Katahdin Recovery & Wellness

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

KATAHDIN RECOVERY & WELLNESS

Practice address

1928 Medway Rd Unit 3
Medway, ME 04460-3166

Phone

(207) 447-2961

NPI assigned

Oct 19, 2026

Last updated

Oct 19, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samantha Jo Doe, FNP, PMHNPNPI 1982093753

Title

Owner, Nurse Practitioner

Phone

(207) 504-0588

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samantha Doe, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brunswick, ME
  • NPI 1982093753
  NPD (past) Authorized official

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

{
    "created_epoch": "1792368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1275439879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CRESTMONT AVE # 04462",
            "city": "MILLINOCKET",
            "state": "ME",
            "postal_code": "044621906",
            "telephone_number": "207-504-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 MEDWAY RD UNIT 3",
            "city": "MEDWAY",
            "state": "ME",
            "postal_code": "044603166",
            "telephone_number": "207-447-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATAHDIN RECOVERY & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-19",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "DOE",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER, NURSE PRACTITIONER",
        "authorized_official_telephone_number": "207-504-0588",
        "authorized_official_credential": "FNP, PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Marie Antiuk, LADC, MHRT/C
• Rachel Boutaugh, FNP
• Cynthia Cram, PTA
• Denise M Gardner, RN
• Health Access Network Inc (Health Access Network-Medway)
• Kathryn Ann Klein, LCSW
• Philip Perkins II
• Town of Medway (Medway Fire Department)

• Medical Specialty Clinic/Center in Medway, ME
• Providers in Medway, ME by specialty
• Medical Specialty Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.