Organization Active NPI

Temple Stream Psychiatric Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Farmington, ME
National Provider Identifier
1265268429
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
TEMPLE STREAM PSYCHIATRIC SERVICES
Practice address
116 Narrow Gauge SQ Ste 101
Farmington, ME 04938-5880
Phone
(207) 578-6219
Fax
(207) 250-2386
NPI assigned
Sep 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Layla Billings, PMHNPNPI 1558626655
Title
Owner
Phone
(207) 578-6219

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

116 Narrow Gauge SQ Ste 101
Farmington, ME 04938-5880

Mailing address

126 Perham St
Farmington, ME 04938-1524
Phone (207) 578-6219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241125000353 ME Part B Supplier - Clinic/Group Practice 4981139219 Receives reassigned benefits from 1 practitioner
Practice locations: Farmington, ME

National Provider Directory

National Provider Directory

Locations

144 High St
#B1
Farmington, ME 04938
Phone (207) 578-6219

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1265268429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 PERHAM ST",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049381524",
            "telephone_number": "207-578-6219",
            "fax_number": "207-250-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 NARROW GAUGE SQ STE 101",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049385880",
            "telephone_number": "207-578-6219",
            "fax_number": "207-250-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLE STREAM PSYCHIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "BILLINGS",
        "authorized_official_first_name": "LAYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-578-6219",
        "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": []
}

Other providers in Farmington, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.