (207) 600-5339
Other practice location 1
10535 Hospital Way
Mather, CA 95655-4200
Phone (916) 843-9491
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)
- Not enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0995967 | CO | MD | Psychiatric/Mental Health Nurse Practitioner |
| CNP231199 | ME | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New England Psychiatric PLLC | Current | Accepting new patients |
Locations
415 Congress St
Ste 202A
Portland, ME 04101
Phone (207) 600-5339
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portland, ME
- NPI 1053206730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749600000000",
"number": "1174123483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 CONGRESS ST STE 202A",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041013500",
"telephone_number": "207-600-5339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 CONGRESS ST STE 202A",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041013500",
"telephone_number": "207-600-5339"
}
],
"practiceLocations": [
{
"address_1": "10535 Hospital Way",
"address_purpose": "LOCATION",
"city": "Mather",
"state": "CA",
"postal_code": "956554200",
"country_code": "US",
"telephone_number": "916-843-9491",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PORTER",
"first_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "MSN, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-27",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CO",
"license": "0995967",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "ME",
"license": "CNP231199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
- Svetla M. Popova, LCPC
- Port City Physical Therapy
- Port City Physical Therapy Limited
- Port City Physical Therapy Limited Partnership
- Will Porta, LMSW-CC
- Portland Cardiology P.a.
- Portland Center for Counseling and Psychotherapy
- Portland Center for Dentistry LLC
- Portland Chiropractic Neurology, LLC
- Portland Community Health Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.